Medication for pain control and manual therapy to restore joint range of motion are helpful.
If the pain is severe, injection treatment is possible, and once pain and joint range of motion recover, exercise treatment to strengthen muscles can be performed.

If conservative treatment does not improve, sleep anesthesia exercise therapy can be performed.
After sleep anesthesia so that you don't feel pain, inject inflammatory drugs and anti-adhesion drugs to relieve stiffness and adhesion of the joint sac.
Since then, it is a treatment in which the doctor directly performs joint exercises that were not normally performed due to pain and relaxes the shoulder joints. The procedure time is about 10 to 20 minutes, and you can return to your daily life the next day.

If there is no response to non-surgical treatment, or if the pain and range of motion are so severe that daily life is difficult, arthroscopic capsular release surgery can be performed immediately.
Joint range of motion can be restored by loosening and incising the hardened joint membrane through arthroscopy.
Even in this case, the hospitalization period is short, 2 to 3 days, and has the advantage of quick recovery after surgery.

In the early stages of partial rupture or mild pain, ligament reinforcement injections and extracorporeal shock waves can be used to strengthen tendons and restore function through muscle strengthening exercises around the shoulder joint.

To remove limescale, multiple puncture and irrigation using extracorporeal shock waves and injections can be performed.

In many cases, good results can be achieved with non-surgical treatment, but if pain worsens despite such treatment and interferes with daily life, arthroscopic decalcification is necessary. It is a surgery to remove the lime and inflammation inside the shoulder tendon directly through arthroscopy, and when the calcification area is popped with a needle, you can observe the scattered lime like a snow flower, and depending on the stage of the disease, you can observe the white toothpaste-shaped lime. If the amount of lime removed is large and the tendon is damaged, additional tendon suturing may be performed. If the limescale is removed without suturing, you can feel a dramatic change in pain immediately after the surgery, and the return to daily life is quick.

If the partial rupture is in the early stages or the pain is mild, you can use ligament strengthening injections and extracorporeal shock waves to strengthen the tendon and try to restore function through muscle strengthening exercises around the shoulder joint.

If there is no improvement in non-surgical treatment or the degree of rupture is severe, arthroscopic rotator cuff repair is performed. Through arthroscopy, the site, extent, and pattern of the rupture are identified and suturing is performed accordingly. If suturing is not possible because the area is too wide or fatty degeneration is severe, partial reconstruction or reinforcement using other tissue can be performed. Because it is an arthroscopic surgery, normal tissue damage or scarring is not significant, but a rehabilitation process is essential because it takes time for the sutured rotator cuff to recover. After surgery, you will need to wear a brace for about 6 weeks and require rehabilitation treatment for at least 3 months.

When extensive degenerative changes in the joint, including cartilage, are severe due to extensive rupture of the rotator cuff, reverse shoulder arthroplasty is performed. This is a highly difficult surgical method that allows the deltoid muscle to take over the function of the rotator cuff by inserting an artificial joint designed to match the shape of the joint. It allows patients who were unable to lift their arms to lift their arms after surgery.

It is important to strengthen surrounding muscles through improved lifestyle habits and regular exercise. Conservative treatments such as manual therapy, exercise therapy, and extracorporeal shock waves can produce good results. In severe cases, a needle may be inserted into the myofascial trigger point to destroy it.