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The rotator cuff is a group of four small muscles and tendons around the shoulder. When one of these tendons tears — partially or completely — patients often ask whether surgery is needed. The answer depends on the type of tear, the patient's symptoms, activity requirements, response to conservative treatment, and imaging findings.
When physiotherapy is often the first step
Many rotator cuff tears — particularly partial-thickness or age-related tears in older adults with modest activity requirements — respond well to structured physiotherapy over six to twelve weeks.
When surgical repair may be considered
Surgical repair may be discussed in situations such as acute full-thickness tears in patients with high activity requirements, tears that have not responded to appropriate physiotherapy, progressive loss of function, or selected younger patients with traumatic tears.
What repair may involve
Rotator cuff repair is typically performed arthroscopically. Recovery involves a sling for several weeks followed by progressive physiotherapy. Specific timeline depends on tear size, repair type and rehabilitation compliance.
Clinical takeaway
- Not every tear needs surgery. Many respond to structured physio.
- Type of tear matters. Partial vs full-thickness, acute vs chronic.
- Age and activity matter. The decision is individualised.
- Discuss options with your surgeon. Bring your MRI.
If you have questions specific to your case, please book a consultation.
Rehabilitation: → Shoulder physiotherapy at VBJ
Dr. Vijay Chandar R.
15+ years of clinical practice with a focus on knee replacement, ACL and sports knee injuries, arthroscopy and shoulder surgery. Consultations at VBJ Bone & Joint Clinic, Kanakapura Road. Read full profile →
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