Dr. Richard Cunningham of Vail-Summit Orthopaedics & Neurosurgery (VSON) has long been a trusted name in orthopedic knee and shoulder care. Known for his expertise and patient-centered approach, Dr. Cunningham often addresses critical questions that patients face regarding their health. One such question that frequently comes up is: “Does rotator cuff surgical repair last forever?” Let’s dive into this topic to provide some clarity.

Understanding Rotator Cuff Injuries

The rotator cuff is a group of 4 muscles and tendons that help power your shoulder. A torn rotator cuff can result from acute injuries, but it is more commonly due to wear and tear over time. The primary symptom is pain, particularly at night, and shoulder weakness. Dr. Cunningham explains, “rotator cuff injuries are quite common, especially amongst overhead athletes and people who have to do a lot of overhead work, such as painters, carpenters, and hairdressers. Deciding whether one should have surgery depends on your level of pain and/or weakness, severity of the tear, your activity level, and your overall health.”

When Rotator Cuff Surgery Is Necessary

Dr. Cunningham notes that, “if the rotator cuff tear is full thickness (not partial thickness) and you are experiencing significant pain and weakness, and you are unable to do the activities you enjoy, then surgery is probably the best option to alleviate pain and restore strength and function.” This is particularly true for those who want to stay active.

Factors Influencing Surgery Success

Several factors can influence the success and longevity of rotator cuff surgery. Dr. Cunningham highlights, “your age, activity level, and the quality of the tissue are key factors in how well the surgery will work in the long run. While immediate surgery isn’t always necessary, putting it off for too long can lead to further tearing and tendon retraction which can complicate surgery.”

• Re-Tear Rates: Studies have shown that re-tear rates are higher in those patients that are older and who present with multiple torn tendons where there is retraction of the torn tendons (meaning it is pulled far away from its normal insertion site on the bone). Re-tear rates are also higher in smokers. For healthy people who undergo arthroscopic repair of a full tear but with minimal retraction, the healing rates are very good. Dr. Cunningham advises, “It’s important to know that while surgery can greatly improve your condition, there is a chance of re-tear, particularly if you don’t follow post-operative care instructions.”
• Rehabilitation: Proper rehabilitation is crucial for the success of the surgery. Dr. Cunningham emphasizes, “A good physical therapy program is essential to restore your range of motion and later to strengthen your shoulder muscles and improve your outcome. Sticking to your rehab plan is vital.”
• Lifestyle Factors: Patients who go right back to extensive overhead activity are more likely to re-inflame a repaired rotator cuff tendon. Chronic inflammation of tendons slowly weakens them over time and may prediscpose to re-tears. Furthermore, it is important to not smoke as this damages the fragile vascularity to the tendon and may lead to re-tears. Finally, Dr. Cunningham recommends “maintaining a fitness program that maintains the strength of your rotator cuff and shoulder girdle musculature is important to avoid reinjury.”

Consulting a Shoulder Doctor

If you’re experiencing shoulder pain, particularly at night, and the pain has not responded to rest and gentle shoulder exercises, it’s a good idea to consult a shoulder doctor. Early diagnosis and treatment can prevent further tendon tearing and retraction and thus improve outcomes if you need surgery. Dr. Cunningham states, “An experienced shoulder specialist can guide you through your treatment options and help you decide whether surgery is recommended.”

Richard Cunningham, MD – Shoulder Doctor Near Me

Most rotator cuff repair patients do well and stay intact over the course of one’s remaining lifetime. However, patients that are older, who have larger tears, who wait to see their doctor until the tear is severely retracted may suffer a re-tear or may not even fully heal their repair. Consulting a shoulder doctor near you can provide you with the necessary guidance and treatment to manage a torn rotator cuff effectively.

By understanding the potential outcomes and following a comprehensive rehabilitation plan, you can maximize the benefits of rotator cuff surgery and keep your shoulder pain-free and functional for years to come. For those wondering if rotator cuff surgery lasts forever, Dr. Cunningham’s expertise and holistic approach ensure that each patient receives personalized care tailored to their unique situation.

Contact Dr. Cunningham and his team today to learn more about managing rotator cuff injuries and to ensure you get the best care possible for your shoulder health.