Diagnosis and management of rotator cuff tear.
Before diagnosting the rotator cuff tear medical history and physical examination of the patient is done, depending up on the severity there can be many other provisional diagnosis which can be made.
- After discussing the symptoms and the level of injury physical examination of the shoulder is done.
- The doctor will check whether there is tenderness in any area or whether there is any deformity.
- The injured arm will be moved in several different directions to measure the range of motion and muscle strength.
- Also arm strength will be tested.
- Past history of any prior shoulder problems will be taken.
- Examination of neck muscles will also be done as to rule out the exact sight of pain and tenderness.
Confirmation Tests:-
Along with the above examinations there are some other tests that are done to confirm the condition:-
X-ray:- the very first imaging test that will be done is Xray. As the x-ray does not show the soft tissue of the shoulder like that rotator cuff, generally the plain x-ray of the shoulder and Rotator Cuff looks to be normal and can show a small bone spur which is the normal finding. The main reason to do x-ray is to figure out the reason for the shoulder pain such as arthritis.
MRI- An MRI and ultrasound can help to better observe the soft tissues like rotator cough tendons and ligaments. Rotator cough dear can also be easily seen in Mr the size as well as the location of the tear can be observed, a clear MRI can give doctor a better idea of how old are new at is it can also show the quality of rotator cuff muscles.
Treatment:-
If there is any rotator Cuff tear and the joint is still being used constantly despite increasing pain, this can lead to further damage. Early treatment can prevent the symptoms from getting worst, it will Also help to get back to normal routine quicker.
The main goal of any treatment is to help restoring functions and to reduce pain. There are several treatment options for the treatment of rotator cuff, and the best treatment for every person is dependent on some of the points depending on
- Age
- Activity level
- General health
- Type of tear
Non Surgical Treatment:-
- Rest — resting and limiting some of the overhead movements and activities can help to recover and manage rotator cuff tear.
- Activity modification — avoid activities that can cause shoulder pain and always try to Focus on work simplification and modification.
- Non steroidal Anti-inflammatory drugs (NSAID’s)- anti-inflammatory drugs like ibuprofen, aspirin, and naproxen can help to reduce swelling and pain, which can help to enhance the functional strength and muscular atrophy of patient.
- Physiotherapy — specific exercises are being suggested to restore movement and strengthening of shoulder. This exercise program will include streching exercise as to improve flexibility and the range of motion of the joint. Strengthening of muscle that supports the shoulder can help to relieve pain and prevent further injury.
Along with this surgical intervention and management play a major role in recovering the rotator cuff tears and traumas. Consult Dr. Manish Maheshwari he is one of the Best orthopedic surgeon and Sports medicine orthopedic surgeon in Indore, if you have any kind of problem like knee pain, sports injury, wear and tears, visit Indore Arthroscopy Center by Dr. Manish Maheshwari.
For your appointment call us now on 9826252228 or visit our website — https://www.drmanishmaheshwari.com/
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