There are several treatment options for a torn rotator cuff, but there is little comparative studies that document that defines the relative effectiveness of each options. There are several physical therapy modalities that can be used, including exercises, ultrasound, or iontophoresis. Oral non-steroidal anti-inflammatory medicines or steroid injections may help, but the steroid injections are considered more potent. Acupuncture may help ease pain, but there is no evidence that it promotes healing or recovery. With conservative treatment, many people have a good recovery from a torn rotator cuff, but there are some people that do not respond well to conservative management. Most of the people that respond well will most often do so within the first few months. Since this has been an ongoing problem for three years, it is less likely that there may be a good recovery with conservative treatment and it may be appropriate to consider surgical interventions.