The Rotator Cuff: The Three Boneheads Podcast episode artwork

EPISODE · Jan 22, 2026 · 36 MIN

The Rotator Cuff: The Three Boneheads Podcast

from Three Boneheads · host Howard Luks MD

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.Please leave a comment. We need to know your thoughts about these podcasts. We would also like to know which topics interest you. 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 scalpelIf you’ve ever been told, “You have a tear—you need surgery,” this episode is for you.Howard, Jeff, and Jon This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit howardluksmd.substack.com/subscribe

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The Rotator Cuff: The Three Boneheads Podcast

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