The first treatment option for a chronic fullthickness rotator cuff tear is surgery. But is conservative treatments like exercises an option for rotator cuff tears?

Chapters:
0:00 Introduction
0:11 Surgery vs Exercise Research
1:25 Retears of the Rotator Cuff
1:59 Exercise Options
2:08 Isometric Strengthening for the Rotator Cuff
3:38 Isotonic Strengthening for the Rotator Cuff
5:55 Return to Sport

Sources:
Piper CC, Hughes AJ, Ma Y, Wang H, Neviaser AS. Operative versus nonoperative treatment for the management of fullthickness rotator cuff tears: a systematic review and metaanalysis. J Shoulder Elbow Surg. 2018 Mar;27(3):572576. doi: 10.1016/j.jse.2017.09.032. Epub 2017 Nov 21. PMID: 29169957. https://pubmed.ncbi.nlm.nih.gov/29169...

Brindisino F, Salomon M, Giagio S, Pastore C, Innocenti T. Rotator cuff repair vs. nonoperative treatment: a systematic review with metaanalysis. J Shoulder Elbow Surg. 2021 Nov;30(11):26482659. doi: 10.1016/j.jse.2021.04.040. Epub 2021 May 19. PMID: 34020002. https://pubmed.ncbi.nlm.nih.gov/34020...

Elliott RSJ, Lim YJ, Coghlan J, Troupis J, Bell S. Structural integrity of rotator cuff at 16 years following repair: good longterm outcomes despite recurrent tears. Shoulder Elbow. 2019 Feb;11(1):2634. doi: 10.1177/1758573217738198. Epub 2017 Nov 10. PMID: 30719095; PMCID: PMC6348585. https://pubmed.ncbi.nlm.nih.gov/30719...

Longo UG, Carnevale A, Piergentili I, Berton A, Candela V, Schena E, Denaro V. Retear rates after rotator cuff surgery: a systematic review and metaanalysis. BMC Musculoskelet Disord. 2021 Aug 31;22(1):749. doi: 10.1186/s12891021046346. PMID: 34465332; PMCID: PMC8408924.https://pubmed.ncbi.nlm.nih.gov/34465...


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I'm a chiropractor with an interest in rehabilitation, tendinopathy, and chronic pain. I graduated from the University of Washington with a Bachelor's in Science and from Palmer Chiropractic College West with a Doctorate in Chiropractic.


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