Personal Story of My Torn Shoulder Rotator Cuff

I had a complete tear of the Supraspinatus Tendon of the rotator cuff. But I discovered that treatment and recovery does not always require surgery.
Rotator Cuff Tear
Rotator Cuff Tear | Source

When the tendons in the shoulder, known as the Rotator Cuff, are injured and torn, we can experience pain and limited mobility.

The options for having a continued quality of life are either surgery or physical therapy. Here's my experience...

I tore my rotator cuff a few years ago. After my doctor explained my options, I did my own research to learn everything I needed to know to make the right decision.

The shoulder is the most complex joint in the human body. It is designed to be able to rotate in all directions. We take this joint for granted and I wish I understood it better previously. With the right knowledge I could have avoided damaging mine.

I’m in my 60’s now, but I never think twice about my age. And I have always done things as if I were still in my 30’s, never giving any thought to the fact that my body is getting older and maybe, just maybe, I should change the way I do things. Taking care of our shoulders as we age can have a great impact on our ability to continue living life to the fullest.

What Can Your Aches and Pains Mean?

When I started having aches and pains in my shoulder, I ignored them because I thought that it’s just part of aging. I had pain in my right shoulder when I tried to reach to wash my back when showering. My mother had arthritis, so I thought that may be what was going on for me.

I was still able to lift things. But when I tried to lift heavy boxes over my head, I had to quickly shift the weight to my left hand or else drop the box.

My doctor recommended an orthopedist who sent me for an MRI.

One section of my MRI taken in 2011
One section of my MRI taken in 2011 | Source

The MRI revealed that I had torn three tendons in the rotator cuff of my right shoulder. The rotator cuff is a combination of muscles and tendons that control shoulder movement and also maintain the stability of the shoulder.

Since I let a year go by, my orthopedist said that surgery may not be totally successful any more. In addition, I was still able to do things anyway. I could lift things, do house chores, just about anything. But when I made the wrong move I felt the pain.

My doctor explained that people who are immobilized by a rotator cuff tear are the ones that have no choice but to have surgery. But in my case, having good mobility and little pain, surgery is the last option to consider.

One of my four tendons had a full-thickness tear. That means that it was completely torn. It retracted like a snapped rubber band.

I found out why waiting a year is not a good idea. With a full-thickness tear the muscle is no longer used and it atrophies over time. This means that it becomes more like fatty tissue. When a surgeon sutures {1} a healthy tendon, it holds. But when they try to suture through fatty tissue, it just tears right through.

An easy way to understand what I mean is to think about eating a steak. You can't run your fork through the meat, but if you try to pull your fork through the fatty part, it slides right through.

Lessons That Should Be Taught in High School

Reading, Writing, Arithmetic, and Rotator Cuff

I was curious to know why some friends who had the same problem complained about excruciating pain, or lost their ability to use their shoulder.

My doctor explained that in my case my muscles were well balanced and compensated for the torn tendons. That came from a lifetime of proper exercise. You may laugh at me, but ever since High School I kept doing those push ups that we had to do in gym class. Maybe that made the difference.

Nevertheless, I still hurt myself. How? I don’t know for sure. But I have always done extreme things that maybe I should have stopped doing as I got older. I like to do carpentry around the house, and I sometimes move heavy objects, even lifting them above my head to place on racks high up.

That must be it!

I had a discussion with my new orthopedist who I went to for a second opinion. I asked her what I could do to get through the rest of my life if I don’t have surgery. Remember, the surgery might not work that well in my case. And in addition to that, it’s not recommended when one still has functionality anyway, as I do.

Her answer was, “Avoid lifting things above your shoulders.”

I asked why and she explained that when we lift things up as far as our shoulder level we are using different muscles. But when we go higher than our shoulders we are using our rotator cuff.

Wow! That was an enlightening piece of information. They should teach us those things in High School to take with us throughout life! (Just like the three R's and the multiplication table).

Anyway, I learned that if I avoid lifting heavy objects above my head, I may be okay. Well, my doctor continued to explain that there are no guarantees. It may get worse. Two of my tendons only have partial tears and they are still functional to some degree. But if I abuse my shoulder it can get worse. The one that has the full thickness tear is already non-functional.

Living With a Torn Rotator Cuff

Rotator cuff tear surgical repair procedure
Rotator cuff tear surgical repair procedure | Source

I had a full tear of the Supraspinatus Tendon of my rotator cuff and a partial tear of two other of the four tendons.

Ironically I never needed surgery. My doctor had sent me for Physical Therapy. They taught me various exercises to retrain the body to function with the torn tendons, basically teaching the muscles to handle the stress and keep the shoulder in proper position.

My doctor says I'm one of the few who is at one end of the spectrum. Having had a full tear and still able to function 90%. I have hardly any pain and almost full mobility. At this point I wouldn't even know that I had torn three tendons of my rotator cuff except for the MRI that shows the damage.

Don't make any decisions based on what I'm explaining here. I'm just sharing what I had learned. Deciding to have surgery or not is a choice you need to make with your own doctor. But hopefully you are reading this before you even hurt yourself.

I explained above two reasons why my doctor is against surgery for me:

(1) I’m functioning and I have full mobility. Mostly due to keeping up with the physical therapy exercises.

(2) Since I waited a year since the tear, surgery may not be successful since the major torn tendon, the Supraspinatus Tendon, retracted and atrophied.

I'm pretty much okay except that I need to avoid lifting things over my head. That will bring on the pain.

Many people have rotator cuff tears without even knowing it. Maybe they are like me, thinking that they are just getting older and expecting discomfort. So therefore they're not getting it checked out.

In a study of cadavers discussed in {3}, it was found that 32% of them had partial-thickness tears and a 19% had full-thickness tears. Nevertheless, they were functioning the rest of their lives.

Update Four Years Later

Addition to this article

I have continued doing the physical therapy (PT) that they taught me. I do it on my own at home three times a week.

I am sure this keeps me going because there were a few times when I stopped for a couple of weeks and the pain came back and I started losing mobility. So each time I went back to doing the PT exercises, the pain once again would clear up.

I never had surgery and I’m functioning very well with full mobility.

I had asked my doctor why it is that I can do almost anything even though the major tendon is completely torn. He said it's because I’m doing the PT exercises I am constantly training the other muscles to take over. He said as long as I continue the PT the rest of my life I may never need surgery.

So it will be a lifetime of continuing the PT to keep the other muscles balanced. That's how I am avoiding the pain and keeping full mobility.

Arthroscopic Rotator Cuff Surgery

More by this Author

Comments 8 comments

livelonger profile image

livelonger 4 years ago from San Francisco

Very useful advice - I had no idea that this problem was so prevalent, but your point that most people who just blame it on getting older seems to indicate why. Kudos to you for keeping up with pushups, and as for your current treatment protocol, there isn't a whole lot above your shoulders you'll want to grab/lift anyway. ;)

Glenn Stok profile image

Glenn Stok 4 years ago from Long Island, NY Author

livelonger, You crack me up. lol. Thanks for reading.

Jennifer Essary profile image

Jennifer Essary 4 years ago from Idaho

Great Hub! You had a good physician since they told you not to get the surgery. These days it seems so many of them are eager to cut. Wishing you and your shoulder well : ) Voted up and interesting!

Glenn Stok profile image

Glenn Stok 4 years ago from Long Island, NY Author

Jennifer Essary, I actually had two opinions from two surgeons. Thanks for the vote up.

Marie Flint profile image

Marie Flint 3 years ago from Jacksonville, FL

Both my brother (age 58) and son-in-law (31) have had rotator cuff surgeries. I'm glad you had a doctor who didn't push surgery. Personally, I try to do a few pushups regularly. And, I can't recall lifting anything heavy over my head--maybe I never will.

Thank you for sharing your experience. I especially like your pictures. And, while the article can be polished a little more, I think you have done a really nice job (especially those graphics)!

I'm bookmarking this one.

Glenn Stok profile image

Glenn Stok 3 years ago from Long Island, NY Author

Marie Flint - It's interesting that I am running into more and more people who have had rotator cuff surgeries lately. I hope your brother and son-in-law have had success with it. Be careful about lifting heavy things over your head. I learned now the hard way that it's something we should avoid doing after a certain age. Thanks for your feedback on the graphics I have used. But I would also be interested to know what needs to be polished. I'm always open to make improvements.

PegCole17 profile image

PegCole17 2 years ago from Dallas, Texas

This was really educational and provided answers to many of my questions. Recently I found out I had torn my rotator cuff, but thankfully, it does not require surgery, just physical therapy. Thanks for the great explanation and information.

Glenn Stok profile image

Glenn Stok 2 years ago from Long Island, NY Author

PegCole17 - I'm glad to hear that you never needed surgery for your torn rotator cuff. It's been almost three years now since I tore mine and I'm doing fine even without surgery. Just as you said, the physical therapy was all that was needed. And I continue till this day doing shoulder exercises, which keeps me from needing surgery. Thanks for your positive comments about my article.

    Sign in or sign up and post using a HubPages Network account.

    0 of 8192 characters used
    Post Comment

    No HTML is allowed in comments, but URLs will be hyperlinked. Comments are not for promoting your articles or other sites.

    Click to Rate This Article