Dr. Shekhar Srivastav is a leading Rotator Cuff repair Surgeon in Delhi and is HOD of the Orthopedics Department at the Delhi Institute of Trauma and Orthopaedics (DITO), Sant Parmanand Hospital. He has a keen interest in the management of Knee & Shoulder problems, Robotic Knee Replacement Surgery.
He has performed thousands of Total & Partial Knee Replacement( Primary, Revision & Unicondylar replacement) & Arthroscopic Surgeries ( ACL, Meniscus, and Cartilage surgeries). Similarly, in Shoulder, he’s an expert in performing Shoulder Arthroscopies ( Bankart repair, Arthroscopy Rotator Cuff Repair) & Shoulder replacement Surgeries ( Total & Reverse Shoulder Replacements).
A group of muscles surrounds the shoulder joint called the rotator cuff which is the most important muscle for the shoulder joint. These muscles can get torn due to injury in a younger individual. But this is mostly torn in elderly persons due to degeneration( wear & tear) without any significant trauma. The patient complains of pain, and weakness in his shoulder, and in long-standing cases, it can lead to arthritis of the shoulder joint.
Rotator Cuff tears don’t heal by themselves. In partial or small tears conservative management can be tried. But if the problem persists or if the tear is large this requires surgical repair. Previously open surgery was done for the repair but now the complete repair can be done arthroscopically (keyhole technique). Tiny holes are made in the skin over the shoulder joint through which a small camera is inserted and repair is done. This relieves the pain and function is restored
Initially pain while using the arm or pain at night which might interfere with sleep may be the only symptom. If the tear is small then the arm may still have full function. If the tear becomes large then you may lose power in your arm, and eventually may not be lift the arm at all. In rare cases, this may lead to arthritis within the shoulder joint.
The diagnosis is made on your symptoms and clinical examination which is performed by your doctor. An x-ray is done to look for any bony pathology. MRI is done to confirm the diagnosis and to determine the extent of the tear, amount of retraction, and fatty degeneration in the rotator cuff.
The treatment is done by keyhole surgery (arthroscopy). A number of small holes are made around the shoulder and the surgery is performed through these keyholes with a camera and special instruments. In the early stages of the disease, with impingement syndrome and no rotator cuff tear, the treatment is subacromial decompression.
It involves the removal of a bony spur from the undersurface of the acromion. This increases the space available for the rotator cuff and therefore the amount of rubbing on the undersurface is reduced. This allows the inflammation and pain to settle.
If the rotator cuff is torn, then more extensive surgery is required. Suture anchors are used to repairing the tears in the rotator cuff and fix them to the bone. In some cases, the surgeon may also decide to release the Biceps tendon along with repairing of torn Rotator Cuff if it is damaged. It is important to repair a torn Rotator Cuff tendon early as in long-standing cases the tendon may retract and the quality of the tendon also deteriorates thus leading to a poor outcome even after surgery. If the cuff tear is massive, repair may not be possible by any means. In these cases, a subacromial decompression is done and no other procedure is attempted.
Rotator cuff surgery is a common procedure performed to repair a torn or damaged rotator cuff in the shoulder. In India, the cost of rotator cuff surgery can vary depending on several factors. Firstly, the type of surgery required plays a significant role in determining the cost. There are different techniques available, such as arthroscopic or open surgery, and the choice will depend on the severity of the injury and the arthroscopic surgeon’s recommendation.
Secondly, the location and reputation of the hospital or clinic also influence the cost. Major cities like Mumbai, Delhi, and Bangalore tend to have higher healthcare costs compared to smaller towns.
Additionally, the experience and expertise of the surgeon can impact the overall cost. For rotator cuff surgery in delhi, Dr Shekhar Srivastav is the best Shoulder Arthroscopic Surgeon.
It is important to note that the cost of rotator cuff surgery in India is generally more affordable compared to many Western countries. However, it is advisable to consult with multiple Shoulder Arthroscopic Surgeons and consider factors like post-operative care and rehabilitation expenses while evaluating the total cost.
A rotator cuff tear is a common injury that affects the muscles and tendons in the shoulder joint. It can occur as a result of trauma, such as a fall or lifting heavy objects, or it can develop gradually over time due to repetitive motion or age-related degeneration. If you suspect you have a rotator cuff tear, it is important to seek medical attention promptly. While some minor tears may heal on their own with rest and conservative treatments, more severe tears may require surgical intervention. Symptoms of a rotator cuff tear include pain, weakness, limited range of motion, and a popping or clicking sensation in the shoulder. However, it is worth noting that not all tears cause noticeable symptoms. To determine the severity of the tear and the appropriate course of treatment, a Doctor will typically perform a physical examination, review medical history, and may order imaging tests such as an MRI or ultrasound. They will also consider factors such as the patient’s age, overall health, and activity level.
Rotator cuff surgery is a procedure that is performed to repair a tear in the rotator cuff, which is a group of tendons and muscles that surround the shoulder joint. This type of surgery is typically recommended when conservative treatments, such as physical therapy and medication, have failed to provide relief. During the surgery, the patient is placed under general anesthesia, which means they are completely asleep and pain-free. The surgeon then makes small incisions around the shoulder joint to access the torn tendons. They use a tiny camera, called an arthroscope, to guide their instruments and perform the repair. Depending on the extent of the tear, the surgeon may either stitch the torn tendons back together or reattach them to the bone using small anchors or screws. In some cases, if the tendon is severely damaged, a graft may be used to reinforce the repair. After the surgery, patients typically need to wear a sling to immobilize the shoulder and promote healing. Physical therapy is an essential part of the recovery process, as it helps restore strength and range of motion to the shoulder joint. Full recovery can take several months, and it is important for patients to follow their surgeon’s instructions and attend all recommended follow-up appointments.
Rotator cuff tendinitis causes shoulder pain and inflammation. Recovery time varies but typically takes 6-12 weeks with proper treatment. Severe cases or rotator cuff tears may require longer recovery. Treatment includes rest, physical therapy, pain medication, and possibly injections. Physical therapy focuses on strengthening the rotator cuff and improving range of motion. Consult a healthcare professional for personalized treatment. Preventive measures like avoiding overhead activities and maintaining good posture can reduce future risk.
Rotator cuff tendinitis causes shoulder pain and inflammation. Recovery time varies but typically takes 6-12 weeks with proper treatment. Severe cases or rotator cuff tears may require longer recovery. Treatment includes rest, physical therapy, pain medication, and possibly injections. Physical therapy focuses on strengthening the rotator cuff and improving range of motion. Consult a healthcare professional for personalized treatment. Preventive measures like avoiding overhead activities and maintaining good posture can reduce future risk.
