Rotator Cuff Tear: Do I Need Surgery?

Hearing the words "Rotator Cuff Tear" can be scary. Many patients assume it means immediate surgery and months in a sling. However, recent research shows that physiotherapy is often just as effective as surgery for degenerative tears.

Tear vs. Strain

  • Strain: The muscle fibers are overstretched.

  • Degenerative Tear: Wear and tear over time (common in over 50s).

  • Traumatic Tear: Caused by a fall or accident.

The Velca Approach: Unless you have a massive traumatic tear, we usually recommend a conservative approach first.

  1. Reduce Pain: We use acupuncture and taping to settle the shoulder.

  2. Restore Mechanics: If your shoulder blade (scapula) isn't moving right, the cuff gets pinched. We retrain your movement.

  3. Strength: You can teach the surrounding muscles to compensate for the tear, allowing you to lift your arm pain-free again.

Book in with our skilled physios in Howick and let’s assess your shoulder before you need surgery.

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