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Rotator cuff tears. MRIs. Fear. Surgery.

Three words that often get tangled together—and usually in the wrong order.

In this episode of The Three Boneheads, we unpack why MRI findings often matter far less than people think, how age-related “abnormalities” are frequently normal, and why pain, function, and real-life goals should drive decisions—not radiology reports.

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We talk about:• Why many people with massive tears have little pain—and others with tiny ones can’t sleep• How MRIs can sometimes do more harm than good• When surgery truly changes outcomes—and when it doesn’t• Why rotator cuff care should be a conversation, not a knee-jerk reaction• How rehab, load management, and time often outperform the scalpel

If you’ve ever been told, “You have a tear—you need surgery,” this episode is for you.

Howard, Jeff, and Jon



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