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.
The SIGMA Rotator Cuff Protocol
Diagnose Precisely
Advanced imaging & biomechanical assessment.
Repair Strategically
Tissue-preserving arthroscopic repair.
Enhance Biologically
SynerG™ adjuncts, when indicated.
Rebuild Performance
100 Days to Success™ recovery pathway.
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 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:
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.
Protection & inflammation control.
Guided motion restoration.
Strength & neuromuscular control.
Performance or lifestyle-specific goals.
This eliminates the common gap between surgery and real recovery.
SynerG™ Biologic Enhancement
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.
Is This Program Right for You?
✓ 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:
- ✕ You're looking for the fastest, cheapest surgical option
- ✕ You're unwilling to participate in guided recovery
- ✕ You want "just an injection" without addressing mechanics
Surgeon-Designed. Surgeon-Performed.
- 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."
SIGMA Precision Repair™
Compared to standard in-network 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 |
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. Within a few months, I was back to throwing with my son, pain free.
"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.
"From sleepless nights to a full recovery."
I had massive rotator cuff tears in both shoulders from years of construction work. 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.
"A surgeon who truly listens and delivers."
Dr. McCormick and his concierge team made me feel completely supported. The recovery process was structured and easy to follow, and my range of motion is better now than it's been in a decade.
"Elite-level treatment with personal care."
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. It felt like I was being treated like a pro athlete.
Frequently Asked Questions
What is a rotator cuff injury, and how do I know if I have one?+
What makes the SIGMA™ Rotator Cuff System different from standard surgery?+
Do rotator cuff tears heal on their own without surgery?+
What can I expect during recovery after rotator cuff repair?+
Who should consider seeing a rotator cuff specialist?+
Why is this care out-of-network?+
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.