The Orthopedic Blog

Will My Rotator Cuff Surgery Be Covered By Insurance – We Accept Most Insurances

Posted on Thu, Feb 20, 2014 @ 09:02 AM

Will My Rotator Cuff Surgery Be Covered By Insurance – We Accept Most Insurances

Rotator cuff surgery is especially necessary for patients who have incurred a severe tear in their rotator cuff. Patients, who have injured their rotator cuff seriously, are often advised to undergo a surgical intervention, as it can help them to regain their standard motion and function without delay. After the completion of surgery, patients will undergo prearranged rehabilitation for a number of months.  rotator cuff

Rotator Cuff Injuries

If patients want to recover from their rotator cuff injuries and be able to use their shoulder as they did before, they need to undergo specialist rotator cuff surgery. Without surgery, they would not be able to use their injured shoulder perfectly, even if they have gone through a rehabilitation routine. Surgeons normally advise their patients (especially if they are athletes) to obtain surgery as soon as possible to ensure that they are able to compete in their chosen sports without any discomfort.

Where to Find Reliable Orthopedic Surgeons

Athletes who want to ensure that their surgery is successful have to take the time to search for reputable orthopedic surgeons. There are various sources that they can employ to find these specialists, for instance the local newspapers, Internet, and by asking friends and family.

The Internet is a great place to start, mostly because patients can find orthopedic surgeons from numerous hospitals and medical centers in their area instantly. Furthermore, they can find out if these surgeons accept all health insurances. Although large numbers of surgeons accept most health insurances, it is advisable that patients check beforehand with the surgeons prior to arranging an appointment.

The health insurances that are accepted by orthopedic surgeons often include Humana, Fidelis Care, and Medicaid. To ensure that the best available surgeon operates on the patient, he needs to go through a long list of local and highly rated orthopedic surgeons. It is advisable to choose at least six or seven candidates and then to go through their profiles meticulously before selecting one.

Surgeries Covered by Insurances

Rotator cuff surgery is typically covered by most health insurances, but as with any surgery type, patients should rather check with their surgeons and insurance carriers first to ensure that the surgery type that they need is fully covered. If the surgery is not completely covered, it normally means that the patient needs to pay a portion of the operation costs, and the co-pay fees as well. To avoid breaking his bank account, the patient has to ensure that he asks questions in regards to the insurance, medical costs, and additional expenses.

Please call 646.783.3750 to obtain more information about rotator cuff surgery and health insurances. Alternatively, you can click below to receive a call from our representatives. 


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How Long Is Physical Therapy After Rotator Cuff Surgery

Posted on Tue, Dec 24, 2013 @ 09:12 AM

How Long Is Physical Therapy After Rotator Cuff Surgery 

Rotator cuff surgery is often necessary if a patient has severely injured his shoulder. A patient is advised to undergo rehabilitation as soon as surgery is over. Below is information about the rotator cuff and he rehabilitation involved. rotator cuff

Rotator Cuff Repair is Important

The rotator cuff is constructed of four muscles – the subscapularis, teres minor, infraspinatus, and supraspinatus. A patient’s rehabilitation will vary based on which shoulder muscle is being restored. It is possible for individuals to tear more than one muscle. There are those who have a labral tear or a bicep tendon tear all at the same time. People can also attain little tears, which are known as partial thickness tears, or full thickness tears (big tears).

A large number of shoulder surgeons have dissimilar timelines for rehabilitation. Timelines typically depend largely on the patients’ preferences and surgical methods. This is something that patients should discuss with their surgeons before rotator cuff surgery to help them guide their expectations.

General Guideline for Surgery Preparation and Rehabilitation

The following is a general guideline for surgery preparation and physical therapy. Keep in mind that the guideline/timeline differs from patient to patient:

0 to 6 weeks

Most patients begin their rehabilitation a few weeks after rotator cuff surgery. In the early stage, the shoulder will be relatively sore, thus it is best to keep up with all the pain medicine as prescribed by the patient’s surgeon. Large numbers of patients have trouble finding a relaxed sleeping position in the beginning, but sleeping with lots of pillows propped up underneath the shoulder or in a recliner helps a lot.

Most rotator cuff patients sleep in their arm sling for at least a couple of weeks. Depending on the surgeon’s protocol, patients will be restricted from driving, particularly if they drive a standard-transmission vehicle. For rehabilitation, it is advisable that patients arrange alternate transportation back and forth from the therapy center and home.

4 to 12 weeks

Patients normally begin their active range of motion exercise regime from four to six weeks after rotator cuff surgery. Exercises include lifting weight of their arm against gravity. However, no extra weight is needed. Between the seventh and eighth week, patients will start their strengthening exercises utilizing resistant bands or weights.

12 weeks and beyond

Patients who are athletically inclined are able to return to their sports and recreational activities within four to six months after surgery. Patients who need repairs that are more intricate, or who have high athletic career expectations may take a lot longer to recuperate.

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Will My Rotator Cuff Surgery Be Covered By Insurance - We Accept Most Insurances

Posted on Fri, Dec 13, 2013 @ 09:12 AM

Will My Rotator Cuff Surgery Be Covered By Insurance - We Accept Most Insurances

Rotator cuff surgery is much needed in the case of someone who has severely torn his rotator cuff. Most athletes who incur a rotator cuff tear are told to undergo surgery, especially if they want to regain their complete shoulder functionality as soon as possible. Besides surgery, they are required to undergo several months of prescribed rehabilitation. The following details with reference to rotator cuff tears are extremely helpful:

Rotator Cuff TearsWill My Rotator Cuff Surgery Be Covered By Insurance - We Accept Most Insurances

Most patients need to obtain a surgical intervention if they want to recover fully from the rotator cuff injury. Without surgery, they may not be able to use their shoulder to its full capability. More often than not, athletes are not allowed to compete in sports if their shoulder is not fully healed. For that reason, many athletes would like to undergo surgery as soon as possible.

Where to Find Reputable Orthopedists

Athletes who wish for a successful rotator cuff surgery should search online for reputable orthopedic surgeons. The Internet has extensive lists of orthopedic surgeons who perform rotator cuff surgeries on a daily basis. Most of these surgeons have multiple years of experience in orthopedic surgeries, such as rotator cuff, ACL, MCL, and knee replacements.

To find the best orthopedic surgeon locally, athletes will have to go through several profiles and choose at least seven to eight qualifying candidates. Thereafter, they should conduct further research about each of the candidates. It is recommended that they find additional information about the surgeons’ qualifications, experiences, success rates, and accepted insurances, for example.

Are Surgeries covered by All Medical Insurances?

Rotator cuff surgery is often covered by health insurances. However, athletes are advised to verify beforehand with the surgeon and his insurance carriers about the various types of insurances that are accepted. If a particular surgeon does not accept the insurance type that the patient has, the insurance carrier will probably pay only a fraction (sometimes, the agency does not pay at all) of the medical cost. Therefore, it is vital that the patient make 100% sure, before they schedule an appointment to consult the orthopedic surgeon.

When all the aforementioned issues are verified, athletes should arrange a consultation with the target surgeons. Meet the surgeons personally and take note of how they respond to each question or concern. A highly reputable surgeon who conducts rotator cuff surgery on a regular basis will take his time in addressing questions and concerns that his patients may have. Moreover, he will ensure that the patients fully understand his explanations and that they are comfortable in his presence.

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Rotator Cuff Surgery Common Problems – All Testing Done on Site

Posted on Sat, Oct 12, 2013 @ 09:10 AM

Rotator Cuff Surgery Common Problems – All Testing Done on Site 

Rotator cuff surgery is presented through three different methods – open, arthroscopic, and mini-open repair. Most patients rate these methods the same in terms of overall satisfaction, strength improvement, and pain relief. During any of the aforementioned methods that are used to repair the rotator cuff tear, the surgeon takes care of other shoulder problems, for instance, bone spurs osteoarthritis, and other tears. These surgeries can be conducted on an outpatient basis and do not necessitate patients to stay overnight in the medical center.

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On-Site Tests for Rotator Cuff Injuries

When a person injures his rotator cuff, a physician will perform the drop-arm on-site test to verify the severity of the injury. If he finds that the patient has torn his rotator cuff, he will refer the patient to an orthopedic surgeon. After undergoing several diagnostic imaging tests, the surgeon may conclude that rotator cuff surgery is the best treatment option to repair the tear.

Common Problems related to Surgery

A few individuals may experience common problems related to rotator cuff surgery. Beside the surgery risks, for example, problems related to anesthesia or blood loss, complications of surgery may include the following:

- Infection

Antibiotics are provided during surgery to lessen any risk of infections. If a patient is infected, a prolonged antibiotic treatment or a supplementary surgery may be required.

- Nerve Injury

This generally entails the nerve that activates the shoulder muscle.

- Stiffness

Early physical therapy lessens the probability of permanent loss of motion or stiffness. More often than not, stiffness is improved through more aggressive rehabilitation and exercise.

- Tendon re-tear

Following all types of surgeries or repairs, there is a possibility that a re-tear may occur. Bear in mind that the larger the rotator cuff tear, the higher the threat will be for a re-tear.

- Deltoid detachment

During rotator cuff surgery, the shoulder muscle is detached for better access. Once it is stitched back, it is essential to protect the area in order to allow it to heal fully.

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Is Rotator Cuff Surgery Covered by Insurance – Most Insurances Accepted

Posted on Mon, Aug 12, 2013 @ 10:08 AM

Is Rotator Cuff Surgery Covered by Insurance – Most Insurances Accepted

An orthopedic surgeon recommends rotator cuff surgery to patients who have a torn or damaged rotator cuff. Surgery is often followed by several months of rehabilitation to allow patients to regain their shoulder’s functions and normal mobility through various exercises administered by a qualified physical therapist. Once rehabilitation is completed, the surgeon and physical therapist will verify if the patient can get back to general activities that require heavy usage of his shoulder.

The Rotator Cuff – Rotator cuffs are large tendons that consist of four distinct muscles, known as the infraspinatus, teres minor, supraspinatus, and subscapularis. These muscles emanate rotator cuff surgeryfrom the wing bone and scapula, and form a cuff, which is situated above the upper arm.

What are the Functions of the Rotator Cuff? – The rotator cuff enables the arm to move up and down, as well as to rotate effortlessly. In addition, it assists the arm in performing a wide range of tasks including lifting an object, playing tennis, exercising, and swimming. If a surgeon finds that the rotator cuff is unable to function properly, he would typically propose rotator cuff surgery in order to fix it.

What to Expect from Surgery – Patients are often put under local or general anesthesia, but it depends on the surgical procedure, which could be minimally invasive surgery or open surgery. Under the anesthesia, patients will feel nothing during rotator cuff surgery.

Insurance Coverage – Normally, the first thing that patients want to find out is if the rotator cuff surgery is covered by any health insurance plans. The type of health insurance plan that covers surgery typically depends on the orthopedic surgeon and/or the medical center. Most orthopedic surgeons accept any health insurance coverage, while others may only accept a few specific types. In order to ensure that the surgeon accepts the patient’s insurance, it is important that the patient find out about insurance coverage from the surgeon before he consults him.

Find out what type of insurance coverage is accepted by most orthopedic surgeons by calling 646-593-7305 or click the link below and we will call you shortly.  


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Is Rotator Cuff Surgery Painful

Posted on Mon, Jun 24, 2013 @ 12:06 PM

Is Rotator Cuff Surgery Painful

Individuals who constantly feel pain in their shoulder are often advised to visit their doctor immediately. Once they are in their doctor’s office, the general practitioner will carefully check their shoulder and refer them to a shoulder specialist if need be, normally known as an orthopedic surgeon. This shoulder specialist can determine if the shoulder pain is caused by a torn rotator cuff, which generally leads to rotator cuff surgery in order to effectively treat it.

How Can a Patient Tear his Rotator Cuff?

A rotator cuff typically incurs a tear when the shoulder is worn out, over-used, or dislocated. A rotator cuff surgery nycperson who is exceptionally active in sports or a professional athlete can easily tear his rotator cuff when he uses his shoulders a lot in sports, such as rugby, football, tennis, or swimming.

Why is Surgery Necessary to Repair a Rotator Cuff Tear?

Rotator cuff surgery is needed in order to properly heal the tear. Without surgery, it can take much longer for the shoulder to heal again. In fact, if the shoulder incurs a huge tear in the rotator cuff, it can never heal alone, because the tire needs to be sewn back together for it to function as before.

Is it Painful to Undergo Surgery?

Normally, patients are put under anesthesia, so that they would not feel pain. However, a number of patients who underwent rotator cuff surgery have claimed that it did cause them a lot of pain after the surgery. In general, patients will be in pain for about 48 hours after surgery, but bear in mind that each person has a different tolerance for pain and therefore each patient will experience it in their own way. To put up with the pain, orthopedics will prescribe painkillers and advise patients to steer clear of several types of activities until the shoulder is fully healed.

People with shoulder injuries should call 646-593-7305 to find out more about their type of shoulder injuries. Alternatively, they can click the link below and a representative will call them back immediately.


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How Long is Recovery Time for Rotator Cuff Surgery

Posted on Sat, Apr 20, 2013 @ 11:04 AM

How Long is Recovery Time for Rotator Cuff Surgery 

Rotator cuff surgery is not necessary for all rotator tears. When a patient meets a doctor because he has sustained a shoulder injury, the doctor will run some tests to determine if the patient has a torn rotator cuff. Magnetic Resonance Imaging (MRI), X-rays, and other tests will be carried out and once a diagnosis is made, the doctor will recommend several treatment options. To determine if one needs surgery or not, a few things need to be considered, such as the following:

Reaction to Other Treatments

A majority of rotator cuff tears can be treated with non-surgical treatments such as physicalHow Long is Recovery Time for Rotator Cuff Surgery therapy, anti-inflammatory medications, and probably, a cortisone injection as well. If the above alternatives fail to provide some sort of relief for the patient after a few months of treatment, then the doctor may ask the patient to consider rotator cuff surgery.

Degree of Rotator Cuff Symptoms

Patients with nominal symptoms may have the option to delay surgery treatment in an attempt to attain success with non-surgical treatment choices. Alternatively, patients who have trouble carrying out simple activities or experience constant pain and/or pain while sleeping may be expected to undergo surgery.

Patient Needs and Expectations

Several patients might not require rotator cuff surgery if symptoms do not prohibit their normal activities. For instance, patients who have a tear in their rotator cuff in their non-dominant shoulder, and live an inactive lifestyle might not require surgery. Conversely, athletes who sustain an injury in their shoulder should undergo surgery in order to compete in their choice of sports.

How Long Does Recovery Take?

Recovery time is different for each patient and it depends on the type of tear incurred by the patient. In general, patients are discharged from the hospital a few hours after surgery or at the very latest, the next day. In order to recover fully, patients are advised to attend regular physical therapy sessions. With rehabilitation, it can take several weeks (two to three weeks) to a few months (six to eight months, perhaps more) for patients to recover from rotator cuff surgery.   


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Does Rotator Cuff Surgery Hurt

Posted on Thu, Apr 11, 2013 @ 13:04 PM

Does Rotator Cuff Surgery Hurt

People who have persistent pain or weakness in their shoulder should consult a doctor as soon as possible. In doing so, they are able to find out if they have a rotator cuff tear. Below are a few common, frequently asked questions about the tear and rotator cuff surgery.

• What is the rotator cuff? – It is a large tendon that has four muscles, which coalesce to form a cuff over the uppermost end of the arm, which is the head of the humerus. Those fourrotator cuff surgery nyc muscles; teres minor, subscapularis, infraspinatus and supraspinatus originate from the scapula and wing bone. Altogether, they create one tendon component that interleaves on the larger tuberosity of the humerus.

• What does the rotator cuff do? – It helps to elevate and turn around the arm as well as to alleviate the ball of the shoulder contained in the joint.

• When should a person see a doctor to assess the shoulder? – A person who has injured his shoulder, chronic arm and/or shoulder pain should meet an orthopedic surgeon immediately. Several tests may need to be carried out to determine if there is a tear. Early detection may put off symptoms from setting in. Once a diagnosis is made, only then will the surgeon review both non-surgical and surgical options.

• When is surgery necessary? – Rotator cuff surgery is normally suggested if the patient has constant pain and/or weakness in his shoulder after some non-surgical treatments.

• Does surgery hurt? – During surgery, the patient will not feel anything. However, a patient should be prepared to feel some pain after rotator cuff surgery is completed. Generally, the post-surgery pain will persist for 48 hours.

• When is a patient allowed to get back to his normal activities? – Rehabilitation is recommended for patients who undergo surgery. It can take several weeks to a few months to get back to normal. However, if a patient’s daily job requires less hand movement, then he is allowed to go back to work within a few days. Nonetheless, physical therapy must continue.


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