The Physio Pulse Podcast Ep. 40 - The best way to manage cuff tears? The CALMER Cuff Pathway
Oct 5, 2025
Dive into the innovative CALMER Cuff pathway for managing rotator cuff tears! Explore the balance between surgery and conservative care, with insights on when to refer patients and how to foster understanding about their treatment options. Discover evidence suggesting many shoulder issues improve in just 12 weeks, plus the importance of empathy and individualized care in rehabilitation. Learn how to guide patients through their choices, all while keeping surgical options open. Practical takeaways ensure clinicians are well-equipped for effective patient communication!
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New-Parent Near-Drop Story
- James recounts early new-parent sleep deprivation and a near-drop incident with his baby Freya.
- He caught her before she hit the ground and used humor to describe the scare.
Co-Designed Pathway Clarifies Care
- The CALMER pathway co-designed clinicians and patients to guide management of large-to-massive cuff tears.
- It clarifies when immediate surgical opinion is needed and when conservative care is appropriate.
Begin Rehab Immediately, Don’t Wait For MRI
- Start non-surgical management immediately while arranging imaging or surgical referral when indicated.
- Provide education, encourage movement without excess pain, and begin targeted exercises based on pain pattern.