Follow-up treatment of the rotator cuff tear

General

A Rotator cuff tear can have many causes. Mostly traumatic due to degenerative pre-stressed muscles, it comes next after a tear or tear severe pain also to Movement impairments in the area of ​​the affected shoulder and arm.

As a rule, after the diagnosis of a rotator cuff tear, a operative therapy which involves joining and suturing the torn muscle ends. The operation is mostly done today arthroscopic, so with two small skin incisions over the Shoulder joint, carried out and does not take long.

Especially in the shoulder area, there is always a risk of permanent illnesses of this type Movement impairment or even stiffeningif the joint is immobilized for too long before or after the operation. For this reason, special attention should be paid to the consistent and regular follow-up treatment be placed.

Appointment with a shoulder specialist

I would be happy to advise you!

Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .

The shoulder joint is one of the most complicated joints in the human body.

The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

• Lumedis - your orthopedic surgeon
  Kaiserstrasse 14
  60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
You can find more information about myself at Carmen Heinz.

Follow-up treatment with medication

During the healing process, discomfort and pain can occur again and again, especially when moving. Since it happens with pain that the affected person into a Relieving posture walking and not doing appropriate exercises consistently is sufficient Pain management to pay attention.
The drug treatment is usually with anti-inflammatory and pain reliever drugs carried out. Here come medication, like Ibuprofen 600 mg 3 times a day or 800 mg 3 times a day as well Diclofenac 75 mg used in the morning and evening.
If the pain is more severe, you can also try treatment with Tramal 100 mg. In addition to the drug treatment of pain, it can also be useful to use the pain cold to reduce. Here, ice packs should be placed on the affected shoulder and this should be repeated 2-3 times a day.

Physiotherapeutic follow-up treatment

One of the most crucial follow-up treatments is the one that follows Physical therapy. It is intended to ensure that the muscles that have been brought back together are fully operational again and can take over the corresponding tasks completely.
Fresh traumatic Rotator cuff ruptures must be immobilized for the first six weeks. The immobilized ruptures should be practiced passive physiotherapy from the first day, i.e. the patient may no active or stressful movements do (do not lift weights, etc.).
In physiotherapy, one speaks here of blessing and swinging the arm out of the bandage.
The therapist performs the movements on the patient's arm himself, while the patient lets the muscles of the arm relax. After the six weeks of exercise break the arm can then also be actively moved by the patient.

While with the passive physiotherapeutic exercises especially one Stiffening of the joint should be avoided, especially the muscles of the Rotator cuff purposefully practiced. This is especially important because, on the one hand, the muscles are still irritated after the operation and, on the other hand, because the muscles have increasingly deteriorated after six weeks of relaxation and have become atrophic.
For this reason, special attention should be paid to the targeted Reconstruction of the muscles be placed.
The so-called Agonists, so the muscles that the same movement how the rotator cuff muscles perform, exercised to the Rotator cuff muscles to support.
This is done by practicing with a light tape. The tape must then be held in such a way that it takes some effort for the muscles to counter the resistance. Muscle build-up occurs where the muscle has to overcome a corresponding force point in order to be stronger than the resistance. After the slight resistance of the band, light dumbbells of 1.5 kg are used first, then 3 kg.
The higher the resistance that the muscle creates, the more it is trained and the more it can use the muscles Rotator cuff support.
As soon as the agonists have been trained accordingly, the so-called Antagonists for use. These are muscles that the opposite movement perform in the body.
The usual movement can only be carried out with the same strength and endurance if both muscle parts have been trained equally and accordingly and there is no imbalance.

The so-called eccentric workout then joins the dumbbell training. This will be more intense Stretching exercises and support exercises carried out. The most active exercise time should be from the 25th week after the operation; it can ultimately be carried out as long as there are still deficits in the movement.
It tends to be better to practice a little longer. The training volume should be daily shortly after the operation, but can then take place every second or every third day. The physiotherapeutic follow-up treatment is covered by the statutory health insurance.