When Surgery Is Necessary
It is important for people to understand that rotator cuff surgery may be an appropriate option for shoulder pain resulting from a rotator cuff tear. However, it is also important to understand that rotator cuff tears are incredibly common. So common that, as people age, they become expected. Therefore, having a rotator cuff tear is not a reason in and of itself to have surgery. The decision about when surgery is appropriate is complicated and depends on a number of factors that you need to discuss with your doctor.
On the other hand, patients should be reassured, that while some rotator cuff tears do cause pain, the vast majority will never require surgery, and many people can find relief with nonsurgical treatments. Patients who are told they need rotator cuff surgery should understand the reason for surgery. In most cases, non-surgical treatments should be attempted first, the exception being in younger patients who have rotator cuff tears resulting from traumatic injuries. If you are unsure of the necessity of a rotator cuff surgery, a second opinion can be helpful.
