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Previous research has documented no difference in long term outcomes between Physical Therapy and surgery for patients with rotator cuff tears.  Many patients with rotator cuff tears, including massive tears, do well with conservative treatment of their shoulder injuries demonstrating improvements in pain, strength, and function.  Strength training makes up the foundation of conservative care...

MRI testing of the shoulder is no different than testing in other body regions.  Pathologies such as bursa changes, tendinopathies, labral and rotator cuff tears are very common in asymptomatic populations and tend to increase with an individual’s age.  Many of these MRI findings do not contribute to a patient’s current symptoms and may be...

In our previous blog post we described how few (16%) partial rotator cuff tears progress over time.  Understanding the non progressive nature of the injury allows patients an opportunity to explore non surgical options including Physical Therapy.  In this study they followed partial rotator cuff tears over time, but a more recent study followed patients...

Shoulder pain remains one of the top 3 reasons patients seek care from their primary care physician and Physical Therapist. The most common diagnosis causing pain among these patients is subacromial impingement syndrome. Impingement can be found along with rotator cuff tendon pain (tendinopathy) or partial rotator cuff tears on clinical exam and imaging. Impingement...

Rotator cuff injuries span the spectrum from acute strains to chronic tendon pain (tendinopathy) and rotator cuff tears. Physical Therapy remains the gold standard, first line treatment for all rotator cuff injuries due to its’ cost and clinical effectiveness treating these disorders. A Physical Therapy first strategy has been reinforced by recent research demonstrating equivalent...

Rotator cuff tears are commonly found in both painful and pain free individuals and often are found in equal prevalence between the involved and uninvolved sides of the same patient. Tears found on MRI can be secondary to trauma, including falls, or secondary to the aging process. Importantly, researchers have not found a significant correlation...