Torn Rotator Cuff

MTT TL

New member
Earlier this year while working out on heavy bag I tore my rotator cuff in my dominant arm. My symptoms presented as a pulled muscle in my shoulder that never went away. Eventually I went to the doctor who diagnosed me and assigned me to physical therapy after I ruled out surgery. This relatively minor injury had some minor but notable effects on my shooting.

My non-dominant arm is not good substitute for shooting due to other injures I suffered years before. This second injury had a lot of impacts on my shooting. With regular home physical therapy the impact today is very low but still there. Initially however it was quite bad and I thought I would share my experiences to TFL's aging population in case they could make use of it.

I have never been recoil sensitive so this was a new experience for me.

Carry -
The first most notable impact was on carry. Due to the inability to reliably get my arm back past the middle of my torso all carry options reverted to the front and strong side. I despise ankle carry as a general rule. I converted to mostly appendix carry as this was the most reliable and easiest method.

When driving I most often open carry on strong side. It was actually a huge issue to bend my arm and cant it far enough to reach back, draw and bring the weapon up when seated. I never measured it but my draw speed likely tripled and the pain was very distracting. This did not go away until after regular PT. Several times this caused me to anticipate when I might need my pistol and then I would draw it and clamp it in my lap between my legs muzzle downward. This allowed easy access.

Carrying a long gun on my shoulder was much less an issue than I thought it might be. Simply spreading and moving the sling was enough to make things feel normal.

Pistol Presentation -
With a torn rotator cuff you are supposed to avoid things like holding weights outward in your extended arm 90 degrees from the body. I already use push out presentation which IMO is the way to go anyway for most tactical situations. The big adjustment was in using my support hand to provide much more support than normal. Essentially my "strong" arm was merely providing the fine skills while my support hand was doing all the lifting. This took a bit of practice.

Pistol Shooting -
Using the support hand to do all the lifting worked and I was able to shoot normally although at somewhat reduced accuracy. Still well enough to qualify but not as well as I would have liked. However after shooting several boxes I was always done for the day and would be sore the next. This is because the pistol recoil drives in to the shoulder socket which is something to avoid.

Rifle Shooting (.22lr-300BO)
My light rifles typically have muzzle brakes and suppressors so they don't have much recoil at all. There were no issues even when shooting all day. This is because the rifle butt distributes the light recoil along the shoulder instead of jolting into the joint.

Larger rifles
AR-10s were notable but fine. Anything manual action without a recoil pad was out, especially the hard recoiling milsurps with their metal butts. My R700P has a recoil pad and was notable but manageable so long as I kept it under a box per session.

Shotguns
Here were some more real issues. Shotguns are some of my least favorite guns in any case. Most of mine are 12 GA. My 11/87 with recoil pad was not too horrible even when shooting slugs. It felt much like a heavy rifle round.

The KSG I was able to work through a box and then shelved it. It felt as though it were ripping my shoulder off. Part of the problem with pump shotguns is that you have to pump them. With the injury my only real option was to hold it against the shoulder and pump it as it was too painful to try and hold it my hands. I did try a variety of positions but that was the only one that worked. The KSG requires a huge amount of force to keep from short stroking it so it was almost like getting a full charge round against the shoulder when pumping it.

My 870 SBS was not nearly as bad. The force required to cycle it is minimal as it is so broken in. I could do this in my hands. It has a pad unlike the KSG and this helped as well. Still I was near developing a flinch by the end of a session.

Accuracy on the long guns was unaffected for the most part. Speed times however massively increased.
 
I tore my left one up pretty bad 7 years ago and had surgery. Best thing I did as my 62 year old shoulder feels like it did when I was 20. I have torn my right one but not as bad and they have healed but the bicep is ripped and will be getting surgery on it soon. I have to shoot handguns off of a rest and same with rifles. Can’t do shotguns at all anymore.
So I’m really looking forward to getting my right one repaired.
Not sure of your situation but if you can I would get it fixed if you can.
Best thing is in my case I also had arthritis in my left shoulder and it’s all gone now.
 
I too had rotator cuff issues. Got down to about 3% of the use of my right (dominant) arm. After surgery and 6 weeks of total immobilization, I ended up with” adhesions" locking my right shoulder. Getting rid of that was painful X 10. Bottom line, 97% of use of my right shoulders and I can now shoot again. During episode I couldn't even hold up a rifle to shoot and a hand gun shock up my arm absolutely hurt.

I recommend getting the surgery and post surgery exercise.

Dean
 
Why did you rule out surgery?

I can tell you from the people that I've known - including some that eschewed surgery in the beginning - that it's generally the better option. Yes, bad things can happen, mistakes can be made, or you might do something stupid during recovery and ruin everything forever**.
But, overall, surgery usually improves quality of life ... and lets shooters enjoy themselves again.


**My father did such. He would have been fine, but couldn't handle not 'being a man' and tore the shoulder up pretty badly after his first surgery. To correct the damage took another 8+ years and 4 more surgeries. He's worse off now than before the first surgery, and it's all his fault.
 
I like pursuing less invasive options. As it turns out I did not need since I am now recovered and everything is normal.
 
I have two blown out rotator cuffs from benchpressing , first the right then was getting back I thought and Bam blew out the left . Then I went to the doctor he first looked at the right shoulder and he said , you sure did a job on that one , wait until you see the left . Never had the surgery , that was in the 1980's now I can't hold a pistol straight arm.
 
You may want to look into more strength training with the PT, targeted to the areas you noted.
I had torn labrum (next to rotator cuff) surgery 10 years ago with 'back to normal' results. I was zealous on doing the PT, and continued strengthening afterwards.
Since then I'm able to go through 100 BMG rounds in a day with no shoulder issues or 4-500 handgun rounds at one time with no issues.
 
Have It fixed. You will live to wish you had. I had mine fixed.
I agree. I fell and tore mine bad 17 or 18 years ago and had surgery to fix it. I followed the doctor's orders exactly and it is as if it never had a problem. One word of warning, if it is your dominate side, before you undergo surgery, practice using the bathroom with your non-dominate hand so you can wipe yourself. I found that it is not as easy as you might think.
 
I like pursuing less invasive options. As it turns out I did not need since I am now recovered and everything is normal.

PT is almost always the correct 1st step. But it doesn't sound like everything is normal to me. If you want everything to truly be normal you need to consider surgery. Have a long talk with your doc. If you can get back with just PT great, but I believe you'll need surgery sooner or later. The sooner you do it, the sooner everything will be normal.

if it is your dominate side, before you undergo surgery, practice using the bathroom with your non-dominate hand so you can wipe yourself. I found that it is not as easy as you might think.

My son tore his labrum during his 11th grade football season. He finished the season trying PT, but had surgery in November after the season. The following summer we took our team ( I was an assistant coach) to a camp run by Troy State college in Alabama.

While there I had a chance to meet their team D. and was discussing my sons surgery with him. He called one of the college players over who was still in a sling from the same surgery. That kid had to have BOTH shoulders repaired and tried to talk the Doc into doing both at the same time to recover faster. Doc told him he wouldn't even be able to wipe if they did. The kid flashed a big grin and said, "That's what I have a roommate for". I've got a feeling the roommate would veto that idea.
 
My wife is recovering from rotator cuff surgery (June 6th). She is recovering very well. It was beyond painful at first but the pain has tapered off a lot. She is glad she did it. I had a total reverse shoulder replacement Sept 12th last year. One of the best things I ever did.
I shot a box of 30 06 last week with out a problem. Get a couple of medical opinions before you rule out surgery altogether.
 
"...Why did you rule out surgery?..." Usually isn't up to the patient. At least not up here. My specialist said they don't do surgery any more unless they really have to. Ontario's health care doesn't cover more than it does too.
 
I tore my right shoulder all up in 2007, 2 of 3 rotator cuffs were torn, and was told that unless I had surgery, I would never be able to lift my arm above my head, and I generally would have little use of my arm. I also tore the bicep up and that would be a problem too.
I talked to friends who had surgery and they were split 50/50 as far as them thinking it was a good idea. Some told me "Don't do it!!", others were, "Well, it's better, but not what I hoped for", and a couple of others were, "It was like I was 18 again!". I decided to pass on it, and see what happens. I went to therapy for it and like every other time I went to PT, the results were not great. It seemed all it did was cause pain, a lot of pain, and I finally stopped going. Slowly, I regained motion in the arm, and now have about 95% of normal motion in it. The bicep tear is a problem, I have about a 30 pound lift limit on it, and any more than that is asking for major pain. I recently picked up a large bag of cat litter and I could feel my bicep start to tear. It hurt for about a week. MRIs have shown that most of the damage in my shoulder joint has healed but the bicep is a mess and only surgery could possibly fix it. My left shoulder has issues too, with an old injury probably causing minor arthritis along the the "impingement" that never seems to get better. I'm passing again. Besides, as bad as I walk these days, losing one arm to a sling wouldn't be a good idea, and doing it twice is crazy. I fall down enough as it is, and losing the use of my arm for 6 weeks or more would just be asking for a fall.
 
I feel the body does it's best to repair itself , you my not be 100% after any injury but with proper exercise , weight resistance , keeping full range of motion and time you'll get there.
 
I feel the body does it's best to repair itself , you my not be 100% after any injury but with proper exercise , weight resistance , keeping full range of motion and time you'll get there.
In some cases. Complete tear of rotator cuff is not one of those cases. I tore my acl several weeks ago. Complete tear. It will never heal. No matter how much I work my quads and hamstrings, they can never fully compensate for the ACL. So, I will get a new one in a couple months.
 
I had a L shoulder replacement (New ball and socket)about 6 yrs ago. the R is now ready and is getting more painful. No one can say why. It was not my occupation for 40 yrs. Im wondering about pulling a bow starting when I was 16 yo.

All the experts tell me to get it done. Wont get any easier next year. Yours wont get easier either, most likely.
 
Tore my ACL in half in 1964 on the football field. I’ve done without it all these years. Per the doctor, it was because I was young and had excellent leg musculature that I could still do sports without the ACL. He said to continue to keep my legs strong, so I have tried. Still playing tennis at 71.

Tore the right rotator cuff (superspinatus?) completely in half in the 90’s. Finally had surgery to reattach it. Recovery was beyond painful, but I followed doctor’s orders and got back to 100%. Doc said if I screwed it up prior to healing, the best I could get the second time was maybe 80%.

Get the shoulder fixed, and life will be more pleasant. If they can do just a scope job, you’ll be back in action soon. If they have to open your shoulder up, recovery time doubles.

Wiping your backside with the off hand really can be a problem. And eating and brushing your teeth are a new experience. And using a computer mouse with the off hand takes some getting used to. Took me a while to learn to play tennis left handed, but I got pretty good. Back to right handed now.
 
Tore my ACL in half in 1964 on the football field. I’ve done without it all these years. Per the doctor, it was because I was young and had excellent leg musculature that I could still do sports without the ACL. He said to continue to keep my legs strong, so I have tried. Still playing tennis at 71.

Tore the right rotator cuff (superspinatus?) completely in half in the 90’s. Finally had surgery to reattach it. Recovery was beyond painful, but I followed doctor’s orders and got back to 100%. Doc said if I screwed it up prior to healing, the best I could get the second time was maybe 80%.

Get the shoulder fixed, and life will be more pleasant. If they can do just a scope job, you’ll be back in action soon. If they have to open your shoulder up, recovery time doubles.

Wiping your backside with the off hand really can be a problem. And eating and brushing your teeth are a new experience. And using a computer mouse with the off hand takes some getting used to. Took me a while to learn to play tennis left handed, but I got pretty good. Back to right handed now.
My knee is completely unstable, so I am definitely going to have to have it replaced to maintain my lifestyle.
 
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