Rotator cuff injuries must be treated surgically

According to you, the upper limb has an abduction of 60-80 degrees, and after 90 degrees, it can continue to abduct, but it requires adduction and external rotation, and the abduction and external pronation are limited, which is unique to shoulder impingement. And the pain is severe at night, and the shoulder impingement test can be done: the patient is seated, standing behind the patient, supporting the patient's shoulder with one hand, supporting the patient's elbow with the other, and quickly supporting the elbow forward and upward, which can cause pain on the top and lateral side of the patient's upper arm.

**You can be conservative first**, oral painkillers, shoulder injection of lidocaine + triamcinide, once a week, three times can be. If conservative efforts are ineffective, surgery is required.

We divide the ** rotator cuff injury into two categories, the first type is mainly conservative **, and the second type is surgery**.

Conservative**We often help patients improve their symptoms by strengthening the strength of the patient's shoulder girdle muscles, and increasing the flexibility of the scapula, in addition to helping patients improve their symptoms, and that patients will have more obvious pain, especially at night, in order to help patients eliminate the symptoms of this pain, we can help him reduce pain through some physical **, especially some thermogenic physical**, and some patients may have to take some aminoglycoside drugs to help him relieve symptoms. Of course, the external application of traditional Chinese medicine is also a very effective means.

The second category is surgery. Surgery**Including our traditional small incision surgery**, after the incision, find the torn rotator cuff tendon and repair it, but due to the development of arthroscopic surgical technology, most of our hospitals are arthroscopic and in 3 to 4 small incisions of 8 mm to 1 cm, under which the patient's rotator cuff is sutured and repaired.

The rotator cuff refers to the four groups of muscles in the shoulder, which can be diagnosed by magnetic resonance.

Your mother's shoulder joint must have some old injuries, and even if you have surgery, the results are not very certain.

In this regard, you should listen to the ** plan of Western medicine!

The rotator cuff is composed of four muscles around the shoulder joint, like a sleeve, because the shoulder joint often moves, causing single or compound injuries to the four muscles, the most common is the injury of the tendon of the supraspinatus muscle, that is to say, the shoulder joint, it is difficult to lift up, when it is injured, the patient can not lift the shoulder joint. In the past, rotator cuff injuries were often confused with frozen shoulder. In fact, the two pathological bases are opposite.

Rotator cuff injuries require rest, not a wide range of shoulder activities. If this is done, it can cause further aggravation of rotator cuff injury.

There are two parts to the rotator cuff injury method, one is conservative and the other is surgical. Conservative ** means that we should let the injured tendon get enough rest, strengthen the exercise of the shoulder muscles on the healthy side, and the patient should avoid doing some pushing movements, and instead use stretching to move. Topical drugs or topical drugs or analgesics can be used topically**.

The injury is relatively severe, the rotator cuff is completely torn, and after 3 to 6 months of conservative **, the effect is very poor or ineffective, and surgery is required**. Generally, we now use arthroscopic technology, and most of the rotator cuff injuries under arthroscopy can get good results.

For rotator cuff injury, it is generally combined with the doctor's physical examination, there are many professional physical examinations for rotator cuff injury, many people abduct with a positive pain arc test, that is, between abduction 60 ° and 120 °, there is obvious pain, this should be combined with the doctor's physical examination, it is best to let the doctor open the MRI examination of the shoulder joint, many patients with rotator cuff injury take an ordinary X-ray, only the bone can be seen, it can not see the soft tissue inside, generally let the patient do magnetic resonance first, magnetic resonance can see the soft tissue insideto see the rotator cuff inside. Some hospitals even do enhanced MRI to see more clearly, once the MRI finds that there is an obvious tear in the rotator cuff, and the tear is relatively large, in this case, it is generally recommended that the patient do shoulder arthroscopic minimally invasive rotator cuff repair surgery, and encounter many huge tears of the rotator cuff, and some of the huge tears need to be reconstructed under shoulder arthroscopic rotator cuff.

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It can be conservative**or surgical**, when the pain is mild, you can choose to use drugs**, if the arm cannot be lifted, and there is already obvious severe pain, surgery is required**. It can be an interventional method or a conservative surgical method.

If the injury is not very serious, you can choose to take medicine conservatively**, and if it is too painful, you can choose surgery**.

Surgery is performed after rotator cuff injury**, and most patients will have pain relief in about 6 weeks after surgery.

However, there are also some patients who have a poor tolerance to pain and may have long-term pain. Especially after 3 weeks of rotator cuff repair, some patients refuse ice, refuse to use anti-inflammatory drugs, and do not exercise properly, and the edema subsides slowly after surgery, and may still have painful symptoms for more than 3 months.

When repairing the rotator cuff, a large amount of isotonic saline is injected into the joint cavity. There are also surgical instruments, which can lead to edema of the shoulder joint structure. After the operation, it is necessary to take cold compress measures, appropriate functional exercises, appropriate oral muscle relaxation drugs, and anti-swelling and anti-inflammatory drugs to promote the rapid subsidence of edema, and carry out reasonable functions in the later stage, and gradually relieve the clinical symptoms of pain.

Surgery may not be required, but more exercise is required, and the upper limbs are stretched at 155° before abduction and lift for 3 weeks. At the same time, bedside traction physics **, after 2 weeks, 2 3 times a day intermittent release of traction, shoulder and elbow function exercises, to prevent joint stiffness. After 1 week of bed traction, it can also be fixed with a zero shoulder herringbone cast or zero brace to facilitate movement.

Positionless traction is helpful for the repair and healing of rotator cuff tendons in hypotonic state, and it is also beneficial to use limb gravity to promote the recovery of glenohumeral joint function after retraction.

How long does it hurt after surgery after a rotator cuff injury, it varies from person to person. Because pain is a subjective feeling, some patients with better willpower and pain tolerance can't feel a little pain. However, there are some patients who are usually very squeamish, and they feel very painful when they have a little pain, and there is no exact specific time for the pain problem.

However, depending on the condition during the operation, if the rotator cuff tear is relatively small, the suture is not very tight, and the tension is not very high, the pain is not very serious. If the rotator cuff tear is very large and the tension is very high, the pain will last a little longer. Some patients have no pain after surgery, and they only feel some soreness in the early stage, and the pain is not obvious, but the tension of individual patients is very high, and the pain will be relatively long, sometimes three months, and the longest patient has about half a year, so the pain varies from person to person, and the length of time varies.

The pain in the shoulder joint will be significantly relieved in about four weeks after the surgery, i.e. about one month.

At present, there are two types of surgery for rotator cuff injury: first, open surgery, and second, minimally invasive shoulder arthroscopy. Either way, the purpose is to repair the injured rotator cuff and re-suture and fix it, so that the rotator cuff can heal in a normal position and relieve joint pain and improve the limitation of shoulder joint mobility.

Among them, if you choose minimally invasive surgery**, the pain in the shoulder joint will be significantly relieved in about a month after surgery. With open surgery, the recovery time will be longer than that of minimally invasive surgery, and it may take 1 to 2 months for rotator cuff injury to be completely painless or completely relieved after surgery.

Rotator cuff injury surgery is not painful, because it is general anesthesia or nerve block anesthesia, you will not feel pain. At most, the wound is a little painful after surgery.

There is no surgery that doesn't hurt! When I do it, I use anesthetic, and it doesn't hurt when I do it, and it hurts for a few days after the effect of the anesthetic, which is normal.

During the surgery, the doctor will anesthetize you and you will not feel pain.

If the rotator cuff injury is not severe, non-surgical methods can be adopted, mainly to reduce shoulder joint activity, the forearm sling can be used to drag the upper limb to avoid the gravity of the upper limb to cause traction on the soft tissues of the shoulder, and topical drugs to promote blood circulation and relieve pain.

Rotator cuff injuries are mainly used to treat ligaments and soft tissue injuries in the shoulder joint. The clinical signs are not the same. It is more complicated, and it is recommended that you undergo an MRI of the shoulder joint in the early stage to further clarify, if there is no ligament damage, only soft tissue swelling, you can take conservative**.

When there is a rotator cuff injury, the injured tendon must be fully rested, the usual activity should avoid pushing action, local use of Tongluo bone Ning cream, if the pain is aggravated, oral blood capsule and diclofenac sodium anti-inflammatory and pain-relieving, rotator cuff injury if particularly serious need surgery**.

How is rotator cuff injury**, it is recommended to analyze it on a case-by-case basis. If the patient is in the edema phase, it is recommended not to do too much over-the-shoulder exercise, weight-bearing and squeezing, and also to pay attention to warmth, which can be relieved by medication and physics. However, if there is a tear in the rotator cuff, it should be done according to the size of the tear**.

A rotator cuff injury is an injury to the muscles and ligaments around the shoulder as a result of trauma. Causes localized pain, as well as impaired shoulder mobility. Yuan Lin, deputy chief physician of the Department of Orthopedic Surgery of Shandong Provincial Hospital, said that the rotator cuff injury was relatively serious and needed to be repaired by surgery.

If the rotator cuff injury is relatively less severe, a triangular scarf can be done to hang the arm, and then some physical therapy can be done on the site of the rotator cuff injury to promote recovery.

Suggestion: Local injuries can be treated locally for 3 to 4 weeks, and topical ointment can be used. Control activities.

Hello, I'm honored to answer your <>

Based on your question "Why is rotator cuff injury surgery not recommended?", here are the results of my analysis for you from a legal point of view:1Rotator cuff and silver game injury surgery carries certain risks, which can cause damage to the shoulder joint and the muscles around the joint, and may cause dysfunction of the shoulder joint.

2.The effectiveness of shoulder cuff injury surgery is uncertain because the outcome of the surgery will vary from person to person. 3.

Rotator cuff injury surgery requires a long period of activity and requires the patient to be constantly active, which can take a longer time to achieve optimal results. 4.Rotator cuff injury surgery is more expensive and may require multiple surgeries, which can put a strain on the patient's finances.

5.Rotator cuff injury surgery can cause infection and may lead to further damage to the shoulder joint. I hope this service can help you, if you have any questions, you can continue to ask questions, thank you for your consultation, I wish you all the best!

A rotator cuff injury is a common sports injury that can affect the function of the shoulder and can cause pain and dysfunction.

There are many methods of rotator cuff injury, the most commonly used of which are drugs, physics and surgery.

Medications are the most common method for rotator cuff injuries to reduce pain and improve shoulder function.

Commonly used drugs are nonsteroidal anti-inflammatory drugs, antineoplastic drugs, antibiotics, and antineuritis drugs.

Physics is another common method of rotator cuff injury, which can improve the function of the shoulder, reduce the trigger of less pain, and improve the range of motion of the shoulder.

Commonly used physical methods include hot compresses, massage, stretching, lumbosacral relaxation, etc.

Surgery is the last method for rotator cuff injuries and it improves the function of the shoulder, reduces pain, and improves the range of motion of the shoulder.

Commonly used surgical methods include rotator cuff repair, rotator cuff reconstruction, rotator cuff resection, etc.

In addition to the above methods, some auxiliary measures can be taken to improve rotator cuff injuries, such as changing the way of movement, reducing the intensity of exercise, increasing the support of the shoulder, wearing comfortable clothing, practicing shoulder stretching and relaxation, etc.

In short, there are many ways to treat rotator cuff injuries, and patients can choose the most appropriate method according to their own situation.

During the procedure, the patient should adhere to the procedure and pay attention to rest to avoid aggravating the injury.

Summary. In the early stage, it is recommended to use external ointment for conservative treatment, and the choice of plaster is generally to relax tendons, invigorate blood and dispel blood stasis; The purpose is to invigorate blood and relax tendons, evacuate blood stasis, loosen adhesions, and promote blood circulation in the disease. Keep warm, and exercise in moderation.

You can choose to use Tongshutang frozen shoulder patch, apply it for 8 12 hours each time, and use it every 2 times between about 4 hours to make it breathable and dry, and apply it regularly for conditioning.

What should I do if I have a rotator cuff injury**? What's the best way to do it?

In the early stage, it is recommended to use external ointment for conservative treatment, and the choice of plaster is generally to relax tendons, invigorate blood and dispel blood stasis; The purpose is to suppress blood circulation and relax tendons, evacuate blood stasis, loosen adhesions, and promote blood circulation in the disease. Pay attention to keeping warm, and there is a moderate exercise in the spring hide. You can choose to use Tongshutang frozen shoulder patch, apply it for 8 12 hours each time, and use it every 2 times with an interval of about 4 hours.

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