Rotator Cuff Tears

What are the symptoms of a rotator cuff tear?

The most common symptoms include shoulder pain (particularly at night or when lifting the arm), weakness in the shoulder, difficulty raising the arm above shoulder height, and a clicking or grinding sensation with movement. Pain may worsen gradually or appear suddenly following an injury.

How is a rotator cuff tear diagnosed?

Dr Chia will conduct a thorough physical examination assessing shoulder strength, range of motion, and specific clinical tests. This is typically followed by imaging — an MRI is the gold standard for diagnosing the size and location of a rotator cuff tear, while X-ray can identify associated bone changes.

Does a rotator cuff tear always require surgery?

No. Many rotator cuff tears — particularly partial tears and smaller full-thickness tears in older patients — can be successfully managed without surgery using physiotherapy, activity modification, and anti-inflammatory treatment. Dr Chia's physiotherapy background means he takes a genuinely conservative approach and will only recommend surgery when non-operative management has been exhausted or when the tear is likely to worsen without repair.

What does rotator cuff repair surgery involve?

Most rotator cuff repairs are performed arthroscopically (keyhole surgery). Dr Chia inserts a small camera (arthroscope) into the shoulder through tiny incisions and uses specialised instruments to reattach the torn tendon to the bone using sutures and bone anchors. This minimally invasive approach reduces pain, scarring, and recovery time compared to open surgery.

How long is recovery after rotator cuff surgery?

Recovery varies depending on tear size and the patient's health. Most patients wear a sling for 4–6 weeks, begin physiotherapy soon after surgery, and return to light activities within 3 months. Full recovery and return to sport or heavy manual work typically takes 6–12 months.

What happens if a rotator cuff tear is left untreated?

Untreated full-thickness tears can enlarge over time, making repair more difficult or impossible. Chronic tears may lead to muscle wasting (fatty infiltration) and the development of rotator cuff tear arthropathy — a severe form of shoulder arthritis. Early assessment is important.

How do I book an appointment with Dr Chia for a rotator cuff tear?

You can request an appointment online or call Dr Chia's rooms on (02) 8014 4252. A GP referral is recommended but not always required. Dr Chia consults at four locations across Sydney's north side and also offers telehealth appointments.