{"id":14149,"date":"2026-10-08T13:20:02","date_gmt":"2026-10-08T11:20:02","guid":{"rendered":"https:\/\/www.orthopaediezentrum-muenchenost.de\/?p=14149"},"modified":"2026-10-08T13:20:02","modified_gmt":"2026-10-08T11:20:02","slug":"rotator-cuff-tear-does-every-tear-really-need-surgery","status":"publish","type":"post","link":"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/rotator-cuff-tear-does-every-tear-really-need-surgery\/","title":{"rendered":"Rotator Cuff Tear: Does Every Tear Really Require Surgery?"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mm3mo3d4-7d1d3db1e0d4a4759ec67b6e803f367d\">\n.avia-section.av-mm3mo3d4-7d1d3db1e0d4a4759ec67b6e803f367d{\nbackground-color:#004225;\nbackground:linear-gradient( to bottom right, #004225, #004225, #ffffff );\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-mm3mo3d4-7d1d3db1e0d4a4759ec67b6e803f367d header_color avia-section-default avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-bg-style-scroll av-minimum-height av-minimum-height-75 av-height-75  container_wrap fullsize'   data-av_minimum_height_pc='75' data-av_min_height_opt='75'><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-14149'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-8tcn56i-8874060b2075c84a4b777d0854793190 av_three_fifth  avia-builder-el-1  el_before_av_two_fifth  avia-builder-el-first  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8d5476i-021117fa2695fbe3856260dfd63e8785\">\n#top .hr.hr-invisible.av-8d5476i-021117fa2695fbe3856260dfd63e8785{\nheight:50px;\n}\n<\/style>\n<div  class='hr av-8d5476i-021117fa2695fbe3856260dfd63e8785 hr-invisible  avia-builder-el-2  el_before_av_heading  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8355iu2-82a5f295bdc55c3d1ff431b7e9f7c842\">\n#top .av-special-heading.av-8355iu2-82a5f295bdc55c3d1ff431b7e9f7c842{\npadding-bottom:10px;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-8355iu2-82a5f295bdc55c3d1ff431b7e9f7c842 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-8355iu2-82a5f295bdc55c3d1ff431b7e9f7c842 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-8355iu2-82a5f295bdc55c3d1ff431b7e9f7c842 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-8355iu2-82a5f295bdc55c3d1ff431b7e9f7c842 av-special-heading-h1 custom-color-heading blockquote modern-quote  avia-builder-el-3  el_after_av_hr  el_before_av_heading '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Rotator Cuff Tear: Does Every Tear Really Require Surgery?<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7qypwyi-df02af0edce7d9f7a61ee950aa52e786\">\n#top .av-special-heading.av-7qypwyi-df02af0edce7d9f7a61ee950aa52e786{\npadding-bottom:10px;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-7qypwyi-df02af0edce7d9f7a61ee950aa52e786 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-7qypwyi-df02af0edce7d9f7a61ee950aa52e786 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-7qypwyi-df02af0edce7d9f7a61ee950aa52e786 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-7qypwyi-df02af0edce7d9f7a61ee950aa52e786 av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-4  el_after_av_heading  avia-builder-el-last '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Questions from Our Patients<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p><\/div><div  class='flex_column av-78ridq2-e05700633b54593e925bbb7244f26998 av_two_fifth  avia-builder-el-5  el_after_av_three_fifth  avia-builder-el-last  flex_column_div  '     ><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><div id='av_section_2'  class='avia-section av-6vnhxbu-017c525410cab53a69550fb80ffc971f main_color avia-section-default avia-no-border-styling  avia-builder-el-6  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-14149'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-12q4wvs-942a5dc92e5c624b0190b8714622e6b3 av_two_third  avia-builder-el-7  el_before_av_one_third  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-67ln89m-0912a9687eea126da22b0bf7ccb52c73 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>This is one of the most common questions we hear during our shoulder clinic: \u201cAn MRI showed a rotator cuff tear. Do I need surgery now?\u201d<\/p>\n<p>Our answer often surprises many patients at first: No, not every rotator cuff tear requires surgery. In fact, many people have a small tendon tear in their shoulder without even realizing it. It\u2019s not the MRI results alone that determine treatment\u2014it\u2019s primarily your symptoms, your range of motion, and how much your daily life is affected.<\/p>\n<\/div><\/section><\/div><div  class='flex_column av-pvne60-6b6abd0f6e72395a7f9413488199fb29 av_one_third  avia-builder-el-9  el_after_av_two_third  avia-builder-el-last  flex_column_div  '     ><section  class='av_textblock_section av-muzg195w-d8ae19dd4b7eea8d9ab9e8383bc3fd83 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" >\n<\/div><\/section><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_3'  class='avia-section av-4jgdzfe-9cc946532ab6ce92c9ccb9ef2c9d04d4 main_color avia-section-default avia-no-border-styling  avia-builder-el-11  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-14149'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-43rm6ze-d7ac597f37d6637b8b9c5ea913e852a9 av_one_full  avia-builder-el-12  avia-builder-el-no-sibling  first flex_column_div  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-zs5r1t-bd8efe01660cc082ed6114fadbe9dbad\">\n.avia-image-container.av-zs5r1t-bd8efe01660cc082ed6114fadbe9dbad img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-zs5r1t-bd8efe01660cc082ed6114fadbe9dbad .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-zs5r1t-bd8efe01660cc082ed6114fadbe9dbad av-styling- avia-align-center  avia-builder-el-13  el_before_av_heading  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-14126 avia-img-lazy-loading-not-14126 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-01-aufmacher-arm.jpg\" alt='OZMO - Rotator Cuff Tear - Blog - 01' title='OZMO - Blog - 01 - Rotator Cuff Tear'  height=\"768\" width=\"1376\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-01-aufmacher-arm.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-01-aufmacher-arm-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-01-aufmacher-arm-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-01-aufmacher-arm-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-01-aufmacher-arm-705x393.jpg 705w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mn8rb803-8de935193c3a28ae6446be9518420157\">\n#top .av-special-heading.av-mn8rb803-8de935193c3a28ae6446be9518420157{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mn8rb803-8de935193c3a28ae6446be9518420157 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mn8rb803-8de935193c3a28ae6446be9518420157 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mn8rb803-8de935193c3a28ae6446be9518420157 av-special-heading-h2 blockquote modern-quote  avia-builder-el-14  el_after_av_image  el_before_av_textblock '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What exactly is the rotator cuff?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mm3m9422-1592dff025da475967804879b9c2fa09 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The <strong>rotator cuff<\/strong> consists of four muscles and their tendons. You can think of it as a kind of \u201csleeve\u201d around the head of the humerus. It ensures that the shoulder remains stable and allows us to lift, rotate, and move our arm overhead. Without these tendons, many everyday tasks\u2014such as combing your hair, putting on a jacket, or reaching for something on a shelf\u2014would be nearly impossible.   <\/p>\n<p>If one of these tendons tears, it may cause pain, but it doesn&#8217;t have to. Some people first notice it at night, when they can no longer lie on their shoulder. Others experience pain when raising their arm or notice a sudden loss of strength\u2014for example, when carrying groceries or lifting a case of drinks.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mpvibrkr-89855b376b86286c2ce84d6c3aca3ffd\">\n#top .av-special-heading.av-mpvibrkr-89855b376b86286c2ce84d6c3aca3ffd{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mpvibrkr-89855b376b86286c2ce84d6c3aca3ffd .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mpvibrkr-89855b376b86286c2ce84d6c3aca3ffd .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mpvibrkr-89855b376b86286c2ce84d6c3aca3ffd av-special-heading-h3 blockquote modern-quote  avia-builder-el-16  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >How does a rotator cuff tear occur?<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mpvictks-2293084aed809c7d05bb864f32cf798c '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Generally speaking, there are two common causes.<\/p>\n<p>The first is an accident. For example, a fall onto an outstretched arm or a dislocated shoulder. In such cases, a tendon that is otherwise healthy can suddenly tear. We tend to see this more often in younger or physically active people.   <\/p>\n<p>Much more often, however, the tear develops gradually due to wear and tear. As we age, tendons become more sensitive, receive less blood flow, and are therefore more vulnerable. Even a completely normal everyday movement can then be enough to cause a pre-damaged tendon to tear. Many patients then say, \u201cI didn\u2019t really do anything out of the ordinary.\u201d<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mrkhfyp7-71736eb04c9727c2cfc2ddc38228ccd9\">\n.avia-image-container.av-mrkhfyp7-71736eb04c9727c2cfc2ddc38228ccd9 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-mrkhfyp7-71736eb04c9727c2cfc2ddc38228ccd9 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-mrkhfyp7-71736eb04c9727c2cfc2ddc38228ccd9 av-styling- avia-align-center  avia-builder-el-18  el_after_av_textblock  el_before_av_heading '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-14127 avia-img-lazy-loading-not-14127 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-02-anatomie-sehnenriss.jpg\" alt='OZMO - Rotator Cuff Tear - Blog - 02' title='OZMO - Blog - 02 - Rotator Cuff Tear'  height=\"768\" width=\"1376\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-02-anatomie-sehnenriss.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-02-anatomie-sehnenriss-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-02-anatomie-sehnenriss-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-02-anatomie-sehnenriss-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-02-anatomie-sehnenriss-705x393.jpg 705w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mrjaxngv-5d42ba1809fb07d8305dd6724003acdf\">\n#top .av-special-heading.av-mrjaxngv-5d42ba1809fb07d8305dd6724003acdf{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mrjaxngv-5d42ba1809fb07d8305dd6724003acdf .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mrjaxngv-5d42ba1809fb07d8305dd6724003acdf .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mrjaxngv-5d42ba1809fb07d8305dd6724003acdf av-special-heading-h2 blockquote modern-quote  avia-builder-el-19  el_after_av_image  el_before_av_textblock '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >When is treatment without surgery sufficient?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mrjaxs00-85729a753aff06920e0cae90d32f8f39 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>The good news is: Many rotator cuff tears do not require immediate surgery.<\/p>\n<p>If the shoulder still has a good range of motion, the pain is manageable, and there is no significant loss of strength, we usually start with conservative treatment.<\/p>\n<p>The most important part of this is physical therapy. It helps strengthen the surrounding muscles and restore stability to the shoulder. In addition, pain relievers or, in some cases, an injection can help alleviate acute symptoms. The goal is always to enable you to use your shoulder as well as possible and with minimal pain in your daily life.   <\/p>\n<p>An important point: You shouldn\u2019t just rest your shoulder. Many people think that rest is the best remedy\u2014but that\u2019s only partly true. If you don\u2019t move your shoulder enough, it can quickly become stiff, which often leads to even more problems. That\u2019s why targeted exercise under professional guidance is very important.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mrjay2vg-bb54d8beb2dfad820a0a4cb141886884\">\n#top .av-special-heading.av-mrjay2vg-bb54d8beb2dfad820a0a4cb141886884{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mrjay2vg-bb54d8beb2dfad820a0a4cb141886884 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mrjay2vg-bb54d8beb2dfad820a0a4cb141886884 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mrjay2vg-bb54d8beb2dfad820a0a4cb141886884 av-special-heading-h3 blockquote modern-quote  avia-builder-el-21  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Can a torn tendon heal on its own?<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mrjay614-64e32cc9aebe7f6fe009dcd6310ba349 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>We hear this question all the time.<\/p>\n<p>The clear answer is: No. A torn tendon usually does not reattach to the bone on its own. <\/p>\n<p>However, that doesn&#8217;t automatically mean surgery is necessary. Many people are still able to function well in their daily lives if the surrounding muscles are well-trained. That&#8217;s why we treat not only the MRI findings, but above all the person and their symptoms.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mrkhg6u5-66af410980a981ec5df2e5a686f42b2a\">\n.avia-image-container.av-mrkhg6u5-66af410980a981ec5df2e5a686f42b2a img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-mrkhg6u5-66af410980a981ec5df2e5a686f42b2a .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-mrkhg6u5-66af410980a981ec5df2e5a686f42b2a av-styling- avia-align-center  avia-builder-el-23  el_after_av_textblock  el_before_av_heading '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-14128 avia-img-lazy-loading-not-14128 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-03-untersuchung-arm.jpg\" alt='OZMO - Rotator Cuff Tear - Blog - 03' title='OZMO - Blog - 03 - Rotator Cuff Tear'  height=\"768\" width=\"1376\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-03-untersuchung-arm.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-03-untersuchung-arm-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-03-untersuchung-arm-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-03-untersuchung-arm-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-03-untersuchung-arm-705x393.jpg 705w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ogmjlp-3014f5d237abfeb377ab0e6e5154b2a1\">\n#top .av-special-heading.av-ogmjlp-3014f5d237abfeb377ab0e6e5154b2a1{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ogmjlp-3014f5d237abfeb377ab0e6e5154b2a1 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ogmjlp-3014f5d237abfeb377ab0e6e5154b2a1 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ogmjlp-3014f5d237abfeb377ab0e6e5154b2a1 av-special-heading-h2 blockquote modern-quote  avia-builder-el-24  el_after_av_image  el_before_av_textblock '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >When do we recommend surgery?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mt0172gl-00cf2596e540c0ae7413764c1246957e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>There are situations in which surgery is advisable.<\/p>\n<p>For example, in the case of a fresh tear following an accident, especially in younger patients. In such cases, it is often possible to successfully reattach the tendon to the bone. <\/p>\n<p>We also tend to recommend surgery more often in cases of larger tears, significant loss of strength, or when symptoms do not improve despite consistent physical therapy.<\/p>\n<p>Time is also an important factor: The longer a tear persists, the more the tendon can retract and the muscle can atrophy. This often makes subsequent surgery more difficult, and the results may be less favorable.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mt023ju5-88ceab25fc046df9891355c8f1e668b4\">\n#top .av-special-heading.av-mt023ju5-88ceab25fc046df9891355c8f1e668b4{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mt023ju5-88ceab25fc046df9891355c8f1e668b4 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mt023ju5-88ceab25fc046df9891355c8f1e668b4 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mt023ju5-88ceab25fc046df9891355c8f1e668b4 av-special-heading-h3 blockquote modern-quote  avia-builder-el-26  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >How are surgeries performed today?<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mt023qqz-e2ad3ad37d0b21104c773574ba40d036 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Most surgeries today are performed using what is known as the &#8220;keyhole&#8221; technique (arthroscopically). This means that only small incisions are made, through which a camera and fine instruments are inserted into the shoulder. <\/p>\n<p>The torn tendon is repositioned in its original place and secured to the bone with small suture anchors. This is gentle on the tissue and usually results in good healing.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mt023zpt-68c8b4c2b303d20fd4ffb1172b46fbf6\">\n#top .av-special-heading.av-mt023zpt-68c8b4c2b303d20fd4ffb1172b46fbf6{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mt023zpt-68c8b4c2b303d20fd4ffb1172b46fbf6 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mt023zpt-68c8b4c2b303d20fd4ffb1172b46fbf6 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mt023zpt-68c8b4c2b303d20fd4ffb1172b46fbf6 av-special-heading-h3 blockquote modern-quote  avia-builder-el-28  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >How long does it take to heal?<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mt0249ah-a0c856adb806b47014cb686d9cd74989 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Many patients hope that their shoulder will be able to bear a full load again after just a few weeks. Unfortunately, it doesn\u2019t happen that quickly.<br \/>\nAfter surgery, the shoulder is usually immobilized in a splint for about four to six weeks. At the same time, however, physical therapy begins early on. At first, only gentle, passive movements are performed; later, active exercises and targeted muscle strengthening are introduced.   <\/p>\n<p>It usually takes several months for the tendon to heal completely and become stable. Patience is very important here, because putting weight on it too soon can jeopardize the healing process. <\/p>\n<p>In conclusion, a rotator cuff tear does not automatically require surgery. Many patients respond very well to targeted, conservative treatment and are able to use their shoulder effectively again in their daily lives. <\/p>\n<p>Whether surgery is advisable depends on many factors: the size of the tear, the severity of your symptoms, how long ago the tear occurred, and what your daily routine is like. That\u2019s why there\u2019s no one-size-fits-all answer. <\/p>\n<p>Our advice: Don\u2019t let the MRI results alone unsettle you. What really matters is how your shoulder feels and what you\u2019re actually able to do in your daily life. Together, we\u2019ll find the approach that works best for you\u2014with the goal of achieving a shoulder that\u2019s as pain-free as possible and can handle physical activity well.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mt017ghl-6e7e16f7780ec5afbfe3e1432b260781\">\n.avia-image-container.av-mt017ghl-6e7e16f7780ec5afbfe3e1432b260781 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-mt017ghl-6e7e16f7780ec5afbfe3e1432b260781 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-mt017ghl-6e7e16f7780ec5afbfe3e1432b260781 av-styling- avia-align-center  avia-builder-el-30  el_after_av_textblock  el_before_av_heading '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-14129 avia-img-lazy-loading-not-14129 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-04-physiotherapie.jpg\" alt='OZMO - Rotator Cuff Tear - Blog - 04' title='OZMO - Blog - 04 - Rotator Cuff Tear'  height=\"768\" width=\"1376\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-04-physiotherapie.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-04-physiotherapie-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-04-physiotherapie-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-04-physiotherapie-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-04-physiotherapie-705x393.jpg 705w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mt016xlp-fddcffaf1477e32aab5d6585c2a78d5c\">\n#top .av-special-heading.av-mt016xlp-fddcffaf1477e32aab5d6585c2a78d5c{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mt016xlp-fddcffaf1477e32aab5d6585c2a78d5c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mt016xlp-fddcffaf1477e32aab5d6585c2a78d5c .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mt016xlp-fddcffaf1477e32aab5d6585c2a78d5c av-special-heading-h2 blockquote modern-quote  avia-builder-el-31  el_after_av_image  el_before_av_textblock '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >What treatment is effective without surgery?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mt017uzj-93bb38aacdbca39c9c8b4bae884a5989 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>In many cases, we can initially treat rhizarthrosis with conservative measures.<\/p>\n<p>A special thumb splint can stabilize the metacarpophalangeal joint and relieve pressure, especially during periods of heavy strain. It does not necessarily have to be worn all day, but can be used as needed. <\/p>\n<p>In cases of acute symptoms, anti-inflammatory pain relievers may be helpful on a temporary basis, provided there are no medical contraindications.<\/p>\n<p>Heat or cold can also be soothing. Which one works better varies from person to person. When osteoarthritis is acutely inflamed and swollen, many patients find cold more soothing.  <\/p>\n<p>Targeted hand therapy or occupational therapy can also help maintain hand function for as long as possible.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mt0189zp-d3cd823724c84bb3b8baf35adcfab31c\">\n#top .av-special-heading.av-mt0189zp-d3cd823724c84bb3b8baf35adcfab31c{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-mt0189zp-d3cd823724c84bb3b8baf35adcfab31c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-mt0189zp-d3cd823724c84bb3b8baf35adcfab31c .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-mt0189zp-d3cd823724c84bb3b8baf35adcfab31c av-special-heading-h3 blockquote modern-quote  avia-builder-el-33  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Do injections help with rhizarthrosis?<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mt018exp-35e75651c903e2ab22eb27a70610520d '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Injections may also be an option in certain situations.<\/p>\n<p>In cases of severely inflamed or active osteoarthritis, for example, cortisone can temporarily reduce inflammation and, as a result, alleviate pain.<\/p>\n<p>This can be helpful, especially during a period of acute pain. However, an injection does not cure osteoarthritis or restore lost cartilage. <\/p>\n<p>That is why we decide on a case-by-case basis whether an injection is appropriate and what benefits we can expect from it.<\/p>\n<p>Can the cartilage in the thumb&#8217;s saddle joint regenerate?<\/p>\n<p>According to current medical knowledge, severely damaged joint cartilage does not simply regenerate completely.<\/p>\n<p>However, that doesn&#8217;t mean the symptoms will necessarily get worse.<\/p>\n<p>Osteoarthritis and pain do not always go hand in hand. There are patients with significant rhizarthrosis who are able to manage their daily lives well for a long time. <\/p>\n<p>The goal of treatment, therefore, is not to make an X-ray look \u201cnormal\u201d again. We want to reduce pain and ensure that you can use your thumb as well and as strongly as possible.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mt018qvf-ad81fa0e1af92507f0f8427241081d2e\">\n.avia-image-container.av-mt018qvf-ad81fa0e1af92507f0f8427241081d2e img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-mt018qvf-ad81fa0e1af92507f0f8427241081d2e .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-mt018qvf-ad81fa0e1af92507f0f8427241081d2e av-styling- avia-align-center  avia-builder-el-35  el_after_av_textblock  el_before_av_heading '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-14130 avia-img-lazy-loading-not-14130 avia_image ' src=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-05-beratung.jpg\" alt='OZMO - Rotator Cuff Tear - Blog - 05' title='OZMO - Blog - 05 - Rotator Cuff Tear'  height=\"768\" width=\"1376\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-05-beratung.jpg 1376w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-05-beratung-300x167.jpg 300w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-05-beratung-1030x575.jpg 1030w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-05-beratung-768x429.jpg 768w, https:\/\/www.orthopaediezentrum-muenchenost.de\/wp-content\/uploads\/2026\/08\/ozmo-blog-rotatorenmanschette-05-beratung-705x393.jpg 705w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-18vbg3h-ec6c4c86f542fe9866d766e929fb208d\">\n#top .av-special-heading.av-18vbg3h-ec6c4c86f542fe9866d766e929fb208d{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-18vbg3h-ec6c4c86f542fe9866d766e929fb208d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-18vbg3h-ec6c4c86f542fe9866d766e929fb208d .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-18vbg3h-ec6c4c86f542fe9866d766e929fb208d av-special-heading-h2 blockquote modern-quote  avia-builder-el-36  el_after_av_image  el_before_av_textblock '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >When do we recommend surgery?<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-w33dh9-28b3d7ebf0d8decd2b655337fde25265 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Surgery is primarily considered when the pain is consistently severe and conservative treatments no longer provide sufficient relief.<\/p>\n<p>The key factor is the degree of limitation in daily life. For example, if opening a bottle, getting dressed, writing, or performing other normal tasks are still barely possible despite treatment, surgery may be a good option. <\/p>\n<p>There are various surgical procedures available.<\/p>\n<p>A procedure that has been in use for many years involves removing the small carpal bone affected by osteoarthritis\u2014the large polygonal bone. The thumb is then stabilized so that it can continue to move and bear weight normally. Depending on the findings and the surgeon, different variations of this procedure may be considered.  <\/p>\n<p>Other surgical options may also be appropriate in certain situations. The choice of procedure depends, among other things, on the patient\u2019s age, the findings, the stability of the joint, and the individual functional requirements of the hand.<\/p>\n<\/div><\/section><\/p><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":18,"featured_media":13910,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_wbai_post_ai":"","footnotes":""},"categories":[100],"tags":[111,113,116],"class_list":["post-14149","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient-questions","tag-rhizarthrosis","tag-thumb","tag-thumb-pain"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Rotator Cuff Tear: Is Surgery Always Necessary? \u25b7 OZMO<\/title>\n<meta name=\"description\" content=\"Rotator Cuff Tear: Is Surgery Always Necessary? on the Blog \u25b7 Orthopedic Center Munich East. \u2713Rotator Cuff Tear \u2713Is Surgery Always Necessary \u2713Blog\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.orthopaediezentrum-muenchenost.de\/en\/rotator-cuff-tear-does-every-tear-really-need-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rotator Cuff Tear: Is Surgery Always Necessary? 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