Hi, thanks for writing to HCM.
Both Rotator cuff tear
& degeneration of acromion are two different entities.
A trial of conservative management can be tried in both conditions.
MANAGEMENT OF ROTATOR CUFF TEARS -
• If tear is a partial or a small one then a trial of conservative treatment may be tried. Conservative treatment includes Analgesic
antiinflammatory medicines along with physical therapy
to strengthen the rotator cuff and scapular stabilizer muscles.
injections are contraindicated because they can cause the
remaining cuff to weaken and tear further
• Surgical treatment
is direct repair of the rotator cuff back to its bony insertion on the greater tuberosity; surgery can be open,
mini open (small split in the deltoid), or Arthroscopic repair.
MANAGEMENT OF DEGENERATIVE ACROMION -
• Initially treatment is with Analgesic antiinflammatory medicines and activity
• Steroid injections are frequently helpful in alleviating pain
• If conservative treatment fails, an arthroscopic or open distal clavicle
resection may be needed.
Hope this information is helpful. Good day