The rotator cuff is the group of tendons that stabilizes and moves the shoulder. Every case starts with a full evaluation.
What it is
Rotator cuff repair is an arthroscopic surgery that reattaches the shoulder tendons to the bone through small incisions, using a camera and fine instruments.
Rotator cuff injuries can appear with wear over the years, with repeated overhead effort or after a fall.
Common signs to see a specialist
People with a rotator cuff injury may notice:
- Shoulder pain lasting more than 3 weeks
- Pain when lifting the arm or carrying objects
- Weakness lifting the arm overhead
- Night discomfort when lying on the shoulder
- Stiffness or loss of mobility
How it is diagnosed
Diagnosis is based on a physical exam with specific tests such as Jobe, Neer and Hawkins.
It is complemented with an X-ray and a shoulder MRI, which shows whether the tear is partial or complete. Imaging is reviewed in consultation and the plan is decided together.
Treatment options, conservative first
Every treatment starts with a full evaluation. Before surgery is discussed, non surgical options such as guided physical therapy, activity modification and injections when indicated are considered. Surgery is considered when it is the most appropriate option for that specific case.
Before surgery, targeted physical therapy, a guided injection and activity modification are considered.
When arthroscopic surgery is considered
Arthroscopic repair is considered when conservative care has not been enough or when the type of tear requires repair.
The decision depends on the size and type of the injury, the symptoms and each person's activity.
Recovery
Recovery time depends on the procedure, the type of injury and each patient. Dr. Aguila explains the expected timeline in consultation.
FAQ
Does every rotator cuff injury need surgery?
No. Many partial tears are managed with targeted physical therapy and a guided injection. A full evaluation and the MRI help define whether repair is appropriate.
What studies should I bring?
If you already have a shoulder X-ray, an MRI or an ultrasound, bring the images and the reports. If you have no studies yet, Dr. Aguila will indicate which ones are needed.
Do you see patients in English?
Yes. Dr. Aguila sees patients in English and Spanish, from the first consultation through follow up.
How do I schedule?
Through WhatsApp at +52 664 283 6582 or on Doctoralia. The office is at Torela, Agua Caliente 9955, Planta Mezzanine, Tijuana.