Rotator Cuff Tears: Non-Surgical Rehabilitation

Rotator Cuff Tears: Non-Surgical Rehabilitation

What Is a Rotator Cuff Tear? Types and Symptoms

• Definition: Damage to one or more tendons (subscapularis, supraspinatus, infraspinatus, teres minor) that stabilize the shoulder joint.
• Classification:
  • Partial-Thickness: Incomplete tear of the tendon.
  • Full-Thickness: Complete tear through the tendon.
  • Acute: Sudden injury (e.g., trauma, heavy lifting).
  • Chronic: Degeneration over time (e.g., age, repetitive use).
• Symptoms: Shoulder pain (especially at night), weakness, limited range of motion, "painful arc" (pain during 70–120° abduction).

Anatomy of the Rotator Cuff: Stability and Function

• Muscles/Tendons:
  • Supraspinatus: Initiates shoulder abduction, resists deltoid upward pull.
  • Infraspinatus & Teres Minor: External rotation and posterior stability.
  • Subscapularis: Internal rotation and anterior stability.
• Function: Stabilizes the humeral head in the glenoid fossa during movement.

Causes and Risk Factors

• Acute trauma (falls, lifting heavy objects).
• Repetitive overhead motions (throwing, swimming).
• Age-related degeneration (50% of individuals over 80 have tears).
• Poor posture, muscle imbalances, or anatomical factors (e.g., acromion shape).

Why Physiotherapy is Critical for Recovery

• Reduces pain and inflammation.
• Restores range of motion and strength.
• Prevents muscle atrophy and shoulder stiffness.

Prognosis: Healing Timeline for Rotator Cuff Tears

• Partial-Thickness Tears: 6–12 weeks with rehab.
• Full-Thickness Tears: 3–6+ months (depends on tear size and adherence to rehab).
• Chronic Tears: May require ongoing strengthening to prevent recurrence.

Physiotherapy Treatment Approaches

• Phase I (0–6 Weeks)
  • Gentle passive range of motion (PROM) exercises.
  • Cryotherapy for pain management.
  • Avoid lifting or overhead movements.
• Phase II (6–12 Weeks)
  • Introduce active-assisted ROM (e.g., pulleys, cane exercises).
  • Begin scapular stabilization drills (e.g., wall push-ups).
• Phase III (12–16 Weeks)
  • Progressive resistance training (bands, light weights).
  • Focus on external rotation and abduction.
• Phase IV (16+ Weeks)
  • Sport-specific drills (e.g., throwing, swimming).
  • Strengthen serratus anterior and core muscles.

Preventing Recurrence

• Strengthen rotator cuff and scapular stabilizers (e.g., external rotation with bands).
• Improve posture (stretch pecs, strengthen mid-back).
• Avoid repetitive overhead motions without rest.

FAQs

• "When is surgery necessary?"
  • Considered if conservative treatment fails or for large tears in active patients.
• "Can I lift weights with a tear?"
  • Gradual return under guidance; avoid overhead lifts initially.
• "Difference between tear and impingement?"
  • Tears involve tendon damage; impingement is tendon compression.

Ready to Overcome Rotator Cuff Pain?

Our Specialized Approach to Rehab

Our comprehensive treatment programs include:

• Detailed biomechanical assessment of your shoulder and upper limb.
• Customized exercise programs based on your specific type of rotator cuff tear.
• Advanced manual therapy techniques for pain relief and tissue healing.
• Progressive strengthening protocols tailored to your activity goals.
• Regular monitoring and program adjustments to optimize recovery.

Why Choose Our Clinic for Rotator Cuff Treatment?

1. Evidence-Based Expertise
   • Treatment protocols based on the latest research.
   • Specialized training in shoulder rehabilitation.
   • Proven track record with both athletic and non-athletic populations.
2. Personalized Care
   • Individual assessment of your shoulder condition.
   • Custom treatment plans based on your specific needs.
   • Regular progress tracking and program modification.
3. Comprehensive Recovery Support
   • Education about managing daily activities.
   • Guidance on return to sport or work.
   • Long-term prevention strategies to avoid reinjury.

Take the First Step Toward Recovery

Don’t let rotator cuff pain limit your activities or affect your daily life. Our experienced team is ready to help you build a strong foundation for lasting recovery.

Book Your Specialized Assessment Today:

• Phone: 905-669-1221
• Location: 398 Steeles Ave W #201, Thornhill, ON L4J 6X3
• Online Booking: www.vaughanphysiotherapy.com

Serving communities across Thornhill, Langstaff, Newtonbrook, Willowdale, North York, Markham, Richmond Hill, Concord, and North Toronto.

Conveniently located in the heart of Thornhill, offering flexible scheduling to accommodate your recovery needs.

Your Path to Recovery Starts Here

Whether you're dealing with recent shoulder pain or a chronic rotator cuff tear, our proven approach to rehabilitation can help you return to the activities you love. Contact us today to begin your journey back to pain-free movement.

‍