### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am in need of a ortho to access my physical abilities for my ex-employer. I was getting long term disability from their insurance(cigna) and they cut my benefits until I have a doctors assessment of my ability or inability to do my job there. i had two rotator cuff surgeries on my right shoulder and i still cannot use it 100 percent and am in constant pain. I cant afford my doctor who did the surgery because my benefits did not include health insurance. I just need a doctors opinion on my restrictions so that I may start receiving my benefits from cigna again.

### output:

Hi, thank you for the brief history of you. As you mentioned you had two RCI surgeries, I am actually not happy to hear this. RCI does not need surgery and if needed it is not performed twice. There is something which went wrong. Let's figure out this. Hope you will cooperate and provide the details. How many rotator cuff muscles were ruptured? What surgery was performed? Did you perform physical therapy before and after the surgery?what was the muscle strength before and after surgery? Well this questions decide the prognosis of the patient with Rotator cuff injury (RCI)Also, I have been seeing RCI patients with 2 out of 4 muscles rupture. Can say a 50-50% cases. All have recovered well. Neither a cortisone injection nor a surgery was done post physical therapy. Patient is above 65 and can perform all physical activities without any hesitation. As I think now you have undergone two surgeries, you need a good physical therapy which can help you regain all functional movements. Also, performing surgeries back to back is not good as it may lead to scarring of the tissues. I advise you to do 12-16 weeks of proper physical therapy to get optimum results. Any more questions, you can ask me personallyRegardsJay In Chat Doctor. 