Rotator Cuff and S.L.A.P. tears

These injuries are considered one of the if not the most complicated of joint injuries and require longer time to heal than most joint injuries.  The glenohumeral joint has multiplanar ranges of motion which requires numerous muscles, tendons and ligaments to achieve the diversity of movements.

To accurately diagnose a rotator cuff tear and MRI is needed and if a S.L.A.P. tear (labrum)  is suspected an arthrogram using gadolinium dye is needed.

The rotator cuff is made up of 4 muscles and tendons: Supraspinatus, Infraspinatus, Teres Minor and Subscapularis. The most common tear is to the Supraspinatus.

Most experts, including the American Academy of Orthopedic Surgeons recommend a 6 - 12 week course of conservative treatment before considering surgery as an option.  Goals would be to increase the range of motion, ability to perform activities of daily living (grooming hair, reaching into overhead cabinets, getting a blouse or shirt on, etc.) and a reduction in pain.

Typically the patient has developed the condition from a fall on an outstretched arm or a repetitive use injury (such as throwing, playing tennis, hammering, sawing).

Most surgeons feel that if the patient is over 50 years old the surgical outcome is usually poor and they may actually get even worse so surgeons tend to avoid even considering surgery as an option for these patients

After symptoms initially present the patients tend to limit the use of the joint and this is actually making the condition worse and can lead to a "frozen shoulder" which is complicating the underlying injury and further decreases the chance of a favorable outcome.

At Molloy Chiropractic Center, Inc. we utilize several forms of therapy: attended exercises to increase the range of motion (wall mounted finger ladder) and strengthen as well as balance the area (rubber tubing, kettle bells, a Bailey wheel and a body blade), ultrasound to reduce inflammation, FAKTR to break up adhesions, a home exercise program and EMS to name a few. Close attention to proper movement of the scapula (shoulder blade) must be also considered and is often overlooked.

Our success rate is quite high and to date more than 95% of our patients did not require surgical intervention.


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Reviews By Our Satisfied Patients

    I was first recommend to Dr. Molloy a few years ago, and then last year re-injured my back. Dr. Molloy was able to diagnose my problem even before the MRI. Began treating immediately, which after months of pain I finally was able to return to normal activities. I continue to visit for regular adjustments. The Doctor and his office staff are extremely friendly and helpful. Being able to see him on my schedule is great. Highly recommended.

    Steve M.

    DOC FIXED MY HEART ATTACK!!!! Seriously, after a morning at Condell ER for chest pain, nothing was found. Chest pain continued. Went to Doc, explained the pain. He adjusted a rib in my sternum I had sprained cleaning/moving my 230 pound Dad. Pain immediately GONE!! I have known Doc is a miracle worker for more than 30 years, but this took the cake!! I LOVE you all !!!

    Michele H.

    A huge shout out to Molloy Chiropractic! i was having trouble walking all day, and was in tremendous pain. By the time I got to the office I was losing feeling in my foot. I'm now able to stand upright and feel my toastir! Thank you!

    Nancy K.