{"id":540,"date":"2018-06-12T12:08:07","date_gmt":"2018-06-12T10:08:07","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/?p=540"},"modified":"2018-07-19T09:43:43","modified_gmt":"2018-07-19T07:43:43","slug":"treatment-for-rotator-cuff-injury","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/","title":{"rendered":"Choice of treatment for rotator cuff injury"},"content":{"rendered":"<p>We have talked several times before about <a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/tag\/manguito-rotador\/\"><strong>rotator cuff injury<\/strong><\/a>. We have explained its <a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/2018\/03\/07\/lesion-manguito-rotador-del-hombro\/\">characteristics and treatment<\/a>, the <a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/2018\/03\/13\/fases-lesion-del-manguito-rotador\/\">injury stages<\/a>, <a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/2018\/03\/21\/sintomas-de-la-lesion-del-manguito-rotador\/\">symptoms<\/a>, <a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/2018\/04\/19\/causas-lesion-del-manguito-de-los-rotadores\/\">causes<\/a> and <a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/2018\/05\/14\/factores-de-riesgo-lesion-del-manguito-rotadores\/\">risk factors<\/a>. In today&#8217;s post we will explain the factors that influence treatment choice. Without treatment, <strong>rotator cuff injury<\/strong> can lead to permanent stiffness or weakness and progressive degeneration of the shoulder joint. It can even mean not being able to lift the arm in the most advanced stages.<\/p>\n<p><!--more--><\/p>\n<h2><strong>WHAT FACTORS INFLUENCE THE CHOICE OF TREATMENT FOR ROTATOR CUFF INJURY?<\/strong><\/h2>\n<p>In an earlier post on this blog, we talked about <a href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/2018\/03\/07\/lesion-manguito-rotador-del-hombro\/\"><strong>treatment options for rotator cuff injury<\/strong><\/a> depending on whether or not there is a rupture of the tendon. Whether to opt for more conservative treatment options (physiotherapy) or surgical repair will depend primarily on the presence or absence of such a rupture. In spite of this, there are other influencing factors when choosing the treatment indicated in each case. They are as follows:<\/p>\n<ul>\n<li><strong>The injury stage:<\/strong> In the early stages and if there is no rupture, physiotherapy may be sufficient to rebalance the musculature of the joint and correct the injury.<\/li>\n<li><strong>Age:<\/strong> The risk of rupture increases and healing capacity decreases in the elderly.<\/li>\n<li><strong>The sport the patient practices:<\/strong> The difference between someone who uses mainly their arms in a sport and someone who does not should be taken into account.<\/li>\n<li><strong>Their work:<\/strong> Whether the patient&#8217;s work involves the use of their arms.<\/li>\n<li><strong>The arm affected:<\/strong> Whether the <strong>rotator cuff injury<\/strong> affects the dominant arm or not.<\/li>\n<li><strong>The number of tendons affected:<\/strong> It usually mainly affects the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Supraspinatus\"><em>supraspinatus<\/em><\/a>, followed by the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Biceps\"><em>long head of the biceps<\/em><\/a> and finally the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Infraspinatus_muscle\"><em>infraspinatus<\/em><\/a>.<\/li>\n<li><strong>The size of the rupture:<\/strong> It can range from a simple &#8220;fraying&#8221; of the tendon to the complete rupture of several tendons.<\/li>\n<li><strong>Whether the patient is a smoker:<\/strong> This is a very important factor that has been found to favour progression of the rupture and to hinder healing by directly altering the microvascularisation process.<\/li>\n<\/ul>\n<p>When faced with a <strong>rotator cuff injury<\/strong>, the <a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/91\/sergi\"><strong>sports traumatology specialist<\/strong><\/a> must first analyse whether there is a rupture of the tendon, and then all the factors mentioned above. Based on this analysis, they will recommend the best treatment option in each case.<\/p>\n<hr \/>\n<p><a href=\"https:\/\/www.barnaclinic.com\/en\/solicitar-cita\/?profesional=91\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-541 size-large\" src=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/wp-content\/uploads\/sites\/3\/banner-sergi-sastre-traumatologia-1024x152.jpg\" alt=\"\" width=\"1024\" height=\"152\" srcset=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/wp-content\/uploads\/sites\/3\/banner-sergi-sastre-traumatologia.jpg 1024w, https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/wp-content\/uploads\/sites\/3\/banner-sergi-sastre-traumatologia-300x45.jpg 300w, https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/wp-content\/uploads\/sites\/3\/banner-sergi-sastre-traumatologia-768x114.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We have talked several times before about rotator cuff injury. We have explained its characteristics and treatment, the injury stages, symptoms, causes and risk factors. In today&#8217;s post we will explain the factors that influence treatment choice. Without treatment, rotator cuff injury can lead to permanent stiffness or weakness and progressive degeneration of the shoulder [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":532,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[206,204,203,205],"tags":[207,208,213,211,209,210,212],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Choice of treatment for rotator cuff injury - Blog de Traumatolog\u00eda Deportiva<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Choice of treatment for rotator cuff injury - Blog de Traumatolog\u00eda Deportiva\" \/>\n<meta property=\"og:description\" content=\"We have talked several times before about rotator cuff injury. We have explained its characteristics and treatment, the injury stages, symptoms, causes and risk factors. In today&#8217;s post we will explain the factors that influence treatment choice. Without treatment, rotator cuff injury can lead to permanent stiffness or weakness and progressive degeneration of the shoulder [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Traumatolog\u00eda Deportiva\" \/>\n<meta property=\"article:published_time\" content=\"2018-06-12T10:08:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-07-19T07:43:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/wp-content\/uploads\/sites\/3\/eleccion-tratamiento-manguito-de-los-rotadores.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"barnacl\u00ednic+\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"barnacl\u00ednic+\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/\",\"name\":\"Choice of treatment for rotator cuff injury - Blog de Traumatolog\u00eda Deportiva\",\"isPartOf\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#website\"},\"datePublished\":\"2018-06-12T10:08:07+00:00\",\"dateModified\":\"2018-07-19T07:43:43+00:00\",\"author\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Choice of treatment for rotator cuff injury\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#website\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/\",\"name\":\"Blog de Traumatolog\u00eda Deportiva\",\"description\":\"Unidad de Traumatolog\u00eda Deportiva de barnacl\u00ednic+\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\",\"name\":\"barnacl\u00ednic+\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g\",\"caption\":\"barnacl\u00ednic+\"},\"url\":\"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/author\/alex\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Choice of treatment for rotator cuff injury - Blog de Traumatolog\u00eda Deportiva","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.barnaclinic.com\/blog\/traumatologia-deportiva\/en\/2018\/06\/12\/treatment-for-rotator-cuff-injury\/","og_locale":"en_US","og_type":"article","og_title":"Choice of treatment for rotator cuff injury - Blog de Traumatolog\u00eda Deportiva","og_description":"We have talked several times before about rotator cuff injury. 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