Rotator cuff repair in India is a most successful technique used to treat problems related to orthopedic. India is one of the best places for the medical treatment or any other health care. Every year thousand of visitors come to India from around the world just for the orthopedic treatment. Medical tourism has become a common form of vacationing and covers a broad spectrum of medical services. Medical tourism mixes leisure, fun and relaxation together with wellness and healthcare. Hospitals of Delhi and Chennai provide best treatment for the Rotator cuff repair in India. Rotator cuff repair is a type of surgery to fix a torn tendon in the shoulder. The procedure can be done with a large ("open") incision or with shoulder arthroscopy, which uses small button-hole sized incisions. Rotator cuff tears are a common injury of a complicated joint. Because of our dependence on the shoulder for many activities, these injuries can be frustrating experiences. Symptoms of Rotator cuff tear: The most common symptom of a Rotator cuff problem is pain. Patients usually complain of pain over the top of the shoulder and arm. In some patients, the pain can descend down the outside of the arm all the way to the elbow. The other common symptom of a rotator cuff tear is weakness of the shoulder. Weakness causes difficulty lifting the arm up overhead or difficulty with activities such as reaching, getting dressed or carrying objects. Who should have Rotator cuff surgery? If a Rotator cuff tendon has torn completely, it usually will not heal completely without surgery. Whether a doctor actually recommends surgery, however, will depend on several factors, including; 1. The extent of the injury 2. The person's age and general health 3. Whether the injury is to the person's dominant shoulder and how much it affects overall function In most cases, it's best to perform the operation within three months of tearing the Rotator cuff. Some rotator cuff tears cannot be repaired. If the tendon has been torn for a long time, the tendon and the muscle sometimes retract (pull back), making it impossible to reattach them. How is Rotator cuff tears diagnosed? Rotator cuff tears are diagnosed with a number of different modalities. One is just based on a history where a patient may remember falling. They may remember that all of a sudden they awoke and they had intense pain in their shoulder and they couldn’t lift their arm. The history is very important. In addition, we do X-rays to look at whether or not there are any changes that suggest a patient may have a rotator cuff tear. MRI is a very effective tool in diagnosing rotator cuff tears. Sometimes those results may not point to a definitive answer and arthroscopy of the shoulder may be necessary to make the definitive diagnosis. Surgery of Rotator cuff: Even for full thickness rotator cuff tears, conservative care outcomes are usually reasonable. However, many patients still suffer disability and pain despite non-surgical therapies. For massive tears of the Rotator cuff, surgery has shown durable outcomes on 10 year follow-up. However, the same study demonstrated ongoing and progressive fatty atrophy and re-tears of the rotator cuff. Study has shown that MRI evidence of fatty atrophy in the rotator cuff prior to surgery is predicative of a poor surgical outcome. To address this issue of failure of surgical repair and poor conservative care outcomes caused by muscular atrophy, bioengineering may be the answer. Mesenchymal stem cells have been shown to differentiate into skeletal muscle. If the Rotator cuff is completely torn, surgery is usually required to reattach the tendon to the bone. Recovery from Rotator cuff repair surgery: Surgery to repair a torn rotator cuff is usually very successful at relieving pain in the shoulder. The procedure may not always return strength to the shoulder. Rotator cuff repair can require a long recovery period, especially if the tear was large. In many cases,

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