Saturday, April 13, 2024

Is Rotator Cuff Surgery Worth It

How Much Is Your Rotator Cuff Worth

When is it Safe to Drive After Rotator Cuff Surgery?

Understanding how much your rotator cuff injury is worth means understanding the factors that can make your case value higher or lower.

Many variables exist and being able to argue these from clinical as well as pain and suffering standpoints can help your torn rotator cuff settlement value.

To help understand your rotator cuff settlement potential, a few major areas of concern can be looked at and assessed:

How serious was your injury and what percentage and part of the rotator cuff was injured

Your age at the time of the accident

Was surgery needed, and if yes, which kind of surgery was needed

Presence of other medical conditions

These variables and your answers to them help to create the average ranges seen in many states for rotator cuff injuries. These averages range from $30,000 on the low end and $300,000 on the higher end.

Average settlement for rotator cuff surgery repair cases in California for example are similar to the cases in Maryland which shows a national average that tends to remain on average the same from location to location.

Open Rotator Cuff Surgery

Open rotator cuff surgery involves a large incision in the shoulder. This lets the surgeon directly view and access the surgical area. It requires more cutting and moving muscle and other tissues aside.

Open surgery generally involves a longer recovery and more pain than minimally invasive surgery because of this. Open surgery may still be the best option with large tears or injuries that require more than one type of repair.

The Benefits Of Arthroscopic Shoulder Surgery

During a shoulder arthroscopy, the surgeon cuts two to three small incisions about a quarter-inch in diameter near the joint. Through one incision, the surgeon threads an arthroscope made of optical fibers and lenses to view the internal ligaments and cartilage of the joint. Guided by the tiny camera, the surgeon then mends the damaged joint and tendon.

How extensive the repair is depends on the severity of the injury. In general, this minimally invasive procedure offers several advantages compared to traditional surgical approaches. First, since arthroscopic surgery eliminates the need for deep cuts into the muscles, there is less potential for infection, pain, and other complications. Plus, smaller incisions leave barely visible scars, meaning patients dont have to worry about a lasting impact on their appearance.

Because its a minimally invasive operation, arthroscopic shoulder surgery generally allows patients to return to their normal activities within two weeks. Bandages are removed after two days, but you may be asked to wear a sling for a short period. With a customized physical therapy program, you can expect a full recovery with complete range of motion after several months.

The surgeons at New York Bone & Joint Specialists are experts in minimally invasive procedures, including arthroscopic shoulder surgery. They can help determine whether this procedure is the best option for you. Schedule an appointment today to get started on the road to recovery.

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Which Treatment Is Right For You

Your healthcare provider is tasked with determining which surgery is best for your current situation. In many cases, both procedures are done only if completely necessary. If your shoulder joint is not damaged at all, rotator cuff surgery is a better option. However, if there is damage to the joint, shoulder replacement is likely the best procedure to go with.

In some cases, shoulder replacement surgery may be done following a rotator cuff surgery if it does not fix the issue.

What Are The Symptoms Of A Rotator Cuff Tear

Arthroscopic View Of Rotator Cuff Repair Of The Shoulder Stock Photo ...

Sudden tears from accidents cause immediate, intense shoulder pain and arm weakness. With degenerative tears, you may have mild pain that improves with over-the-counter pain relievers. Over time, the pain gets worse, and pain relievers dont help. Not everyone has pain, but most people have some degree of arm and shoulder weakness.

Signs of a rotator cuff tear include:

  • Difficulty and pain caused by raising your arm.
  • Popping or clicking sounds or sensations when moving your arm.
  • Shoulder pain that worsens at night or when resting your arm.
  • Shoulder weakness and struggling to lift items.

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If I Have A Painful Rotator Cuff And Keep Using It Will This Cause Further Damage

A rotator cuff tear can extend or get larger over time. This can occur normally over time, or with repetitive use or a re-injury. It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. This likely represents extension of an existing tear.

If you know you have a rotator cuff tear, worsening pain and decreasing strength may mean the tear is getting larger.

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What If A Rotator Cuff Repair Does Not Yield The Desired Result

If the shoulder remains stiff and painful despite the patients best efforts consideration can be given to a surgical release of scar tissue or possible a revision repair if sufficient quality and quantity of tissue remain. If this is not the case a smooth and move procedure may help restore comfort and function.

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Once You Get Passed The Mri Doctors Offer Guidelines To Getting Workers Back To Work

A July 2022 paper in The Journal of orthopaedic and sports physical therapy offered and suggested a series of clinical guidelines to doctors to help their patients get back to work. The initial assessment should include the patients history, a subjective assessment, and a physical examination. Diagnostic imaging is only necessary in select circumstances. Acetaminophen, non-steroidal anti-inflammatory drugs, and injection therapies may be useful to reduce pain in the short term. Clinicians should prescribe an active and task-oriented rehabilitation program to reduce pain and disability in adults with rotator cuff disorders. Subacromial decompression is not recommended to treat rotator cuff tendinopathy. Surgery is appropriate for selected patients with a full-thickness rotator cuff tear.

How To Deal With Partial And Massive Rotator Cuff Tears In Elderly Patients

First 3 Weeks Post Op Rotator Cuff Surgery

With partial tears of the rotator cuff, conservative treatment usually is preferred, and this is supported by data from recent short-term studies that advocate primary conservative treatment. In patients in whom there is little clinical improvement and symptoms persist, arthroscopic treatment should be considered. However, in the context of the elderly, there is little data to support decision making, which can include debridement or arthroscopic rotator cuff repair. In either case, the biceps tendon should be assessed and liberally treated as indicated.

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When Surgery Is Necessary

There are some exceptions, and some people with rotator cuff tears may be better off with immediate surgery. These tend to include younger patients who have had a recent acute injury to their shoulder. In these people, a rotator cuff tear is not normal and not primarily the result of the aging process.

Rotator cuff surgery may be an appropriate option for shoulder pain resulting from a rotator cuff tear. However, simply having a rotator cuff tear is not a reason in and of itself to have surgery. The decision about when surgery is appropriate is complicated and depends on a number of factors that you need to discuss with your healthcare provider.

What Options Are Available For Surgical Repair

The type of repair performed is based on the findings at surgery.

  • A partial tear may require only a trimming or smoothing procedure called a débridement.
  • A full-thickness tear, which usually means the tendon is torn from its insertion on the humerus , is repaired directly to bone.

Three techniques are used for rotator cuff repair:

  • Traditional open repair

Your orthopaedic surgeon can recommend which technique is best for you.

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When Should I See A Doctor For A Rotator Cuff Tear

If you have injured your shoulder or have chronic shoulder and arm pain, it is best to see an orthopaedic surgeon. They can then make a diagnosis and begin treatment. Your doctor may recommend a diagnostic imaging study such as a magnetic resonance imaging scan or ultrasound to confirm the diagnosis.

Early diagnosis and treatment of a rotator cuff tear may prevent symptoms such as loss of strength and loss of motion from setting in.

If your primary physician has already made the diagnosis, an orthopaedic surgeon can review both surgical and nonsurgical options and start treatment.

Medication And Physical Therapy

Rotator Cuff Surgery Treatment &  Cost Guide

Less serious injuries can be treated with methods like applying heat and cold to the affected area to help with reducing swelling. Medications can also be taken orally in addition to help with the healing process as directed by your physician.

Wearing a sling to keep the arm in place and allow for inflammation to go down is a common treatment. This is done to reduce pain and requires periods of rest so that the muscles and tendons are not further strained.

The more impactful injuries will also need to have weeks and sometimes months of physical therapy exercises that can help to restore and strengthen the range of motion of the rotator cuff and surrounding area.

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Prices And Where To Get It

Shoulder replacement surgery is performed in a hospital by a surgical team, including an orthopedic surgeon. The cost of a shoulder replacement procedure can be $14,000 to $52,000. That cost may be reduced with medical insurance. However, not all insurance plans will cover it.

If you have Medicare insurance, you will pay between $805 and $1,473 for your shoulder replacement surgery.

Can A Rotator Cuff Tear Be Healed Or Strengthened Without Surgery

The majority of rotator cuff tears can be treated nonsurgically using one or more of these treatments:

  • Anti-inflammatory medications
  • Physical therapy

The goals of treatment are to relieve pain and restore strength to the involved shoulder.

Even though most tears cannot heal on their own, you can often achieve good function without surgery.

If, however, you are active or use your arm for overhead work or sports, surgery is most often recommended because many tears will not heal without surgery.

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What Is Rotator Cuff Surgery

Rotator cuff surgery most often involves cutting your injured rotator cuff and then re-attaching the severed tendon to the upper arm bone . This involves an anchor that is drilled into the bone. The anchor attaches the tendon to the bone. The procedure can be done through a large incision or a shoulder arthroscopy which uses a small camera that allows visualization of the joint and rotator cuff tendons. Shoulder arthroscopy is the most common surgical technique. From 1996 to 2006, the number of shoulder arthroscopies increased by 600%, including an overall 115% increase in the number of rotator cuff repairs .

During surgery, nothing is done to address the reduced number of stem cells in the tendon. The reduced number of repair cells makes the tendon more fragile and at risk for injury and tearing.

What If The Patient Lives A Long Way Away From Seattle

3 Keys to Rehab a Rotator Cuff Tear & AVOID Surgery [UNIQUE EXERCISES]

Because this procedure is not performed in many centers across the United States patients often come to Seattle from a long distance for the procedure. We are available by appointment in the Shoulder and Elbow Clinic 4245 Roosevelt Way N.E. Seattle on Mondays and Fridays to evaluate individuals with shoulder arthritis to discuss the procedures that might be most ideally suited for them. We perform surgery on Tuesdays and Wednesdays at the University of Washington Medical Center 1959 NE Pacific St Seattle Washington. Patients having rotator cuff surgery are usually able to return home three days after the procedure assuming they have mastered their exercises. The sutures used to close the skin can be removed by a nurse or physician near the patients home. Ideally we like to see patients back at six weeks after surgery to assure that satisfactory progress is being made. We request that patients complete questionnaires at 3, 6, 12, 18 and 24 months after surgery so we can track their progress and that the patient obtain and send to us X-rays at 12 and 24 months after surgery if they are unable to return to Seattle for the annual follow-ups. All patients have our personal email and the clinic contact phone numbers to use in contacting us at any time questions arise.

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What Are Risk Factors For Rotator Cuff Tears

Anyone can experience a rotator cuff tear. These factors may increase your risk:

  • Family history of shoulder problems or rotator cuff injuries.
  • Poor posture.
  • Being age 40 or older.

Degenerative tears are more common among people who do the same repetitive shoulder movements, such as:

  • Carpenters.
  • Mechanics.
  • Recreational and professional athletes who play baseball, softball and tennis or are part of a rowing crew.

When Not To Have Rotator Cuff Surgery

  • BlogWhen Not To Have Rotator Cuff Surgery
  • Most rotator cuff tears dont require surgery to heal. This is because most people with rotor cuff tears dont have any problem with their shoulders. Even if the torn rotator cuff causes shoulder pain, you can get relief without surgical treatment. Here are some facts you need to know about rotator cuff tears and how to get treatment through physical therapy.

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    What Should You Expect From Postoperative Physical Therapy

    Physical therapy is a big part of postoperative rotator cuff treatment. Your physical therapist will start by introducing passive motion to the shoulder. He or she will carefully move your arm for you to ensure the recovering muscles and tendons are not under excessive strain. When you are ready, your physical therapy will progress to active motion, which means your therapist will instruct you how to move your arm. Finally, you will begin to work on strengthening the shoulder with resistance exercises. While you will have regularly scheduled physical therapy appointments, your therapist will likely give you daily at-home exercises to do. Rotator cuff tear rehab will usually last at least a few months after the surgery.

    What To Expect With Recovery After Rotator Cuff Surgery

    Rotator Cuff Injury Arm &  Hand Pain

    Recovery after surgery is a gradual process and recovery times can vary. Typically, you wear a sling for a few weeks after your surgery. This protects the tendon while it heals.

    A physical therapy and exercise rehabilitation program will help you recover. Many people return to activities in about 12 weeks. Full recovery times range from 412 months.

    You will often have pain after surgery. Pain management is important for healing and a smooth recovery. Your doctor and care team can manage your pain to help you recover faster. Contact your doctor if your pain worsens or you feel new pain. It may be a symptom of a complication.

    Call your doctor if you have concerns or questions between follow-up appointments. Call your doctor right away or get immediate medical care if you have:

    • problems breathing

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    Supporting Citations Literature & Resources:

    Cho, C. H., Bae, K. C., & Kim, D. H. . Patients who have undergone rotator cuff repair experience around 75% functional recovery at 6 months after surgery. Knee Surgery, Sports Traumatology, Arthroscopy, 1-8.

    About the Author

    Article Author: This law article was written by attorney Ray Benyamin, Esquire. Mr. Benyamin received his Juris Doctor degree from the Thomas Jefferson School of Law, and his license to practice law from the State Bar of California. His law license number is 277263. He has been practicing law for 10 years. Mr. Benyamin is a registered member of the following legal organizations: Consumer Attorneys Association of Los Angeles , the Los Angeles County Bar Association , the State Bar of California, the American Bar Association , and the American Association for Justice . Mr. Benyamin has personally helped his clients recover over $10,000,000 in vehicle accident insurance claims in the State of California.

    Things To Consider Before Opting For Shoulder Surgery

    If youre suffering with shoulder pain, it can be difficult to know what you should do about it. Some shoulder pain improves with simple rest. Other types of pain require treatment or physiotherapy in order to improve while some pain is a sign that you will benefit from shoulder surgery.

    With a special clinical interest in shoulder surgery, Mr Toby Baring performs approximately 350 operative procedures each year.

    Here, Mr Baring outlines the different types and causes of shoulder pain and when you can treat your shoulder without surgery. He also explains the signs that suggest that you might need surgery to relieve your shoulder pain.

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    Shoulder Specialists In Maryland

    If youre experiencing persistent shoulder pain or have suffered an acute shoulder injury, schedule an appointment with a skilled orthopedic physician here at Greater Chesapeake Hand to Shoulder. Our medical specialists are trained to efficiently diagnose and treat a wide range of upper-extremity conditions, including rotator cuff injuries.

    If you have any questions or would like to schedule an appointment with one of our orthopedists, contact our friendly staff today by calling us at 296-6232 or by filling out our appointment request form online now. We have many locations across Maryland for your convenience. We look forward to helping you move without pain and limitation!

    What Is The Outcome Of A Partially Torn Rotator Cuff Tendon Treated One Time With Prp And Bone Marrow Aspirate Concentrate

    When can you return to work after rotator cuff surgery?
    • The study showed that BMAC-PRP injection was associated with improved function and pain by standardized scoring systems at 3 months after injection as compared to the control group, while the change in the tear size and MMT did not differ between groups. There were no side effects or complications of BMAC-PRP injection.
    • The researchers pointed out that the BMAC-PRP injection did not decrease tear size within three months, but instigated other repairs. This is something we see often too and why we advise patients that stem cell treatments and PRP treatments, even when combined, require more than one treatment session.
    • They also point out that the best results were seen at the 12-week mark, where a significant improvement in shoulder function was noted. At the 8-week mark of tendinopathy, symptoms showed improvement.
    • Also noted was an improvement in tendon function that might be explained by the enhancement of tendon-bone junction healing by PRP.

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