Our Summary

This research paper investigates the use of platelet-rich plasma (PRP) in the treatment of rotator cuff tears in the shoulder. The researchers systematically analysed data from previous studies to determine if PRP is effective, safe, and cost-effective. They found that for smaller tears, PRP can reduce the risk of further tears. However, for larger tears, PRP alone may not be enough to repair the damage. They also found that, despite the benefits, the use of PRP is not cost-effective for small and medium tears at the current cost. Simply put, while PRP can help in some cases, it’s not worth the expensive price tag for most people.

FAQs

  1. Is platelet-rich plasma (PRP) effective in treating rotator cuff tears in the shoulder?
  2. Does the size of the tear affect the effectiveness of PRP in rotator cuff repair?
  3. Is the use of PRP cost-effective for the treatment of small and medium rotator cuff tears?

Doctor’s Tip

A helpful tip a doctor might give a patient about rotator cuff repair is to follow a structured rehabilitation program post-surgery to improve strength and range of motion in the shoulder. This can help prevent re-injury and promote proper healing of the rotator cuff. Additionally, it’s important to avoid activities that put excessive strain on the shoulder, such as heavy lifting or repetitive overhead movements, to give the rotator cuff time to heal properly. Regular follow-up appointments with the doctor or physical therapist can also help track progress and make any necessary adjustments to the rehabilitation plan.

Suitable For

Patients who are typically recommended for rotator cuff repair are those who have:

  1. Partial or full-thickness tears in the rotator cuff muscles
  2. Persistent shoulder pain and weakness that affects daily activities
  3. Failed conservative treatments such as physical therapy and corticosteroid injections
  4. Younger patients with a high demand for shoulder function (e.g. athletes, manual laborers)
  5. Patients with healthy surrounding tissues and good overall health

It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if rotator cuff repair is the best course of action for their specific condition. The decision to undergo surgery should be based on the severity of the tear, the patient’s overall health, and their goals for treatment.

Timeline

Before Rotator Cuff Repair:

  1. Patient experiences shoulder pain, weakness, and limited range of motion.
  2. Patient undergoes physical examination, imaging tests (such as MRI), and possibly a trial of conservative treatments like physical therapy or corticosteroid injections.
  3. Orthopedic surgeon recommends surgery for a complete rotator cuff tear that does not improve with conservative treatment.

After Rotator Cuff Repair:

  1. Patient undergoes pre-operative evaluations and clearance for surgery.
  2. Patient undergoes arthroscopic or open surgery to repair the torn rotator cuff tendon.
  3. Patient undergoes post-operative rehabilitation, including physical therapy to regain strength and range of motion in the shoulder.
  4. Patient may experience pain, swelling, and stiffness in the shoulder post-operatively.
  5. Patient gradually returns to normal activities and sports over a period of several months.
  6. Patient continues with long-term follow-up care to monitor healing and prevent future injuries.

What to Ask Your Doctor

  1. What is the extent of my rotator cuff tear and what are my treatment options?
  2. How successful is rotator cuff repair surgery in terms of pain relief and functional improvement?
  3. What are the potential risks and complications associated with rotator cuff repair surgery?
  4. What is the expected recovery time and rehabilitation process after surgery?
  5. Are there any alternative treatments or therapies that I should consider before opting for surgery?
  6. Will I need physical therapy after surgery, and if so, how long will it be necessary?
  7. Are there any specific lifestyle changes or precautions I should take to prevent further injury to my rotator cuff?
  8. How long will it take for me to regain full range of motion and strength in my shoulder after surgery?
  9. What is the long-term outlook for my shoulder function and potential for future tears after rotator cuff repair?
  10. Are there any restrictions on activities or sports that I should be aware of post-surgery?

Reference

Authors: Vavken P, Sadoghi P, Palmer M, Rosso C, Mueller AM, Szoelloesy G, Valderrabano V. Journal: Am J Sports Med. 2015 Dec;43(12):3071-6. doi: 10.1177/0363546515572777. Epub 2015 Mar 12. PMID: 25767267