Rotator Cuff Tears
What Is the Difference Between a Partial-Thickness and Full-Thickness Rotator Cuff Tear?
A partial-thickness tear means the tendon is damaged but is not torn completely through its full thickness. A full-thickness tear extends through the entire thickness of the tendon and may result in the tendon becoming detached from its attachment to the bone.
Treatment depends on the size and location of the tear, the patient's age and activity level, symptoms, strength, and how the injury affects daily activities. Nonsurgical treatment may include activity modification, medications, physical therapy, and injections. Surgery may be considered when symptoms persist, weakness interferes with function, or the tear is significant.
What Does Recovery Look Like After Rotator Cuff Surgery?
Recovery after rotator cuff repair takes time because the repaired tendon needs to heal while shoulder motion and strength are gradually restored. Physical therapy is an important part of the rehabilitation process.
Dr. Hergan's rehabilitation protocol progresses through several stages. Early treatment focuses on protecting the repair and maintaining appropriate passive motion. Strengthening is introduced later as healing progresses, followed by a gradual return to functional activities.
Patients should avoid heavy lifting, sudden pushing or pulling, jerking movements, and overhead lifting during the protected stages of recovery. The timing of your return to work, exercise, and sports depends on the type and extent of the repair and your progress through rehabilitation.
