Rotator cuff tear Treatment in kdms Orthopedic Hospital

Patients seeking treatment for a rotator cuff tear can find specialized care at kdms Orthopedic Hospital in Bangkok, Thailand. As the first dedicated orthopedic-only hospital in the country, it holds JCI accreditation and uses advanced tools like robotic surgery assistants and on-site MRI scans. Dr. Pongtep Na Nakorn, a specialized sports medicine and shoulder surgeon, leads the treatment for these injuries at the facility.

Diagnostic options for shoulder pain

The diagnostic process starts with a physical examination to check for tender points, range of motion, and muscle strength. Doctors then use imaging to confirm the severity of the tear. The following tests are available on-site:

• Physical examination. Assessment of pain and shoulder movement by a specialist.
• X-ray. Used to identify bone spurs or other related issues.
• MRI scan. Provides detailed images of the soft tissues and the exact location of the tear.
• CT scan. Available for detailed bone and joint visualization.

Non-surgical and conservative therapy

For non-severe tears, the hospital provides non-surgical methods to reduce pain and improve function. These therapies often serve as the first-line approach before considering surgery.

• Behavior modification. Resting the joint and reducing overhead activities.
• Medication. Use of pain relievers, anti-inflammatory drugs, and muscle relaxants.
• Physical therapy. Focused exercises and techniques like laser, ultrasound, and shockwave therapy.
• Steroid injections. Direct injections to help manage severe inflammation.

Surgical repair and shoulder replacement

When conservative methods are not enough, Dr. Pongtep Na Nakorn performs surgical repairs using minimally invasive or traditional techniques. The choice of surgery depends on the age and size of the tear.

• Arthroscopic rotator cuff repair. This minimally invasive procedure uses a small camera and instruments through tiny incisions. It results in minimal tissue damage and a faster recovery.
• Open surgery. This technique is reserved for chronic tears that are too severe for arthroscopic repair.
• Shoulder replacement surgery. Surgeons perform standard or reverse shoulder arthroplasty for irreparable tears or cases with severe osteoarthritis.

Arthroscopic shoulder package

The hospital offers a structured package for patients undergoing arthroscopic repair to simplify their stay. The package includes 3 days and 2 nights in a standard inpatient room. Patients receive nursing services, hospital meals, and necessary medical equipment during their stay. Note that specific surgical implants, such as bone anchor screws or flexor tendon sutures, are billed separately. After surgery, initial recovery takes about 4 weeks, followed by physical therapy for 3 to 4 months. You can request a consultation through Bookimed to discuss a personalized treatment plan.