Reverse Rotator Cuff Surgery: When Is It the Right Option?

Shoulder pain can make everyday tasks, from getting dressed to putting away groceries, feel frustrating or impossible. For many people, rotator cuff injuries can improve with rest, physical therapy, and other nonsurgical treatments. However, in some cases, the rotator cuff may be too damaged to function properly and may call for surgery known as reverse rotator cuff surgery.

What Is Reverse Rotator Cuff Surgery?

Reverse rotator cuff surgery, also known as reverse shoulder replacement, is a type of surgery used when the rotator cuff is too damaged to support normal shoulder movement. In a standard shoulder replacement, the muscles and tendons that make up the rotator cuff are needed to keep the joint stable and help the arm move properly after surgery.

However, if a rotator cuff injury has left one or more of these tendons or muscles badly torn or severely damaged, a standard replacement may not provide relief or restore mobility. With a reverse shoulder replacement, the surgeon uses a specially designed prosthetic implant that switches the position of the ball and socket in the joint. This design allows the shoulder to rely more on the deltoid muscle to lift the arm, making it possible to regain movement even when the rotator cuff is no longer functioning.

Deciding Whether Surgery Is the Right Option

At the Orthopedic Health Center, reverse rotator cuff surgery is recommended only when nonsurgical options have been thoroughly explored and are no longer effective. To help determine if surgery is the best course of action, your orthopedic specialist considers several factors, including:

• Whether pain continues or worsens despite treatment
• How well you can lift and move your arm
• X-rays and MRI scans that show the condition of the rotator cuff, joint surfaces, and surrounding structures
• How shoulder symptoms affect your work, independence, and overall quality of life

Many patients are relieved to learn that surgery is not always necessary, and that it’s considered only when it’s likely to provide better results than continued conservative care.

Seeking Care for Shoulder Pain

If shoulder pain, weakness, or limited movement is interfering with your daily activities, don’t hesitate to schedule an evaluation. After reviewing your symptoms, movement, and imaging, your provider can explain whether a nonsurgical or surgical approach is most appropriate for your shoulder. Contact the Orthopedic Health Center today to discuss your next steps.