Debridement of partial tear
Some RC tears are small enough to heal on their own without suture repair. We try to help them to start healing by removing the frayed and damaged tendon tissue using a telescopic burr which smoothes the tendon surface and vacuums the resulting bits of damaged tissue away. This stimulates an inflammatory (healing) response. The tendon heals slowly, and has to be carefully exercised/used at this time, for about 3 months. Sometimes the shoulder gets rather stiff and physiotherapy is directed at maintaining suppleness then gaining strength.