Shoulder impingement syndrome, which causes shoulder pain, can occur when you exercise repeatedly or go into labor that puts strain on the shoulder. Shoulder impingement syndrome is a disease that causes pain when the shoulder bone, the acromion, and the shoulder tendon, the rotator cuff, collide every time they move.
Rotator cuff dysfunction can occur due to degenerative changes or trauma resulting from an accident. This can cause pain and inflammation. Initially, the pain is bearable, but if left untreated it can lead to a rotator cuff tear, so accurate diagnosis and treatment at an early stage are important.
Rotator cuff tear is a disease that causes shoulder pain more commonly than frozen shoulder. Shoulder tendon problems may arise. Symptoms of pain and weakness may appear on the outside of the shoulder. If there is simply inflammation, the symptoms can be improved with injections or medications. When the tendon is severely weakened, surgical treatment is necessary. If tendon weakness is ignored, symptoms can worsen and progress to joint disease, so caution is needed.
For an accurate diagnosis, a detailed examination such as MRA or MRI is necessary. Recently, ultrasound technology has developed and can be used for rotator cuff tears, but it has the limitation of low sensitivity. Surgery is not always necessary for rotator cuff tears. Surgery is decided based on the degree of rupture, age and symptoms.
If the rupture is severe, surgical treatment is performed. Surgical treatment involves reattaching the torn tendon to its original position using a shoulder endoscope called an arthroscope. Because the surgery is performed through small incisions, there is less pain and less chance of infection than with previous methods. Rehabilitation after surgery is also easy.
Surgical treatments include rotator cuff repair surgery or acromioplasty. This is surgery to repair a torn rotator cuff or remove part of the bone that may be causing the tear. The rotator cuff is a rotator muscle that passes between the bones that form the shoulder joint. Because a completely ruptured tendon cannot heal naturally, a threaded screw is inserted through an arthroscope to suture the ruptured tendon to the bone.
Noh Gyeong-seon, director of Woosinhyang Hospital
The surgery begins with observation of the shoulder joint with an arthroscope. Acromoplasty is performed to remove degenerative lesions using arthroscopy and cut away part of the bone under the acromion. In some cases, additional incisions may be made in the front or side of the shoulder. Through this, the torn part of the rotator cuff is identified and sutured. If the rotator cuff tear is extensive, it may be difficult to repair with arthroscopic surgery. In this case, the rotator cuff suture is performed through a skin incision.
After surgery, you can resume daily life as soon as possible, but you will need to wear a brace for 6 to 8 weeks to protect the surgical area while the tendon attaches to the bone. Self-rehabilitation treatment can take several months. Rehabilitation treatment is very important after surgery to completely heal the rotator cuff and prevent it from tearing.
The period of use of the brace or rehabilitation treatment may vary depending on the degree of rotator cuff injury. Pain from surgery can last about 2 to 3 months. The pain gradually disappears about 6 months after surgery. It is important to proceed with rehabilitation without overdoing it because the sutured area could rupture again. Joint stiffness can occur if you don’t exercise your joints. It is essential to perform rehabilitation exercises as directed by your doctor.
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