If PT doesn't work initially, then you just spent 4-8 weeks strengthening your shoulder, preparing it for recovery. If you went into surgery weak and flabby, you'd have a much tougher time recovering properly.
Also, the size of the tear dictates whether surgical intervention is required promptly or not. There are patients that can recover from a rotator cuff tear with PT and anti- inflammatory medications alone. Repair is inevitable if the tear is large enough.
Sayyed Farhan Ali Jaffri
Rotator cuff tear is a common shoulder injury.
The initial treatment may be conservative. I.e. Use of ice , anti
inflammatory medications and home exercise plan ( to avoid frozen shoulder )
Physical therapy is very useful in improving range of motion and restoring
strength to the injured shoulder.
Steroid injection provides additional benefit.
If all conservative measures fail to
Improve the condition , surgery may be considered.
The degree and the severity of the shoulder damage is a good indicator to
determine whether to consider conservative or aggressive measures ( ie
Your Doctor will be able to evaluate and determine the best treatment
approach to your shoulder condition.
Please directly communicate with your physician and express your concerns
and questions clearly.
I hope the above information was helpful.
Hessam Noralahi M.D