Precision Arthroscopic Rotator Cuff Repair — Engineered for Patients Who Demand More Than “Standard Surgery”

A surgeon-designed, data-driven approach focused on tendon preservation, biomechanical restoration, and durable performance with PROVEN RESULTS.

Designed and performed by Dr. Frank McCormick, MD Fellowship-trained orthopedic surgeon specializing in complex shoulder pathology and elite athlete care.

The SIGMA Rotator Cuff Protocol

What Makes SIGMA Different

Diagnose precisely

Accurate diagnosis is the foundation of effective treatment. Using advanced tools and careful evaluation, we identify the root cause of each condition with precision, ensuring every decision is informed, targeted, and tailored to the patient’s specific needs. This approach minimizes guesswork and leads to faster, more reliable outcomes.

Repair strategically

Every repair is planned with purpose and foresight. By assessing the full scope of the issue, we implement solutions that not only fix the immediate problem but also prevent future complications, ensuring long-lasting performance and optimal results.

Recover systematically

Recovery is guided through a structured, step-by-step process. Each phase is carefully monitored and adjusted to promote steady progress, restore strength, and ensure a safe, complete return to optimal function.

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

*Individual outcomes vary based on tear pattern, tissue quality, and adherence to rehab.

100 Days to Success™

Surgery Is Only Day One. Outcomes Are Earned Over 100 Days.

Most rotator cuff failures occur after surgery—during recovery.

Our 100 Days to Success™ framework ensures:

Week 0–2: Protection & inflammation control
Weeks 3–6: Guided motion restoration
Weeks 7–12: Strength, neuromuscular control
Beyond: Performance or lifestyle-specific goals

This eliminates the common gap between surgery and real recovery.

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.
Used selectively based on tissue quality, tear pattern, and patient biology—not offered as a routine add-on.

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

Patients seeking the most advanced surgical strategy rather than the fastest in-network option

Who This Is NOT For

This program may not be right for you if:

Surgeon-Designed. Surgeon-Performed.

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 this approach is right for you?
Complete a brief assessment so our team can guide you.

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.
Serving patients from New York City, South Florida, and beyond

SIGMA Precision Repair™

Compared to Standard Rotator Cuff Surgery

Category	Standard In-Network Repair	SIGMA Precision Repair™
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

Category	Standard In-Network Repair	SIGMA Precision Repair™
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

Patient Stories & Media

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.

Why is this care out-of-network?

Because precision surgery requires time, customization, and surgeon control that in-network systems do not allow.

Your Shoulder. Your Performance. Your Decision.

Request a Precision Surgical Consultation
An individualized, surgeon-directed evaluation to determine the most appropriate repair strategy for your shoulder—without pressure or obligation.