The rotator cuff is a group of four muscles and tendons that keep the ball of the shoulder centered in the socket and power lifting and rotating the arm. Tears can happen suddenly, from a fall or heavy lift, or develop gradually with age and repetitive overhead activity. Dr. Andrew Dold, a double board-certified, fellowship-trained sports medicine surgeon who has treated professional athletes from the NFL, NBA, NHL and PGA Tour, treats rotator cuff tears for athletes, workers and active adults across Dallas–Fort Worth.
Your evaluation with Dr. Dold includes a detailed shoulder exam and X-rays, with an MRI or ultrasound when a significant tear is suspected.
The right treatment depends on the type and size of the tear, how it happened, your age and your activity goals.
Many partial and age-related tears improve with physical therapy focused on shoulder strength and mechanics, activity changes, anti-inflammatory medication and, in some cases, injections. Orthobiologic options such as platelet-rich plasma (PRP) may also be discussed.
When a tear is causing ongoing pain and weakness, or when a tendon has been torn in an acute injury, surgical repair is often recommended. Dr. Dold performs rotator cuff repair arthroscopically, using a small camera and instruments through small incisions to reattach the torn tendon to the bone with suture anchors. Related problems, such as biceps tendon or labral injuries, can often be addressed during the same surgery.
For large, long-standing or previously repaired tears, additional options may be considered, including tendon augmentation or reconstruction, and in some cases shoulder replacement. Dr. Dold will review your imaging with you and explain which options fit your shoulder.
Recovery after rotator cuff repair is carefully staged to protect the healing tendon: a period in a sling, then guided motion with physical therapy, followed by progressive strengthening. Return to work, sports and overhead activity depends on the size of the tear and your goals, and full recovery typically takes many months.
Torn tendon does not usually reattach to bone on its own, but many people, especially with partial or age-related tears, get good pain relief and function with physical therapy. Some tears can enlarge over time, so Dr. Dold monitors tears that are treated without surgery.
Not always. Many rotator cuff problems can be diagnosed with an exam and X-rays. An MRI or ultrasound is used when a significant tear is suspected or surgery is being considered.
Yes. Arthroscopic rotator cuff repair is performed through small incisions, and most patients go home the same day.
Most patients wear a sling for several weeks after repair to protect the healing tendon. Dr. Dold will tailor the timing to the size of the tear and the strength of the repair.
It depends on your job, your sport and the size of the tear. Desk work often resumes sooner than heavy labor or overhead sports. Full recovery after rotator cuff repair takes many months, and Dr. Dold will guide your return step by step.
Dr. Dold sees patients at Star Orthopedics and Sports Medicine, 6700 Dallas Parkway, Suite 100, Frisco, Texas, from Frisco, Plano, McKinney, Prosper, Allen, Dallas and across DFW. Most major insurance accepted, including Medicare and Tricare. Call 469-850-0680 or request an appointment online.
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