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Rotator Cuff Tear Treatment in Dubai: Relieve Pain & Restore Strength

Persistent shoulder pain and weakness are common signs of a rotator cuff tear, one of the most frequent shoulder injuries in Dubai and the UAE. Dr. Usama Saleh, a fellowship-trained shoulder specialist with 23+ years of experience, provides expert rotator cuff tear treatment tailored to your condition and lifestyle. From non-surgical rotator cuff treatment and injection therapy to advanced arthroscopic rotator cuff repair, every option is carefully explained to help you choose the best solution for your shoulder.

Understanding Rotator Cuff Tears

The rotator cuff is a group of four muscles and their tendons, the supraspinatus, infraspinatus, teres minor, and subscapularis, that wrap around the shoulder joint. Together they stabilize the ball in the socket and power every arm movement. When one or more of these tendons is torn, whether from a sudden traumatic injury, repetitive overhead strain, or progressive age-related degeneration, the result is the characteristic shoulder pain, shoulder weakness, and functional limitation of a rotator cuff tear.

Rotator cuff tears are the single most common cause of shoulder pain in adults. In Dubai and the UAE, they affect both active athletes and desk-based professionals alike. Not every rotator cuff tear requires surgery, many patients achieve excellent results with proper conservative rotator cuff treatment. Dr. Usama Saleh, Dubai’s best shoulder doctor, determines the most appropriate treatment path for your specific tear based on size, severity, your age, activity demands, and goals.

Rotator Cuff Tear Symptoms

Recognizing rotator cuff tear symptoms early leads to better outcomes. Torn rotator cuff symptoms vary depending on tear size and whether the tear is acute or chronic:

Common Rotator Cuff Tear Symptoms

Shoulder pain, deep aching in the shoulder and upper arm, often worse at night and disrupting sleep

Shoulder weakness, difficulty lifting your arm, carrying objects, or reaching overhead

Painful arc, pain when lifting arm between 60-120 degrees of elevation

Clicking or crackling sensations during arm movement

Difficulty reaching behind your back or rotating the arm

Weakness with specific movements: lifting, pushing, pulling, or rotating the arm outward

Acute vs Chronic Presentation

Acute (traumatic): Sudden sharp pain after a fall, heavy lift, or direct blow. Immediate weakness. Often complete tear.

Chronic (degenerative): Gradual onset shoulder pain that worsens over months. Common in adults over 40. Torn rotator cuff symptoms develop slowly, many patients first notice weakness when reaching overhead or behind the back.

Important: Shoulder impingement and bicep tendonitis can produce similar symptoms, accurate diagnosis by a shoulder specialist doctor is essential before beginning any treatment.

What Causes Rotator Cuff Tears?

Understanding what causes rotator cuff tears helps guide both treatment and prevention strategies.

Acute Traumatic Tears

Fall on outstretched arm · Direct blow to shoulder · Heavy sudden lifting · Sports injury (rugby, cricket, weightlifting) · Road traffic accidents. Usually causes complete full-thickness tear requiring prompt rotator cuff tear surgery evaluation.

Degenerative Tears

Age-related tendon wear (most common over 40) · Repetitive overhead activity · Shoulder impingement causing ongoing tendon abrasion from bone spurs · Reduced blood supply to tendons with age · Cumulative microtrauma. Often partial-thickness initially, may progress to full-thickness.

Risk Factors

Age over 40 · Overhead occupation or sport · Smoking (impairs tendon healing and blood supply) · Shoulder impingement syndrome (untreated bone spurs) · Previous shoulder injury · Family history of shoulder problems · Diabetes (affects tissue quality and healing)

Dr. Usama Saleh is best orthopedic surgeon in UAE
0 +

Years of Experience

Diagnosing Your Rotator Cuff Tear

Clinical Examination

Dr. Usama performs thorough shoulder examination: ROM testing (active and passive), strength testing of each individual rotator cuff muscle (supraspinatus, infraspinatus, subscapularis), specific provocative tests (Neer’s, Hawkins, empty can, drop arm, external rotation lag), palpation for tenderness, and assessment of shoulder muscle atrophy indicating chronic tear. Bicep tendon integrity also assessed.

Imaging Studies

MRI: gold standard for rotator cuff diagnosis shows exact tear location, size (partial vs full thickness), degree of retraction, muscle quality and fatty infiltration (Goutallier grading). Critical for treatment planning. Ultrasound: dynamic real-time assessment useful for confirming tear and guiding rotator cuff injection. X-rays: show bone spurs, acromion shape, and shoulder arthritis. CT if bone loss suspected.

MD, PhD, MRCS (UK), Fellowship-Trained (Canada)

Global Expertise.
Local Heart

Board certified in orthopedics surgery

Rotator Cuff Tear Symptoms

Dr. Usama provides the complete spectrum of rotator cuff treatment. The right approach depends on your tear size and type, age and activity level, how long you’ve had symptoms, your response to any previous treatment, and your personal goals.

Conservative Rotator Cuff Treatment (Non-Surgical)

Rotator Cuff Physical Therapy:

Structured 12-16 week program of rotator cuff shoulder exercises and scapular strengthening. Foundation of rotator cuff tear treatment without surgery. Reduces pain, improves function, and strengthens compensating muscles. Best results for partial tears and appropriate full-thickness tears.

Rotator Cuff Injection Therapy:

Corticosteroid injection: targeted anti-inflammatory relief, often ultrasound-guided for precision. PRP for shoulder pain: platelet-rich plasma injection using your own healing factors, regenerative approach for partial tears. 1-3 injections typically, combined with physiotherapy.

Activity Modification & Rest:

Guided activity modification to allow tissue healing without complete immobilization. Avoid aggravating movements while maintaining overall function.

Can rotator cuff tear heal without surgery?

Partial tears: Yes many improve significantly with conservative rotator cuff treatment. Full-thickness tears: the tendon itself rarely heals closed, but symptoms can improve meaningfully in appropriate patients with non-surgical management. Dr. Usama gives you an honest assessment.

Surgical Rotator Cuff Treatment

Arthroscopic Rotator Cuff Repair (Gold Standard):

Rotator cuff surgery via 3-4 tiny incisions using high-definition arthroscope. Reattaches torn tendon to bone using suture anchors. Arthroscopic rotator cuff repair achieves 85-95% success rate for properly selected patients. Same-day outpatient procedure. See Rotator Cuff Repair Surgery page for complete surgical detail.

Subacromial Decompression:

Bone spur removal from the acromion to eliminate impingement. Often performed simultaneously with rotator cuff repair. Removes the mechanical cause of ongoing tendon damage, treating the problem not just the tear.

When is rotator cuff surgery recommended?

Conservative rotator cuff treatment failed after 3-6 months · Complete full-thickness tear · Large/massive tears · Acute tear in active patient · Severe weakness affecting daily life · Progressive tear enlargement on imaging. Rotator cuff surgery success rate: 85-95% for appropriate candidates.

Recovery & Rehabilitation

Rotator cuff repair recovery time varies based on treatment approach, tear size, tissue quality, and your commitment to rehabilitation.

Why choose dr. Usama saleh
for shoulder treatment in Dubai

Best Shoulder Doctor Dubai — Fellowship-Trained

23+ Years as Dubai's Shoulder Specialist Doctor

Expert in How to Treat Rotator Cuff Tear — All Options

Honest — Surgery Only When Truly Needed

Frequently asked questions

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Related Conditions & Procedures

Related Conditions

Shoulder Impingement Relief, bone spur compression causing rotator cuff damage [link]Frozen Shoulder Treatment, post-injury stiffness [link]Shoulder Instability Treatment, recurrent dislocations [link]Bicep Tendonitis,  often coexists with rotator cuff tears [link]Shoulder Arthritis, can coexist in older patients [link]Shoulder Treatment Dubai, comprehensive hub page [link]

Related Procedures

Rotator Cuff Repair Surgery, full arthroscopic surgical detail [link]Shoulder Arthroscopy, minimally invasive technique overview [link]Subacromial Decompression, bone spur removal, often done with repair [link]

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