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you the best procedure to meet your individual health needs.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Surgery is offered with no mention of nonsurgical options","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"Even though most tears cannot heal on their own, you can often achieve good function without surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"One repair technique is promised before the tear is assessed","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"The type of repair performed is based on the findings at surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The offer comes without a consultation with an orthopedic surgeon first","scope":"procedure","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"If you have injured your shoulder or have chronic (ongoing) shoulder and arm pain, it is best to see an orthopaedic surgeon.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Infection developing after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/?utm","host":"orthoinfo.aaos.org","quote":"If an infection develops, additional surgery and/or prolonged antibiotic treatment may be needed.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Severe pain or loss of function","urgency":"contact_clinic","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/?utm","host":"orthoinfo.aaos.org","quote":"Repeat surgery is needed only if there is severe pain or loss of function.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Excessive bleeding","urgency":"emergency","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"- Infection - Excessive bleeding - Blood clots - Damage to blood vessels or nerves","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Blood clots","urgency":"emergency","general":false,"source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/arthritis-of-the-shoulder%5C","host":"orthoinfo.aaos.org","quote":"- Infection - Excessive bleeding - Blood clots - Damage to blood vessels or nerves","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tear can be treated nonsurgically","name":"Physical therapy","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"Anti-inflammatory medications Steroid (cortisone) injections Physical therapy","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You have a partial tear requiring trimming or smoothing","name":"Debridement","source":{"url":"https://orthoinfo.aaos.org/en/diseases--conditions/rotator-cuff-tears-frequently-asked-questions?webid=2FDEE455","host":"orthoinfo.aaos.org","quote":"A partial tear may require only a trimming or smoothing procedure called a debridement.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"arthroscopic-repair","name":"Arthroscopic repair (single- or double-row anchor fixation)","how_it_works":{"text":"Small thin instruments pass through very small incisions","source":{"url":"https://orthoinfo.aaos.org/en/treatment/rotator-cuff-tears-surgical-treatment-options/?utm","host":"orthoinfo.aaos.org","quote":"Because the arthroscope and surgical instruments are small and thin, your surgeon can use very small incisions (portals), rather than the larger incision needed for open surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":3,"max":6,"unit":"weeks","label":"3–6 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