Treating Chronic Rotator Cuff Tears - Surgery or Exercise?

The first treatment option for a chronic full-thickness rotator cuff tear is surgery. But is conservative treatments like exercises an option for rotator cuff tears?
Chapters:
0:00 Introduction
0:11 Surgery vs Exercise Research
1:25 Retears of the Rotator Cuff
1:59 Exercise Options
2:08 Isometric Strengthening for the Rotator Cuff
3:38 Isotonic Strengthening for the Rotator Cuff
5:55 Return to Sport
Sources:
Piper CC, Hughes AJ, Ma Y, Wang H, Neviaser AS. Operative versus nonoperative treatment for the management of full-thickness rotator cuff tears: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2018 Mar;27(3):572-576. doi: 10.1016/j.jse.2017.09.032. Epub 2017 Nov 21. PMID: 29169957. pubmed.ncbi.nlm.nih.gov/29169...
Brindisino F, Salomon M, Giagio S, Pastore C, Innocenti T. Rotator cuff repair vs. nonoperative treatment: a systematic review with meta-analysis. J Shoulder Elbow Surg. 2021 Nov;30(11):2648-2659. doi: 10.1016/j.jse.2021.04.040. Epub 2021 May 19. PMID: 34020002. pubmed.ncbi.nlm.nih.gov/34020...
Elliott RSJ, Lim YJ, Coghlan J, Troupis J, Bell S. Structural integrity of rotator cuff at 16 years following repair: good long-term outcomes despite recurrent tears. Shoulder Elbow. 2019 Feb;11(1):26-34. doi: 10.1177/1758573217738198. Epub 2017 Nov 10. PMID: 30719095; PMCID: PMC6348585. pubmed.ncbi.nlm.nih.gov/30719...
Longo UG, Carnevale A, Piergentili I, Berton A, Candela V, Schena E, Denaro V. Retear rates after rotator cuff surgery: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021 Aug 31;22(1):749. doi: 10.1186/s12891-021-04634-6. PMID: 34465332; PMCID: PMC8408924.pubmed.ncbi.nlm.nih.gov/34465...
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Who am I? 🤔
I'm a chiropractor with an interest in rehabilitation, tendinopathy, and chronic pain. I graduated from the University of Washington with a Bachelor's in Science and from Palmer Chiropractic College West with a Doctorate in Chiropractic.
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🚨Disclaimer: 🚨 The videos on this channel are for informational purposes only and do not constitute medical advice; the content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have watched on this channel.
#rotatorcuff #shoulderpain #rotatorcuffrehab

[@babijii]

Really glad i found you. Injured my shoulder surfing big waves. Took a month off followed all these steps and today in the water I may have re injured my shoulder :/ I think it might be a tear...

[@MichaelBraccio]

Hope that the video helped so you can get back out in the water!

[@lovestreetearlymorning]

Hey, there how does strengthening a tendon that is detached from the humorous actually work . Doesn't the tiendon have to be attached ?

[@MichaelBraccio]

Hello. So exercise won't magically reattach the tendon if it's a complete tear. However, the shoulder has a lot of redundancy around the muscles.

[@ross4631]

👍🏻