Surgery vs. Physical Therapy for Rotator Cuff Tears [Full Thickness] FPF Show Episode 121
To go along with today's episode I have a nice infographic to share...
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- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
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In today's video we go over Surgery vs. Physical Therapy for Rotator Cuff Tears [Full Thickness] FPF Show Episode 121:
- 0:00 Introduction
- 0:21 Article: Conservative vs. surgical management for patients with rotator cuff tears
- 0:44 Why consider physical therapy over rotator cuff repair?
- 1:40 Just how common are rotator cuff tears?
- 5:42 Do rotator cuff tears progress over time?
- 6:22 Are rotator cuff tears like gray hairs?
- 9:41 Are rotator cuff repairs successful?
- 11:46 Can we successfully treat rotator cuff tears with physical therapy?
- 13:37 What's more effective, physical therapy or surgery at the 1 and 2 year mark?
- 20:34 What happens at the 5 and 10 year mark after surgery vs. physical therapy?
- 25:23 How fast do rotator cuff tears progress over time? (full and partial thickness)
- 31:14 When should patients consider surgery over physical therapy?
Surgery! No wait, physical therapy!
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- Essential Beginner Exercises for Rotator Cuff Related Pain | Guide for Physical Therapists
- Rotator Cuff Tear Repair Surgery MASTER CLASS for Physical Therapists [Evidence Based]
- When Do Rotator Cuff Tears Fail After Surgical Repair? | Arthroscopic Surgery, Physical Therapy
- The Ultimate Guide to Rotator Cuff Tears, Tendinopathy and Sub-acromial Impingement Syndrome
- Physical Therapy Diagnosis and Treatment for Rotator Cuff Tendinitis / Impingement
- What Physical Therapists NEED to Know About Rotator Cuff Repair from an Orthopedic Surgeon
- Do I Need Surgery for My Torn Rotator Cuff?
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
- Longo UG, Risi Ambrogioni L, Candela V, Berton A, Carnevale A, Schena E, Denaro V. Conservative versus surgical management for patients with rotator cuff tears: a systematic review and META-analysis. BMC Musculoskelet Disord. 2021 Jan 8;22(1):50. doi: 10.1186/s12891-020-03872-4. Erratum in: BMC Musculoskelet Disord. 2021 Sep 2;22(1):752. PMID: 33419401; PMCID: PMC7796609.
- Moosmayer S, Lund G, Seljom US, Haldorsen B, Svege IC, Hennig T, Pripp AH, Smith HJ. At a 10-Year Follow-up, Tendon Repair Is Superior to Physiotherapy in the Treatment of Small and Medium-Sized Rotator Cuff Tears. J Bone Joint Surg Am. 2019 Jun 19;101(12):1050-1060. doi: 10.2106/JBJS.18.01373. PMID: 31220021.
- Frandsen JJ, Quinlan NJ, Smith KM, Lu CC, Chalmers PN, Tashjian RZ. Symptomatic Rotator Cuff Tear Progression: Conservatively Treated Full- and Partial-Thickness Tears Continue to Progress. Arthrosc Sports Med Rehabil. 2022 Apr 20;4(3):e1091-e1096. doi: 10.1016/j.asmr.2022.03.006. PMID: 35747654; PMCID: PMC9210491.