The rotator cuff is formed from four muscles and tendons that attach your arm to the top of your shoulder blade (see figure 1). Impingement or a tear are the usual types of damage that can happen to the rotator cuff.
You should get less pain and be able to use your shoulder more easily.
Most people with impingement or a small tear can get back good function in their shoulder by changing their activities, and with the help of exercises and physiotherapy.
Simple painkillers such as paracetamol and anti-inflammatory painkillers such as ibuprofen can also help.
A steroid and local-anaesthetic injection into your shoulder can sometimes reduce pain.
If you have a large tear, it is likely that surgery is your only option to get back some strength in your shoulder.
The operation is usually performed under a general anaesthetic but various anaesthetic techniques are possible. The operation usually takes 45 minutes to an hour.
Impingement is usually treated by an arthroscopy (keyhole surgery). Your surgeon will use instruments to remove any thickened tissue, release any tight tissue and to shave off some bone.
Your surgeon may also be able to repair rotator-cuff tears using keyhole surgery. However, they may need to use open surgery. They will use stitches that anchor into the bone.
You should be able to go home the same day. Any stitches or clips are usually removed after one to two weeks.
It can take up to a year to get back enough strength in your shoulder to return to normal activities.
Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.
You may not get back the same strength that you had before you damaged your shoulder.
Author: Prof Lennard Funk MSc FRCS (Tr. & Orth.)
Illustrations: Medical Illustration Copyright © Medical-Artist.com
Expected length of hospital stay
Day CasePrivate Arthroscopic Rotator Cuff Repair treatment prices.
| Option | In London | Outside London | Under 16's |
|---|---|---|---|
| £5825.00 | n/a | n/a |
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HCA Healthcare UK hospitals offering Shoulder, Wrist & Hand treatments
See below for the HCA hospitals that offer private Arthroscopic Rotator Cuff Repair treatment.
Consultants offering Shoulder, Wrist & Hand treatments
Some of the country's top consultants choose to practice in our World-Class Private Hospitals and private units. See below for the consultants available for this procedure.
Private Shoulder, Wrist & Hand treatments at HCA Healthcare UK.
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Mr Adel Tavakkolizadeh
MBBS, MRCS, MSc, FRCS (Tr & Orth)
Shoulder, Wrist & Hand
Mr Tavakkolizadeh studied medicine at the Royal London Hospital Medical School graduating in 1995. He completed his basic surgical training in the North East Thames before doing some plastic surgery and then worked at the Royal National Orthopaedic Hospital in the Peripheral Nerve Injury Unit.
His Orthopaedic Registrar training was at Guy's and St Thomas' Hospital. He has completed two fellowships including a Sports Medicine and Upper Limb Surgery fellowship in Australia followed by a year of Upper Limb Surgery fellowship at King's College Hospital. He took up the post of Consultant Orthopaedic and Upper Limb Surgeon at King's College Hospital in 2008.
He provides a comprehensive Upper Limb Service including minimally invasive and arthroscopic shoulder, elbow and wrist surgery as well as treatment for all hand pathologies. He offers treatment for upper limb fractures and soft tissue sports injuries in conjunction with the appropriate rehabilitation through a team of skilled physiotherapists.
Mr Tavakkolizadeh is actively involved in research and teaching. He has numerous publications and is involved in the regional postgraduate training. He is an organiser and faculty member in several national educational and skills courses and participates regularly in GP and physio teaching programmes.
Upper limb
Mr Ali Noorani
MBBS BSc (Hons) MRCS FRCS
Shoulder, Wrist & Hand
Mr Noorani qualified from the Imperial College School of Medicine (London) in the year 2000. He completed his Orthopaedic and Trauma training on the prestigious Royal London Hospital rotation and has further specialised in Upper Limb Surgery including Trauma. He became a Fellow of the Royal College of Surgeons (FRCS Tr & Orth) in 2009.
He undertook further Specialist Fellowship training in Shoulder, Elbow and Upper Limb Surgery at the world-renowned Upper Limb fellowship programme at The Royal Liverpool Hospital. The Liverpool Upper Limb Unit Fellowship is one of best in the country specialises in complex arthroscopic shoulder surgery and upper limb trauma surgery.
This complements his 16 months during his training at Stanmore with the Shoulder and Elbow Service where the bulk of the work was complex revision Arthroplasty and Instability and at the Peripheral Nerve Injury Unit. This was in addition to his one year experience in Upper Limb Surgery including complex trauma at the Royal London. He has further 14 months of Upper Limb and Hand Surgery experience as a trainee.
Shoulder Surgery, Upper Limb Surgery
Mr Omar Haddo
MBBS, FRCS (Tr & Orth), BSc BMedSci
Shoulder, Wrist & Hand
Mr Omar Haddo was appointed to the Whittington Hospital in 2008, and his private practice is based at The Wellington Hospital and the Princess Grace Hospital.
Having studied medicine at St Bartholomew"s Hospital Medical School, London (1990 - 1996), he also undertook a BSc in Clinical Sciences at St Mary"s Hospital, London (1995). He was appointed to the Stanmore Orthopaedic Training Programme in 2002.
Mr Haddo undertook a fellowship at the internationally renowned Reading Shoulder Unit, where he developed his skills in arthroscopic surgery and also in shoulder resurfacing arthroplasty. He is a member of the British Orthopaedic Association and the British Elbow and Shoulder Society, and has published several scientific papers and book chapters. He has also presented at many national and international meetings and is heavily involved in teaching. He has been a faculty member on various orthopaedic and shoulder courses.
Trauma, Upper limb surgery Arthroscopic surgery, Shoulder impingement/tendonitis/bursitis, Shoulder dislocation/instability, Rotator cuff pathology/tears, Shoulder arthritis and replacement/resurfacing, Frozen shoulder; Elbow conditions/pain
Mr Rajeev Sharma
MBBS, DNB Ortho FRCS Ed (Tr and Orth)
Shoulder, Wrist & Hand
Mr. Rajeev Sharma is a Consultant Orthopaedic Surgeon providing services for London and Hertfordshire, predominantly for sports injuries of the upper limb.
He has been extensively trained for upper limb surgery in the United States and in the United Kingdom and currently provides state of art arthroscopic shoulder surgery, elbow surgery, wrist surgery and knee surgery for the ligaments.
Mr Sharma specialises in all common sporting injuries for example ligament injuries, dislocations, anterior cruciate ligament injuries etc are treated arthroscopically.
Elbow surgery, upper limb surgery and shoulder surgery
Mr Matthew John Sala
MB ChB, FRCS (Ortho)
Shoulder, Wrist & Hand
Mr Sala is a specialist in orthopaedics specialising in the treatment of Shoulder and Upper Limb conditions including Joint, Muscle and Tendon pathology and Sports Injuries of the Shoulder, Elbow, Wrist & Hand as well as Knee injuries; Arthroscopic (key hole) & Joint replacement Surgery and the management of complex fractures and soft tissue injuries.
Mr Sala has been a Consultant Orthopaedic Surgeon since his appointment at North West London Hospitals Trust in 1999. He is the Clinical Lead in Shoulder Surgery for the North West London Hospitals Group, offering advice and support to other orthopaedic surgeons in the management of complex upper limb conditions and injuries.
Appointed Honorary Senior Lecturer at Imperial College School at Medicine in 2001. His work has helped pioneer minimally invasive, arthroscopic (keyhole) surgery in the upper limb and he performs more than 90% of all soft tissue repairs in this way. He is part of the International Steering Group for the development of Equinoxe (Exactech) Total Shoulder Replacement Arthroplasty and Trauma range of implants and provides an international training facility for surgeons globally to attend for teaching. He is one of the few surgeons in this country with experience using collagen patch augmentation grafts in rotator cuff repair surgery; and also has extensive experience using synthetic ligament reconstruction in the treatment of acromioclavicular joint injuries. Involved in undergraduate and postgraduate surgeon training and continuing research. Selected to provide specialist Shoulder and Upper limb advice for the London 2012 Olympics.
Complex & Arthroscopic Shoulder Surgery; Sports Injury; Tendonitis; Rotator Cuff tears; Frozen Shoulder; Arthritis; Joint Reconstruction; Joint Replacement & Resurfacing; Instability & Dislocation; Fracture, Knee Injury
Mr Simon Owen-Johnstone
FRCS (tr and orth)
Shoulder, Wrist & Hand
Mr Simon Owen-Johnstone is a Specialist in Shoulders, Elbows, Wrist and Hands, working exclusively in London Private Healthcare.
He studied Medicine at the University of Leicester, and became a junior surgeon at the Norfolk and Norwich Hospital, where he decided on a career in orthopaedics. Higher Surgical training on the Barts rotation took him to the Royal National Orthopaedic Hospital and Great Ormond Street, amongst others. Mr Owen-Johnstone also studied at the St Andrews Centre for Plastic Surgery, on a National Fellowship.
Mr Owen-Johnstone became a Consultant Trauma and Orthopaedic Surgeon at St Bartholomews and The Royal London in 2004, working on the multiple major injuries brought by the Helicopter Emergency Medical Service. He was the Orthopaedic Lead Clinician before leaving the NHS in 2011. His practice covers all aspects of problems from the fingertips to the collarbone. Mr Owen-Johnstone deals with joints, skin, bone, muscle, tendon and nerve. A lot of his surgery is keyhole. As he is in full-time private practice, Mr Owen-Johnstone's clinic and operating times can be as flexible as you require.
Orthopaedics and upper limb
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