Shoulder pain that persists despite physiotherapy can make everyday activities difficult. Patients may struggle to lift their arms, reach overhead, dress comfortably, or sleep on the affected side. One possible cause is a severe rotator cuff tear, particularly when the tear cannot be repaired using conventional surgical techniques.
Why Does Shoulder Pain Persist Despite Physiotherapy?
The rotator cuff is a group of muscles and tendons that help stabilize the shoulder joint and control arm movement. A significant tear can cause pain, weakness, restricted movement, and difficulty performing routine tasks. Physiotherapy may help improve strength and mobility, but some patients continue to experience symptoms because of the severity of the tear.
Persistent shoulder pain can also result from arthritis, tendon inflammation, frozen shoulder, or other conditions. An orthopedic evaluation is important to identify the underlying cause before considering surgery.
When Is Superior Capsular Reconstruction Considered?
Superior Capsular Reconstruction (SCR) is a specialized surgical procedure that may be considered for selected patients with an irreparable rotator cuff tear. It uses a graft to help restore stability in the shoulder joint and improve its function.
A specialist may consider SCR when:
- Shoulder pain and weakness continue despite appropriate non-surgical treatment.
- The patient has difficulty lifting or raising the affected arm.
- Imaging confirms a massive, irreparable rotator cuff tear.
- The shoulder joint does not have advanced arthritis that would make another treatment more appropriate.
- The patient’s symptoms, activity level, and overall shoulder condition make the procedure a suitable option.
Not every patient with shoulder pain requires surgery. Treatment depends on the examination findings, imaging results, age, activity level, and severity of the injury.
What Can Patients Expect After Surgery?
Recovery after Superior Capsular Reconstruction takes time and requires a structured rehabilitation plan. Patients may need to wear a shoulder sling initially, followed by gradual, doctor-guided physiotherapy. The timeline for regaining movement and strength varies according to the injury, surgical findings, and individual healing.
Following postoperative instructions and avoiding premature shoulder strain are important parts of recovery.
Consult Dr. Aditya Lakhotia for Persistent Shoulder Pain
If shoulder pain is not improving with physiotherapy or you are struggling to lift your arm, an orthopedic assessment can help determine the appropriate treatment. Dr. Aditya Lakhotia can evaluate shoulder symptoms and help patients understand available treatment options based on their individual condition.
If you are looking for guidance about Superior Capsular Reconstruction Surgery in Indore, consult an orthopedic specialist to discuss your symptoms, diagnostic tests, and whether this procedure may be appropriate for you. Early assessment can help identify the cause of persistent shoulder pain and guide the next steps toward better shoulder function.