{"id":33,"date":"2021-10-13T00:01:11","date_gmt":"2021-10-12T16:01:11","guid":{"rendered":"https:\/\/markhurworth.com.au\/?page_id=33"},"modified":"2022-02-20T13:20:28","modified_gmt":"2022-02-20T05:20:28","slug":"orthopaedic-surgeon-perth-murdoch-rotator-cuff-surgery","status":"publish","type":"page","link":"https:\/\/markhurworth.com.au\/orthopaedic-surgeon-perth-murdoch-rotator-cuff-surgery\/","title":{"rendered":"Rotator cuff"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"33\" class=\"elementor elementor-33\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-68118b0c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"68118b0c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2ac2a620\" data-id=\"2ac2a620\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50ff383a elementor-widget__width-auto elementor-absolute animated-slow elementor-hidden-mobile elementor-hidden-mobile_extra elementor-invisible elementor-widget elementor-widget-image\" data-id=\"50ff383a\" data-element_type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;,&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:600}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 15-04-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"158\" height=\"354\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-pattern-189AB4-md-v.svg\" class=\"attachment-full size-full wp-image-83\" alt=\"vertical dotted pattern dark\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-61e99fae welcome-intro elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"61e99fae\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-5012654a\" data-id=\"5012654a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4360c9a8 elementor-position-left elementor-vertical-align-middle h1-heading animated-slow elementor-view-default elementor-mobile-position-top elementor-invisible elementor-widget elementor-widget-icon-box\" data-id=\"4360c9a8\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/elementor\/css\/custom-widget-icon-box.min.css?ver=1713304792\">\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h1 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tRotator cuff Perth\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h1>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69bc6824 animated-slow welcome-heading elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"69bc6824\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:100}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 15-04-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Best treatment for <span>rotator cuff injuries<\/span><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75788cc5 animated-slow elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"75788cc5\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 15-04-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>A rotator cuff tear can seriously impact your daily life, causing pain and discomfort, but also reducing your mobility and strength. Below we go over the essential facts and some additional background information about the types of rotator cuff injuries, the best treatment options and the big questions: do I need surgery, and when will I get back to normal?<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-56206f56 animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"56206f56\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"2560\" height=\"1290\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-2560x1290-1.jpg\" class=\"attachment-full size-full wp-image-270\" alt=\"rotator cuff perth\" srcset=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-2560x1290-1.jpg 2560w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-2560x1290-1-300x151.jpg 300w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-2560x1290-1-1024x516.jpg 1024w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-2560x1290-1-768x387.jpg 768w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-2560x1290-1-1536x774.jpg 1536w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-2560x1290-1-2048x1032.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7ce29cd1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7ce29cd1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2fadcabe\" data-id=\"2fadcabe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-626cb47 heading-bg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"626cb47\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-54cd6b1e\" data-id=\"54cd6b1e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-467c405e elementor-widget elementor-widget-heading\" data-id=\"467c405e\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">My orthopaedic practice in a nutshell<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-102fe752 elementor-widget elementor-widget-shortcode\" data-id=\"102fe752\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"141\" class=\"elementor elementor-141\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6fa08b87 nutshell elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6fa08b87\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-2a96341\" data-id=\"2a96341\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-484c34e2 elementor-widget elementor-widget-image\" data-id=\"484c34e2\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"105\" height=\"81\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-ultrasound-icon.svg\" class=\"attachment-full size-full wp-image-94\" alt=\"In-house ultrasound icon\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-166bc31 custom-arrow-button no-background elementor-widget elementor-widget-html\" data-id=\"166bc31\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<a class=\"arrow-box\" href=\"\/about\/\">\n  <div class=\"arrow-box_header\">\n    <span class=\"arrow-box_header-inner\">In-house ultrasound<\/span>\n  <\/div>\n<\/a>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-5854d6ad\" data-id=\"5854d6ad\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-60fe86b7 elementor-widget elementor-widget-image\" data-id=\"60fe86b7\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"93\" height=\"88\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-icon-avoid-surgery.svg\" class=\"attachment-full size-full wp-image-97\" alt=\"Avoid surgery icon\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7148330e custom-arrow-button no-background elementor-widget elementor-widget-html\" data-id=\"7148330e\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<a class=\"arrow-box\" href=\"\/avoid-orthopaedic-surgery-perth\/\">\n  <div class=\"arrow-box_header\">\n    <span class=\"arrow-box_header-inner\">Avoiding surgery<\/span>\n  <\/div>\n<\/a>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-5a5ffb6a\" data-id=\"5a5ffb6a\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f60349d elementor-widget elementor-widget-image\" data-id=\"5f60349d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"89\" height=\"84\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-prepare-for-surgery-icon.svg\" class=\"attachment-full size-full wp-image-96\" alt=\"Prepare for surgery icon\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a39eba custom-arrow-button no-background elementor-widget elementor-widget-html\" data-id=\"a39eba\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<a class=\"arrow-box\" href=\"\/prepare-for-surgery-perth\/\">\n  <div class=\"arrow-box_header\">\n    <span class=\"arrow-box_header-inner\">Preparing for surgery<\/span>\n  <\/div>\n<\/a>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-409bf94c\" data-id=\"409bf94c\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c71e39f elementor-widget elementor-widget-image\" data-id=\"3c71e39f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"94\" height=\"89\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-post-op-recovery-icon.svg\" class=\"attachment-full size-full wp-image-133\" alt=\"Post-op recovery icon\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-546c0280 custom-arrow-button no-background elementor-widget elementor-widget-html\" data-id=\"546c0280\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<a class=\"arrow-box\" href=\"\/rehab-after-shoulder-surgery-perth\/\">\n  <div class=\"arrow-box_header\">\n    <span class=\"arrow-box_header-inner\">Post-op recovery<\/span>\n  <\/div>\n<\/a>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c2e08f7 elementor-hidden-widescreen elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet_extra elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c2e08f7\" data-element_type=\"section\" id=\"mh_top\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4656dd1\" data-id=\"4656dd1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f2ae062 elementor-widget__width-auto elementor-fixed elementor-widget elementor-widget-button\" data-id=\"3f2ae062\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:15,&quot;end&quot;:19}},&quot;motion_fx_range&quot;:&quot;page&quot;,&quot;_position&quot;:&quot;fixed&quot;,&quot;motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#mh_top\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon elementor-align-icon-left\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2ab19d92 elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2ab19d92\" data-element_type=\"section\" id=\"otp\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4bd6d6a6\" data-id=\"4bd6d6a6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-69504a8a elementor-position-left elementor-vertical-align-middle h1-heading elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"69504a8a\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tRotator cuff injury\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-686ede99 heading-bg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"686ede99\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-71c9acef\" data-id=\"71c9acef\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53f1abc4 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"53f1abc4\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What is a rotator cuff injury? Do I need surgery?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3fbd67b5 margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3fbd67b5\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2bb1ab10\" data-id=\"2bb1ab10\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-409599e8 elementor-widget elementor-widget-text-editor\" data-id=\"409599e8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Your rotator cuff is a combination of 4 muscles and tendons in the shoulder. They keep the ball (the head of the humerus) in your shoulder socket (glenoid). This mechanism allows us to raise or rotate an arm. The most commonly injured tendon is <strong>the supraspinatus<\/strong>, as it travels through the tightest part of the shoulder. With a rotator cuff injury, moving becomes painful or even impossible and that is when you may be referred to a shoulder surgeon to discuss surgery.<\/p><p>We commonly classify these rotator cuff tears as:<\/p><ul><li><strong>Traumatic:<\/strong> You would know exactly at what moment in time the symptoms started, after a specific incident or injury often involving significant force.<\/li><li><strong>Atraumatic:<\/strong> In these cases, the symptoms gradually appear over time and you wouldn\u2019t have a clear memory of the moment your symptoms started.<\/li><\/ul><p>Why are these categories important? When there is trauma, we are more likely to perform certain investigations earlier. For example, an MRI scan would tend to be requested earlier after trauma.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6ce3e7f8 margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6ce3e7f8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-329de698\" data-id=\"329de698\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-160eb378 elementor-widget__width-initial elementor-absolute elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-image\" data-id=\"160eb378\" data-element_type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"354\" height=\"158\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-pattern-189AB4-md-h.svg\" class=\"attachment-full size-full wp-image-118\" alt=\"horizontal dotted pattern dark\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39ac1fd9 elementor-position-right elementor-vertical-align-middle quote-box elementor-widget elementor-widget-image-box\" data-id=\"39ac1fd9\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>.elementor-widget-image-box .elementor-image-box-content{width:100%}@media (min-width:481px){.elementor-widget-image-box.elementor-position-left .elementor-image-box-wrapper,.elementor-widget-image-box.elementor-position-right .elementor-image-box-wrapper{display:flex}.elementor-widget-image-box.elementor-position-right .elementor-image-box-wrapper{text-align:end;flex-direction:row-reverse}.elementor-widget-image-box.elementor-position-left .elementor-image-box-wrapper{text-align:start;flex-direction:row}.elementor-widget-image-box.elementor-position-top .elementor-image-box-img{margin:auto}.elementor-widget-image-box.elementor-vertical-align-top .elementor-image-box-wrapper{align-items:flex-start}.elementor-widget-image-box.elementor-vertical-align-middle .elementor-image-box-wrapper{align-items:center}.elementor-widget-image-box.elementor-vertical-align-bottom .elementor-image-box-wrapper{align-items:flex-end}}@media (max-width:480px){.elementor-widget-image-box .elementor-image-box-img{margin-left:auto!important;margin-right:auto!important;margin-bottom:15px}}.elementor-widget-image-box .elementor-image-box-img{display:inline-block}.elementor-widget-image-box .elementor-image-box-title a{color:inherit}.elementor-widget-image-box .elementor-image-box-wrapper{text-align:center}.elementor-widget-image-box .elementor-image-box-description{margin:0}<\/style><div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"212\" height=\"212\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img.png\" class=\"attachment-full size-full wp-image-144\" alt=\"Mark Hurworth - Orthopaedic surgeon Perth\" srcset=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img.png 212w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img-150x150.png 150w\" sizes=\"(max-width: 212px) 100vw, 212px\" \/><\/figure><div class=\"elementor-image-box-content\"><p class=\"elementor-image-box-title\">Mr Mark Hurworth, <span>Shoulder surgeon Perth<\/span><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1623c1f1 elementor-widget elementor-widget-text-editor\" data-id=\"1623c1f1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t&#8220;In general, the approach with traumatic rotator cuff injuries is more aggressive, meaning that we more frequently recommend surgery&#8221;\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-696d8c0f elementor-widget elementor-widget-text-editor\" data-id=\"696d8c0f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>It is important to understand that atraumatic rotator cuff tears are very common as you get older. The decision to have surgery or not is often a complex conversation and as a shoulder surgeon, I am cautious about embarking on surgery in atraumatic shoulder conditions. It is sometimes acceptable to treat atraumatic rotator cuff tears without surgery as you get older, as other muscles in the shoulder (the deltoid in particular) will compensate. Not everything that is broken needs to be fixed, can be fixed or is worth fixing.<\/p><p>Patients in Perth who have come to see me for a shoulder problem know that I take this transparent approach and they appreciate that a surgeon doesn\u2019t automatically sign them up for surgery without questioning the pros and cons.<\/p><p>In particular, the questions I would ask are:<\/p><ol><li><em>\u00a0How bad are your symptoms? Typically I see you after you have had symptoms for a while, so are they improving or getting worse?<\/em><\/li><li><em>Have you tried reasonable non-operative treatment, such as physiotherapy and injections &#8211; especially with atraumatic conditions?<\/em><\/li><li><em>Can it be fixed?<\/em>&#8211; how big is the tear and is it associated with muscle wasting (a major predictor of re-tearing or inability to fix)<\/li><li><em>How long does recovery take?<\/em> &#8211; typically with cuff repairs you may be in a sling for six weeks, struggle with movement for another six weeks, and feel that the whole rehabilitation takes six months or longer<\/li><li><em>What are the chances of a tear happening again?<\/em>Risk factors are: smoking, age, size of the tear and associated retraction and atrophy of muscle and quality of tissue (\u201cold rope\u201d is difficult to fix).<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-6d335405 elementor-position-left elementor-vertical-align-middle h1-heading elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"6d335405\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tRotator cuff tear\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-59994679 heading-bg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"59994679\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-75b1b2e5\" data-id=\"75b1b2e5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f8748fe elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"3f8748fe\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How do I know I have a rotator cuff tear?\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3efcbc8d margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3efcbc8d\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-21aad993\" data-id=\"21aad993\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6aae3485 elementor-widget elementor-widget-text-editor\" data-id=\"6aae3485\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>To put it simply: if you have injured your shoulder and you cannot move your arm, it is wise to get an ultrasound and\/or MRI as soon as possible. We call this inability to move the arm \u201cpseudoparalysis\u201d, and typically it would be associated with an acute musculotendinous injury.<\/p><p>If the onset of symptoms such as pain and weakness has come on over time without an obvious injury, it could be considered a \u201cnormal age-related\u201d tear of your rotator cuff tendons. Statistics tell us that people in their 70&#8217;s commonly get those tears: up to 1 in 5 has a full-thickness rotator cuff tear without knowing it or experiencing any symptoms (a much higher percentage for partial-thickness tearing). It confirms that there is no reason to have a one-size-fits-all approach and that everything depends on your symptoms and how well you can manage them without surgical intervention.<\/p><p>So what would symptoms from a tear look like? Typically you feel pain when you reach overhead, and the pain radiates down your arm. You could feel pain when you bring your hand behind your back. Other patients tell me the shoulder interrupts their sleep.<\/p><p>Pain radiation or referral is a confusing phenomenon: the pain from the shoulder typically radiates down your arm and, sometimes after a while, up into your neck. The muscles behind your shoulder blade can become very sore, especially the trapezius and the muscles around the back of the shoulder blade. Female patients in particular can get associated feelings of numbness in the arm and hand.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-14c55424 elementor-position-left elementor-vertical-align-middle h1-heading elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"14c55424\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tStory continues below video gallery\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7db347f2 heading-bg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7db347f2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-398810b2\" data-id=\"398810b2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-973ec39 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"973ec39\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Videos about shoulder conditions and surgeries<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-37a6d458 margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"37a6d458\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-532d34e margin-bottom-small strong-text\" data-id=\"532d34e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-54293fc0 video-slider-box elementor-widget elementor-widget-tp-carousel-anything\" data-id=\"54293fc0\" data-element_type=\"widget\" data-widget_type=\"tp-carousel-anything.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t \n\t\t<div id=\"carousel66200e3516ba9\" class=\"theplus-carousel-anything-wrapper list-carousel-slick   overlay-content-dots carousel66200e3516ba9    \"data-id=\"carousel66200e3516ba9\" data-connection=\"\"  data-result=\"{&quot;carousel_direction&quot;:&quot;ltr&quot;}\" dir=ltr  data-slider_direction=\"false\" data-slide_speed=\"1500\" data-slide_fade_inout=\"false\" data-slider_desktop_column=\"2\" data-steps_slide=\"1\" data-slider_draggable=\"true\" data-multi_drag=\"false\" data-slider_infinite=\"true\" data-slider_pause_hover=\"false\" data-slider_adaptive_height=\"false\" data-slider_animation=\"ease\" data-slider_autoplay=\"true\" data-autoplay_speed=\"3000\" data-slider_tablet_column=\"2\" data-tablet_steps_slide=\"1\" data-slider_responsive_tablet=\"no\" data-slider_mobile_column=\"1\" data-mobile_steps_slide=\"1\" data-slider_responsive_mobile=\"no\" data-slider_dots=\"true\" data-slider_dots_style=\"slick-dots style-2\"  data-slider_arrows=\"false\" data-slider_arrows_style=\"style-1\"  data-arrows_position=\"top-right\"  data-arrow_bg_color=\"#c44d48\"  data-arrow_icon_color=\"#fff\"  data-arrow_hover_bg_color=\"#fff\"  data-arrow_hover_icon_color=\"#c44d48\"  data-slider_center_mode=\"true\"  data-center_padding=\"0\"  data-scale_center_slide=\"1\"  data-scale_normal_slide=\"0.8\"  data-opacity_normal_slide=\"0.7\"  data-slider_rows=\"1\"  >\n\t\t\t<div class=\"plus-carousel-inner post-inner-loop\">\n\t\t\t\t\t\t\t\t<div id=\"slide-content-1411\" class=\"plus-slide-content grid-item \">\n\t\t\t\t\t\t<div class=\"slide-content-inner\">\n\t\t\t\t\t\t\t<div class=\"plus-content-editor\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"163\" class=\"elementor elementor-163\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-52e3a77c video-slider-template elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"52e3a77c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-49ab564c margin-bottom-small strong-text\" data-id=\"49ab564c\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2801e782 elementor-widget__width-auto elementor-widget elementor-widget-tp-video-player\" data-id=\"2801e782\" data-element_type=\"widget\" data-widget_type=\"tp-video-player.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pt_plus_video-box-shadow video_player66200e3523f97  \" ><div class=\"pt_plus_video_player   text-left\"><a href=\"https:\/\/www.youtube.com\/embed\/FaVhSmD9_0o\" class=\"tp-video-popup \" data-lity target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ts-video-only-icon\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-key-questions-to-ask-your-orthopaedic-surgeon.jpg\" alt=\"play-icon\" \/><\/a><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-598da733 elementor-widget__width-auto elementor-widget elementor-widget-tp-video-player\" data-id=\"598da733\" data-element_type=\"widget\" data-widget_type=\"tp-video-player.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pt_plus_video-box-shadow video_player66200e3530abe  \" ><div class=\"pt_plus_video_player   text-left\"><a href=\"https:\/\/www.youtube.com\/embed\/FaVhSmD9_0o\" class=\"tp-video-popup image-pulse\" data-lity target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ts-video-only-icon\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-youtube-play-icon.svg\" alt=\"play-icon\" \/><\/a><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7476ad7 elementor-widget elementor-widget-text-editor\" data-id=\"7476ad7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tKey questions <span>to ask your orthopaedic surgeon<\/span>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"slide-content-1412\" class=\"plus-slide-content grid-item \">\n\t\t\t\t\t\t<div class=\"slide-content-inner\">\n\t\t\t\t\t\t\t<div class=\"plus-content-editor\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"177\" class=\"elementor elementor-177\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2b259a82 video-slider-template elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b259a82\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4744c9a5 margin-bottom-small strong-text\" data-id=\"4744c9a5\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ea67263 elementor-widget__width-auto elementor-widget elementor-widget-tp-video-player\" data-id=\"2ea67263\" data-element_type=\"widget\" data-widget_type=\"tp-video-player.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pt_plus_video-box-shadow video_player66200e3540e0d  \" ><div class=\"pt_plus_video_player   text-left\"><a href=\"https:\/\/www.youtube.com\/embed\/EqG6sybjRj0\" class=\"tp-video-popup \" data-lity target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ts-video-only-icon\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-new-technologies-in-orthopaedic-surgery.jpg\" alt=\"play-icon\" \/><\/a><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-326527cc elementor-widget__width-auto elementor-widget elementor-widget-tp-video-player\" data-id=\"326527cc\" data-element_type=\"widget\" data-widget_type=\"tp-video-player.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pt_plus_video-box-shadow video_player66200e354bc82  \" ><div class=\"pt_plus_video_player   text-left\"><a href=\"https:\/\/www.youtube.com\/embed\/WlTegyZZUZU\" class=\"tp-video-popup image-pulse\" data-lity target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ts-video-only-icon\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-youtube-play-icon.svg\" alt=\"play-icon\" \/><\/a><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d628e00 elementor-widget elementor-widget-text-editor\" data-id=\"2d628e00\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tNew technologies in <br>orthopaedic surgery (GP)\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"slide-content-1413\" class=\"plus-slide-content grid-item \">\n\t\t\t\t\t\t<div class=\"slide-content-inner\">\n\t\t\t\t\t\t\t<div class=\"plus-content-editor\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"185\" class=\"elementor elementor-185\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-10000010 video-slider-template elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"10000010\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4025743e margin-bottom-small strong-text\" data-id=\"4025743e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2e7260ca elementor-widget__width-auto elementor-widget elementor-widget-tp-video-player\" data-id=\"2e7260ca\" data-element_type=\"widget\" data-widget_type=\"tp-video-player.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pt_plus_video-box-shadow video_player66200e3559232  \" ><div class=\"pt_plus_video_player   text-left\"><a href=\"https:\/\/www.youtube.com\/embed\/ZjPzXxfDV8g\" class=\"tp-video-popup \" data-lity target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ts-video-only-icon\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-tears.jpg\" alt=\"play-icon\" \/><\/a><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79836649 elementor-widget__width-auto elementor-widget elementor-widget-tp-video-player\" data-id=\"79836649\" data-element_type=\"widget\" data-widget_type=\"tp-video-player.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"pt_plus_video-box-shadow video_player66200e355e2e0  \" ><div class=\"pt_plus_video_player   text-left\"><a href=\"https:\/\/www.youtube.com\/embed\/ZjPzXxfDV8g\" class=\"tp-video-popup image-pulse\" data-lity target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ts-video-only-icon\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-youtube-play-icon.svg\" alt=\"play-icon\" \/><\/a><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7bdb88e6 elementor-widget elementor-widget-text-editor\" data-id=\"7bdb88e6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tRotator Cuff Tears <span>Do they really require surgery?<\/span>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c5108ef elementor-position-left elementor-vertical-align-middle h1-heading elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"1c5108ef\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tRotator cuff treatment\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-107c1271 heading-bg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"107c1271\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-1a55f354\" data-id=\"1a55f354\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6fd36499 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"6fd36499\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Can I avoid surgery?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4ffdb71d margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4ffdb71d\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2ca7d464\" data-id=\"2ca7d464\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-134fd7a1 elementor-widget elementor-widget-text-editor\" data-id=\"134fd7a1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>If you ask that question to ten shoulder surgeons, chances are that you will get a lot of different opinions, not just about whether surgery is a good idea, but about what type of surgery. This is a bit disconcerting for patients, and understanding your condition and the source of your pain is the first step towards managing things well.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-791493fd margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"791493fd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4aa2a340\" data-id=\"4aa2a340\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2d5ec3f8 elementor-widget__width-initial elementor-absolute elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-image\" data-id=\"2d5ec3f8\" data-element_type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"354\" height=\"158\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-pattern-189AB4-md-h.svg\" class=\"attachment-full size-full wp-image-118\" alt=\"horizontal dotted pattern dark\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5296cbdc elementor-position-right elementor-vertical-align-middle quote-box elementor-widget elementor-widget-image-box\" data-id=\"5296cbdc\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"212\" height=\"212\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img.png\" class=\"attachment-full size-full wp-image-144\" alt=\"Mark Hurworth - Orthopaedic surgeon Perth\" srcset=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img.png 212w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img-150x150.png 150w\" sizes=\"(max-width: 212px) 100vw, 212px\" \/><\/figure><div class=\"elementor-image-box-content\"><p class=\"elementor-image-box-title\">Mr Mark Hurworth, <span>Shoulder surgeon Perth<\/span><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc14b69 elementor-widget elementor-widget-text-editor\" data-id=\"dc14b69\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>&#8220;It is not uncommon for me to tell patients that they can and should <a href=\"\/avoid-orthopaedic-surgery-perth\/\">avoid surgery<\/a>&#8220;<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-35d36e8d elementor-widget elementor-widget-text-editor\" data-id=\"35d36e8d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>If a rotator cuff tear is causing symptoms that have appeared gradually and are manageable, then we will likely consider nonoperative treatment. If you are over 65, surgery can often safely be avoided with atraumatic tears. If you are younger, and you have a full-thickness rotator cuff tear, then surgery may give a better result.<\/p><p>So if I want to avoid shoulder surgery, what type of alternative treatment is available for rotator cuff tearing?<\/p><ol><li><strong>Steroid injections<\/strong> &#8211; if they are done in the right place &#8211; may sometimes give you a dramatic and lasting improvement in symptoms, typically if there is associated inflammation bursitis.<\/li><li><strong>Exercise<\/strong> &#8211; motion is an essential part of the treatment for any joint problem. If you stop moving your shoulder, you will typically have more trouble. This is simple mechanics &#8211; without motion the joint gets stiff, and the muscles waste away.<\/li><li><strong>Activity modification<\/strong> &#8211; It may take some reflection to work out the movements that trigger pain, then avoid only those. Keep moving your shoulder in other ways, avoiding only these specific movements. This will often helps resolve symptoms over time.<\/li><li><strong>Anti-inflammatory medication<\/strong> and other simple analgesia like Panadol Osteo can be very effective, especially if you are having trouble sleeping.<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-51da8189 margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"51da8189\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2efbe530\" data-id=\"2efbe530\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20b2a5b2 elementor-widget__width-initial elementor-absolute elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-image\" data-id=\"20b2a5b2\" data-element_type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"354\" height=\"158\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-pattern-189AB4-md-h.svg\" class=\"attachment-full size-full wp-image-118\" alt=\"horizontal dotted pattern dark\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2672c2eb elementor-position-right elementor-vertical-align-middle quote-box elementor-widget elementor-widget-image-box\" data-id=\"2672c2eb\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"212\" height=\"212\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img.png\" class=\"attachment-full size-full wp-image-144\" alt=\"Mark Hurworth - Orthopaedic surgeon Perth\" srcset=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img.png 212w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img-150x150.png 150w\" sizes=\"(max-width: 212px) 100vw, 212px\" \/><\/figure><div class=\"elementor-image-box-content\"><p class=\"elementor-image-box-title\">Mr Mark Hurworth, <span>Shoulder surgeon Perth<\/span><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b85af3c elementor-widget elementor-widget-text-editor\" data-id=\"1b85af3c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>&#8220;This ties in with the strong focus on home exercise we have at our shoulder clinic in Perth. We are looking to introduce innovative new equipment, based on a product we are now using in clinical trials.&#8221;<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-f0808f1 elementor-widget elementor-widget-text-editor\" data-id=\"f0808f1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>If you have a really large cuff tear that does not look repairable, a <a href=\"\/orthopaedic-surgeon-perth-murdoch-shoulder-arthroscopy\/\">shoulder arthroscopy<\/a> may still be advised to reduce some of the symptoms, particularly relating to the long head of the biceps (LHB). We often call the LHB the \u201cappendix of the shoulder\u201d because it causes a lot of trouble and is not missed when it is removed, in the vast majority of patients.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-23ae4dbf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"23ae4dbf\" data-element_type=\"section\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-b13e368 margin-bottom-small strong-text\" data-id=\"b13e368\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-23b5f201 fp-img-box elementor-widget elementor-widget-text-editor\" data-id=\"23b5f201\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"img-bg-after\"><span class=\"img-1\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-269\" src=\"\/wp-content\/uploads\/HURW-rotator-cuff-perth-1900x800-1.jpg\" alt=\"rotator cuff perth\" width=\"1900\" height=\"800\" srcset=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-1900x800-1.jpg 1900w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-1900x800-1-300x126.jpg 300w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-1900x800-1-1024x431.jpg 1024w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-1900x800-1-768x323.jpg 768w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-rotator-cuff-perth-1900x800-1-1536x647.jpg 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\" \/><\/span><img decoding=\"async\" class=\"vertical-dotted-pattern-dark\" src=\"\/wp-content\/uploads\/HURW-pattern-189AB4-md-v.svg\" alt=\"vertical dotted pattern dark\" data-sitemapexclude=\"true\" \/><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-931d93a elementor-position-left elementor-vertical-align-middle h1-heading elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"931d93a\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tRotator cuff repair Perth\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6b436f4d heading-bg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6b436f4d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-53cb0417\" data-id=\"53cb0417\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-14041c elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"14041c\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Arthroscopic rotator cuff repair<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3cf3826f margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3cf3826f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-1fa5c68b margin-bottom-small strong-text\" data-id=\"1fa5c68b\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-40295a8b elementor-widget elementor-widget-text-editor\" data-id=\"40295a8b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Generally, I do more than 90% of my shoulders arthroscopically as day surgery cases, ie the repair is conducted through 2 or 3 small incisions, using a telescope. This makes things more comfortable after surgery for the patient, as the deltoid muscle is not injured in the same way as an \u201copen\u201d repair.<\/p><p>In addition, the use of nerve blocks has revolutionised shoulder surgery in the last 20 years, ie typically you will have a light general anaesthetic and a nerve block that will numb the whole arm for around 12 hours. This can be a bit of a shock when you wake up, so speak to your anaesthetist about it when you see him or her.<\/p><p>Recovery after surgery is often what people find most bothersome, ie having to wear a sling for up to six weeks. Sleeping is always a problem for the first few nights &#8211; a lot of people will initially sleep in recliner chairs to get used to the sling.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b106e93 elementor-position-left elementor-vertical-align-middle h1-heading elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"7b106e93\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tPreparing for rotator cuff surgery\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-435618e1 heading-bg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"435618e1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4c427999\" data-id=\"4c427999\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-57496bfd elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"57496bfd\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How do I prepare? And what about recovery?\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3dd796cf margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3dd796cf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7e1899a0 margin-bottom-small strong-text\" data-id=\"7e1899a0\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fc89cd elementor-widget elementor-widget-text-editor\" data-id=\"fc89cd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>My patients in Perth know that I keep repeating this: keep moving. There are restrictions of course which we will clarify before and after surgery, but at the same time we encourage you to keep using your shoulder.<\/p><p>Recovery depends a lot on your motivation. Some of my patients have terrible tendons, and they recover extremely well because they take the exercises seriously. If you become passive and stop moving after your injury or after surgery, you can get trapped in a downward spiral.<\/p><p>The downwards spiral of a poor result after a shoulder injury or surgery often involves:<\/p><ol><li>Not moving, and the associated stiffness and loss of muscle tone and strength<\/li><li>Sleeplessness<\/li><li>Taking addictive medications &#8211; opiate medication in particular. It is important to remember that opiate medication such as Palexia (Tapentadol) is <em>highly addictive<\/em>, and if you take it for <em>longer than a few weeks there is evidence to suggest that it may make your problems worse<\/em> not better.<\/li><\/ol><p>To break this cycle will often involve an act of will on the part of the patient with the help of friends and family, <strong>not<\/strong> further surgery.<\/p><p>Proper rehabilitation after injury or surgery, by contrast, involves:<\/p><ol><li>Getting the shoulder moving with appropriate exercises<\/li><li>Weaning off opiate medication (Tapentadol or Tramadol) as soon as possible, and<\/li><li>Getting back into healthy sleeping patterns that don\u2019t rely on addictive medications.<\/li><\/ol><p>Full tendon healing after rotator cuff surgery takes about three months. This is generally why some restrictions will be in place for this period. We will work together so you can recover in the best possible way, which includes giving you advice on what you can do to protect your shoulder. The main risk after a rotator cuff repair is to have a retear. It can indicate<em> poor tendon quality<\/em> and we know that rotator cuff re-tears are more common in people who smoke, who are elderly, and who have large tears with retraction, muscle atrophy or tendinopathy (\u201cold rope tendons\u201d).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec378cb elementor-position-left elementor-vertical-align-middle h1-heading elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"ec378cb\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-circle\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tPreventing rotator cuff injury\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e615003 heading-bg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e615003\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4c5a9d89\" data-id=\"4c5a9d89\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-37ea2a28 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"37ea2a28\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:40,&quot;end&quot;:75}},&quot;motion_fx_devices&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;,&quot;tablet&quot;,&quot;mobile_extra&quot;,&quot;mobile&quot;]}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Can I prevent getting injured again?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0d7b2dd margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0d7b2dd\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4777463\" data-id=\"4777463\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20e7c2d elementor-widget elementor-widget-text-editor\" data-id=\"20e7c2d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>As your orthopaedic surgeon, I am not just here to offer my expertise in the operating theatre. My goal is to educate you so you can prepare well and recover in the best possible way.<\/p><p>It\u2019s important background to understand that there is no <em>handedness<\/em> in shoulder injuries: your dominant side does not get tears more often than your non-dominant side. Some studies even suggest the opposite. Our tendons can be overused, <strong>but they can also be underused<\/strong>. So some sort of activity and movement is always good.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-49db745 margin-bottom-small strong-text elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"49db745\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2ff3e28\" data-id=\"2ff3e28\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-868f09c elementor-widget__width-initial elementor-absolute elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-image\" data-id=\"868f09c\" data-element_type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"354\" height=\"158\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-pattern-189AB4-md-h.svg\" class=\"attachment-full size-full wp-image-118\" alt=\"horizontal dotted pattern dark\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fac826a elementor-position-right elementor-vertical-align-middle quote-box elementor-widget elementor-widget-image-box\" data-id=\"fac826a\" data-element_type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-image-box-wrapper\"><figure class=\"elementor-image-box-img\"><img loading=\"lazy\" decoding=\"async\" width=\"212\" height=\"212\" src=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img.png\" class=\"attachment-full size-full wp-image-144\" alt=\"Mark Hurworth - Orthopaedic surgeon Perth\" srcset=\"https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img.png 212w, https:\/\/markhurworth.com.au\/wp-content\/uploads\/HURW-mark-hurworth-profile-img-150x150.png 150w\" sizes=\"(max-width: 212px) 100vw, 212px\" \/><\/figure><div class=\"elementor-image-box-content\"><p class=\"elementor-image-box-title\">Mr Mark Hurworth, <span>Shoulder surgeon Perth<\/span><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75f27e1 elementor-widget elementor-widget-text-editor\" data-id=\"75f27e1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>&#8220;Personally, I like swimming for upper limb in general. As we get older, it helps maintain good shoulder motion. However, not everyone has easy access to a pool or the ocean.&#8221;<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-819da26 elementor-widget elementor-widget-text-editor\" data-id=\"819da26\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>That is why at my clinic, we are working on exercise equipment that we think will be very useful in this area. It\u2019s a few years away and we are currently implementing it for knees, but effective nonoperative treatment and conditioning, recovery and prevention of re-injury in shoulders is high on our agenda.\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-577220b0\" data-id=\"577220b0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-178dbf38 otp otp-desktop elementor-hidden-tablet elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-table-of-contents\" data-id=\"178dbf38\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h3&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_on&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;],&quot;sticky_offset&quot;:130,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-circle&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_widescreen&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;sticky_effects_offset&quot;:0}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor-pro - v3.21.0 - 15-04-2024 *\/\n.elementor-widget-table-of-contents .elementor-toc__header-title{color:var(--header-color)}.elementor-widget-table-of-contents.elementor-toc--collapsed .elementor-toc__toggle-button--collapse,.elementor-widget-table-of-contents:not(.elementor-toc--collapsed) .elementor-toc__toggle-button--expand{display:none}.elementor-widget-table-of-contents .elementor-widget-container{min-height:var(--box-min-height);border:var(--box-border-width,1px) solid var(--box-border-color,#9da5ae);border-radius:var(--box-border-radius,3px);background-color:var(--box-background-color);transition:min-height .4s;overflow:hidden}.elementor-toc__header{display:flex;align-items:center;justify-content:space-between;padding:var(--box-padding,20px);background-color:var(--header-background-color);border-bottom:var(--separator-width,1px) solid var(--box-border-color,#9da5ae)}.elementor-toc__header-title{font-size:18px;margin:0;color:var(--header-color);flex-grow:1}.elementor-toc__toggle-button{cursor:pointer;display:inline-flex}.elementor-toc__toggle-button i{color:var(--toggle-button-color)}.elementor-toc__toggle-button svg{height:1em;width:1em;fill:var(--toggle-button-color)}.elementor-toc__spinner-container{text-align:center}.elementor-toc__spinner{font-size:2em}.elementor-toc__spinner.e-font-icon-svg{height:1em;width:1em}.elementor-toc__body{padding:var(--box-padding,20px);max-height:var(--toc-body-max-height);overflow-y:auto}.elementor-toc__body::-webkit-scrollbar{width:7px}.elementor-toc__body::-webkit-scrollbar-thumb{background-color:#babfc5;border-radius:10px}.elementor-toc__list-wrapper{list-style:none;padding:0}.elementor-toc__list-item{margin-bottom:.5em}.elementor-toc__list-item.elementor-item-active{font-weight:700}.elementor-toc__list-item .elementor-toc__list-wrapper{margin-top:.5em;margin-inline-start:var(--nested-list-indent,1em)}.elementor-toc__list-item-text{transition-duration:var(--item-text-transition-duration)}.elementor-toc__list-item-text:hover{color:var(--item-text-hover-color);-webkit-text-decoration:var(--item-text-hover-decoration);text-decoration:var(--item-text-hover-decoration)}.elementor-toc__list-item-text.elementor-item-active{color:var(--item-text-active-color);-webkit-text-decoration:var(--item-text-active-decoration);text-decoration:var(--item-text-active-decoration)}.elementor-toc__list-item-text-wrapper{display:flex;align-items:center}.elementor-toc__list-item-text-wrapper:before,.elementor-toc__list-item-text-wrapper i{margin-inline-end:8px;color:var(--marker-color)}.elementor-toc__list-item-text-wrapper svg{margin-inline-end:8px;fill:var(--marker-color);height:var(--marker-size,.5em);width:var(--marker-size,.5em)}.elementor-toc__list-item-text-wrapper i{font-size:var(--marker-size,.5em)}.elementor-toc__list-item-text-wrapper:before{font-size:var(--marker-size,1em)}.elementor-toc--content-ellipsis .elementor-toc__list-item-text{white-space:nowrap;overflow:hidden;text-overflow:ellipsis}.elementor-toc__list-items--collapsible>.elementor-toc__list-wrapper>.elementor-toc__list-item>.elementor-toc__list-wrapper{display:none}.elementor-toc__heading-anchor{position:absolute}.elementor-toc__body .elementor-toc__list-item-text{color:var(--item-text-color);-webkit-text-decoration:var(--item-text-decoration);text-decoration:var(--item-text-decoration);transition-duration:var(--item-text-transition-duration)}.elementor-toc__body .elementor-toc__list-item-text:hover{color:var(--item-text-hover-color);-webkit-text-decoration:var(--item-text-hover-decoration);text-decoration:var(--item-text-hover-decoration)}.elementor-toc__body .elementor-toc__list-item-text.elementor-item-active{color:var(--item-text-active-color);-webkit-text-decoration:var(--item-text-active-decoration);text-decoration:var(--item-text-active-decoration)}ol.elementor-toc__list-wrapper{counter-reset:item}ol.elementor-toc__list-wrapper .elementor-toc__list-item{counter-increment:item}ol.elementor-toc__list-wrapper .elementor-toc__list-item-text-wrapper:before{content:counters(item,\".\") \". \"}<\/style>\t\t<div class=\"elementor-toc__header\">\n\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tOn this page\t\t\t<\/h4>\n\t\t\t\t\t<\/div>\n\t\t<div id=\"elementor-toc__178dbf38\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1088fda6 otp otp-mobile elementor-hidden-widescreen elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet_extra elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"1088fda6\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h3&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_on&quot;:[&quot;widescreen&quot;,&quot;desktop&quot;,&quot;laptop&quot;,&quot;tablet_extra&quot;],&quot;sticky_offset&quot;:130,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-circle&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_widescreen&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;sticky_effects_offset&quot;:0}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tOn this page\t\t\t<\/h4>\n\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__1088fda6\" aria-expanded=\"true\" aria-label=\"Open table of contents\"><i aria-hidden=\"true\" class=\"fas fa-chevron-down\"><\/i><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__1088fda6\" aria-expanded=\"true\" aria-label=\"Close table of contents\"><i aria-hidden=\"true\" class=\"fas fa-chevron-up\"><\/i><\/div>\n\t\t\t\t\t<\/div>\n\t\t<div id=\"elementor-toc__1088fda6\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Rotator cuff Perth Best treatment for rotator cuff injuries A rotator cuff tear can seriously impact your daily life, causing pain and discomfort, but also reducing your mobility and strength. Below we go over the essential facts and some additional background information about the types of rotator cuff injuries, the best treatment options and the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/markhurworth.com.au\/wp-json\/wp\/v2\/pages\/33"}],"collection":[{"href":"https:\/\/markhurworth.com.au\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/markhurworth.com.au\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/markhurworth.com.au\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/markhurworth.com.au\/wp-json\/wp\/v2\/comments?post=33"}],"version-history":[{"count":0,"href":"https:\/\/markhurworth.com.au\/wp-json\/wp\/v2\/pages\/33\/revisions"}],"wp:attachment":[{"href":"https:\/\/markhurworth.com.au\/wp-json\/wp\/v2\/media?parent=33"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}