The First Step to Moving Without Pain Starts Here.
Louisville Institute of Orthopaedics uses the latest minimally invasive surgical techniques to get patients moving again in less time, and with less pain, than traditional surgical methods.
We believe exceptional results start with exceptional patient care, so our team makes sure every patient receives the highest possible level of personalized and compassionate care in the region.
The Region’s Top Independent Orthopaedic Practice
The Region’s Top Independent Orthopaedic Practice
We help patients get back to doing what they love in less time with less pain compared to traditional open surgical techniques. Find out how we can help you get moving again in an environment that puts patient experience first.
Frequently Asked Questions (FAQ)
What is a rotator cuff tear?
A rotator cuff tear is damage to one or more of the four tendons that hold the shoulder joint in place and help you lift and rotate your arm. It can develop slowly from wear over time or happen suddenly from an injury.
What is the difference between a partial and a full thickness tear?
A partial-thickness tear damages the tendon without tearing all the way through. A full-thickness tear goes completely through the tendon and may separate it from the bone.
What causes rotator cuff tears?
Most tears come from gradual wear on the tendon. Others result from falls, heavy lifting, repetitive overhead motion, or bone spurs rubbing against the tendon. Risk factors include age, overhead work or sports, smoking, and family history.
What are the symptoms of a rotator cuff tear?
- Dull, deep shoulder pain that may spread down the arm
- Pain at night, especially when lying on the affected side
- Weakness when lifting or rotating the arm
- Pain when reaching overhead or behind your back
- Clicking or popping with movement
How is a rotator cuff tear diagnosed?
- Medical History: A review of your symptoms, activities, and any recent injury.
- Physical Examination: Testing range of motion and the strength of each rotator cuff muscle.
- Imaging Tests: X-rays check for bone spurs or arthritis, and an MRI or ultrasound shows the tear itself.
What are the treatment options for a rotator cuff tear?
Non-Surgical Treatments:
- Rest and changes to daily activities
- Physical therapy to restore movement and strength
- Pain relievers or anti-inflammatories
- Corticosteroid or PRP injections
- OrthoLazer therapy
Surgical Treatments:
- Debridement to smooth frayed tendon or remove bone spurs
- Arthroscopic rotator cuff repair
- Reverse shoulder replacement for large tears that cannot be repaired
When is surgery necessary for a rotator cuff tear?
Surgery is typically considered when non-surgical treatments no longer provide relief, when weakness limits daily activities, or when a full-thickness tear is caused by a recent injury. Treatment decisions consider tear size, your activity level, and your goals.
Will a rotator cuff tear heal on its own?
A torn tendon does not grow back to the bone on its own. Many people still manage symptoms well with physical therapy and other non-surgical care. Some tears can grow larger over time, so follow up with your healthcare provider.
How can I manage a rotator cuff tear at home?
- Avoid heavy lifting and reaching overhead.
- Do the exercises your physical therapist recommends.
- Use ice or heat to ease soreness.
- Sleep on your unaffected side or propped up with pillows.
Common Conditions and Treatments
