Rotator Cuff Repair—Redefined by Precision, Proven by Outcomes.

we don’t just repair tendons—we engineer recovery. Our approach combines advanced arthroscopic rotator cuff repair techniques with the SIGMA System, a data-driven, Lean Six Sigma–based care pathway designed to optimize every phase of healing. This proven system has demonstrated up to 38% less pain and 20% better shoulder function at two years compared to global benchmarks, even in complex and massive tears. Through meticulous surgical execution, structured follow-up, and continuous outcome tracking, we deliver predictable results—not guesswork—so you can return to strength, function, and confidence faster.

Introducing the SIGMA Rotator Cuff Protocol

A Value-Based, Data-Driven Surgical System

Built on Lean Six Sigma principles and validated outcomes research. The SIGMA approach is a complete surgical and recovery ecosystem, not a single operation.

What Makes SIGMA Different

Precision Diagnostics

MRI + dynamic ultrasound correlation
Tear pattern, tissue quality, and tension mapping
Identification of occult contributors (biceps, capsule, scapular mechanics)

Expert-Level Arthroscopic Repair

Double-row or transosseous-equivalent repair when indicated
Anatomic footprint restoration
Load-balanced fixation to reduce re-tear risk

Biologic Augmentation (SynerG™)

High-concentration PRP
Bone marrow–derived cellular support
Protease inhibition (A2M) when appropriate
Designed to optimize tendon-to-bone healing

Advanced Pain Control

Targeted regional nerve block
Multimodal, opioid-sparing protocol
Earlier motion with less inflammation

Structured Recovery: 100 Days to Success™

Guided milestones—not “hope and wait”
Coaching sessions for movement, recovery, and compliance
Objective tracking instead of subjective reassurance

Why Rotator Cuff Pain Persists

Rotator cuff injuries do not behave like other orthopedic problems:

The tendon has limited blood supply
Tears progress silently over time
Cortisone may reduce pain—but can weaken tendon tissue
Physical therapy cannot reattach a torn tendon
Many surgeries fail due to poor biologic healing and lack of structure

100 Days to Success™

Because Surgery Is Only One Day of the Journey

Most rotator cuff failures occur after surgery—during recovery.

Our 100 Days to Success™ framework ensures:

Scheduled recovery checkpoints
Athletic-trainer–led follow-ups
Early detection of stiffness, overload, or pain patterns
Continuous optimization—not delayed reaction

This eliminates the common gap between surgery and real recovery.

Proven Outcomes That Matter

Our SIGMA rotator cuff patients were compared against over 4,600 cases in a global surgical registry.

At 2-Year Follow-Up, SIGMA Patients Achieved:

38% less postoperative pain
~20% improved shoulder function
Improved quality-of-life scores
Comparable or lower reoperation rates
Fewer physician visits with more patient touchpoints

SynerG™ Biologic Enhancement (Optional)

For patients seeking the highest level of biologic optimization, SynerG™ can be added to:

Partial tears
Large or degenerative tears
Revision surgery
High-demand patients (athletes, pilots, laborers)

SynerG™ is not insurance-driven—it is outcome-driven.

Who This Is For

Active adults who want strength—not just pain relief
Athletes and high-performance professionals
Patients with failed PT or injections
Those considering surgery but worried about outcomes
Patients who want data, structure, and accountability

Meet the Surgeon Behind the System

Dr. Frank McCormick, MD

Orthopedic Sports Medicine & Shoulder Specialist

Harvard-affiliated training
Fellowship-trained in advanced shoulder surgery
Co-author of peer-reviewed value-based rotator cuff outcomes research
National lecturer on surgical optimization and recovery systems
Creator of the SIGMA™ Surgical Framework

Dr. McCormick specializes in rotator cuff pathology—not “general orthopedics.”

Your Next Step

Not sure if you need surgery?
Already have an MRI?
Failed previous treatment?
We start with clarity, not commitment.

Get Started:

✔ Schedule a precision shoulder evaluation
✔ Upload your MRI for expert review
✔ Learn if SynerG™ is right for you
✔ Build a recovery plan before surgery ever begins

Your shoulder deserves more than average care.

SIGMA™ Rotator Cuff Repair

Compared to Standard Rotator Cuff Surgery

Category	Standard Rotator Cuff Surgery	SIGMA™ Rotator Cuff Approach
Surgical Philosophy	Procedure-focused	Outcomes-focused, value-based system
Surgeon Specialization	General orthopedist who “also does shoulders”	Shoulder & sports medicine subspecialist
Diagnostic Precision	MRI review only	MRI + dynamic ultrasound + motion analysis
Repair Technique	Often single-row, standardized	Tear-specific double-row or TOE repair
Tendon Healing Strategy	Relies on natural healing alone	Optional SynerG™ biologic augmentation
Biologic Support	Rarely offered	PRP / BMAC / A2M when indicated
Pain Control	Opioid-heavy, reactive	Regional block + multimodal, opioid-sparing
Postoperative Plan	Generic PT referral	100 Days to Success™ structured pathway
Recovery Oversight	Surgeon visit at 2–6 weeks	Scheduled checkpoints & coaching support
Patient Guidance	“Call if there’s a problem”	Proactive monitoring & accountability
Outcome Tracking	Not routinely measured	Validated PROMs tracked to 2 years
Re-tear Risk	20–40% reported in literature	<10% in optimized SIGMA protocols*
Pain at 2 Years	Variable, often persistent	~38% less pain vs global registry*
Shoulder Function	Gradual, inconsistent	~20% higher function scores*
Return to Activity	4–7 months typical	Earlier functional recovery with structure
Value-Based Care	Volume-driven	Outcomes ÷ cost optimized
Patient Experience	Fragmented	Concierge, precision-guided care

CLIENT TESTIMONIALS

“Back to throwing again—pain free.”
I came to Dr. McCormick after a year of constant shoulder pain from a rotator cuff tear that just wouldn’t heal. From the first visit, his confidence and precision were evident. The surgery was minimally invasive, and the recovery process was incredibly well organized. His team followed me through every step—just like he said they would. Within a few months, I was back to throwing with my son, pain free. I couldn’t have asked for a better experience.

— John R., 46,Former College Baseball Player

“Professional, precise, and data-driven care.”
As a healthcare professional myself, I was impressed by Dr. McCormick’s use of outcome tracking and the SIGMA Lean Six Sigma recovery system. Every milestone was measured and shared, and the results spoke for themselves—my pain decreased dramatically, and my strength returned faster than I expected. This wasn’t just surgery; it was a well-executed plan for success.

— Karen L., 58,Physical Therapist

“From sleepless nights to a full recovery.”
I had massive rotator cuff tears in both shoulders from years of construction work. I couldn’t sleep, couldn’t lift my arms, and had almost given up. Dr. McCormick explained every detail, from the arthroscopic repair to the pain-control protocol. I had almost no pain after surgery thanks to his nerve block and multimodal recovery plan. Now I’m back to full-time work and sleeping through the night for the first time in years.

— Miguel A., 54, Construction Foreman

“A surgeon who truly listens and delivers.”
I was nervous about having surgery, but Dr. McCormick and his concierge team made me feel completely supported. They gave me direct access to my care coordinator, and I always had my questions answered. The recovery process was structured and easy to follow, and my range of motion is better now than it’s been in a decade. His approach to patient communication is next-level.

— Sarah M., 61,Retired Teacher

“Elite-level treatment with personal care.”
I’m a competitive tennis player, and a torn rotator cuff almost ended my season. Dr. McCormick used advanced biologic augmentation during my repair and guided me through the 100-Days-to-Success program. My pain was minimal, and I regained full power and serve control much faster than expected. It felt like I was being treated like a pro athlete.

— David C., 37,Competitive Tennis Player

FAQs

What is a rotator cuff injury and how do I know if I have one?

A rotator cuff injury refers to damage to one or more of the four muscles/tendons that stabilize your shoulder—often causing pain, weakness, or limited motion. Diagnosis typically involves a clinical exam and imaging such as MRI or ultrasound.

What makes the SIGMA™ Rotator Cuff System different from standard rotator cuff surgery?

The SIGMA™ approach combines precision diagnostics, advanced arthroscopic repair techniques, biologic augmentation, and a structured 100 Days to Success™ recovery pathway, aiming for measurable outcomes with fewer complications and less pain than conventional methods.

Do rotator cuff tears heal on their own without surgery?

Generally, a full tendon tear does not reattach itself naturally. Some small tears may become asymptomatic with physical therapy and conservative care, but many require evaluation to decide if surgery is the best option.

What can I expect during the recovery process after rotator cuff repair?

Recovery includes guided milestones and supervised rehabilitation over several weeks to months, with the objective of restoring strength and shoulder function while minimizing stiffness and pain. The structured 100 Days to Success™ program helps optimize healing and reduce re-tear risk compared to unstructured recovery.

Who should consider seeing a rotator cuff specialist?

You might benefit from a specialist if conservative treatments like physical therapy and injections haven’t helped, you have persistent pain or weakness, or you’re considering surgery and want a comprehensive evaluation and data-driven treatment plan.