question: Hi My name is Noel, I had surgery on my right side rotator cuff in 2012 . It healed O.K. and my shoulder got back to normal. In April of 2013 I feel down my stair case and crushed the same rotator cuff and the Dr. had use anchors, screws and skin on the tear. I just found out last week that I have torn it again but the screws were still in place. Will the DR. have to make a large incision again, or might he be able to do the small ones. I was also told that I would need a nerve block prior to surgery. May I ask what that is. I have M.S. and my right side is affected the most with it and Im right handed