What is a Rotator Cuff Tear?

The rotator cuff is a group of four muscles and tendons that help stabilize the shoulder and allow smooth movement. A rotator cuff tear occurs when one or more of these tendons are damaged, leading to pain, weakness, and limited shoulder function.

What Causes a Rotator Cuff Tear?

• Acute Injury: A fall on an outstretched arm, lifting a heavy object, or a sudden jerking motion
• Degenerative Wear and Tear: Aging, repetitive overhead movements (e.g., painting, swimming, tennis), or chronic tendon strain
• Poor Blood Supply: Reduced healing ability in older individuals
• Bone Spurs: Overgrowths on the shoulder bone that irritate and wear down the tendons

Common Symptoms:

• Shoulder pain, especially when lifting or reaching
• Weakness in the arm and difficulty raising it overhead
• Clicking or popping sounds with movement
• Pain at night that interferes with sleep
• Decreased range of motion and difficulty with daily activities

How is it Diagnosed?

Your surgeon will assess your shoulder with a physical examination, checking strength, range of motion, and pain levels. Imaging tests such as X-rays, ultrasound, or an MRI may be used to confirm the diagnosis and evaluate the severity of the tear.

Treatment Options:

• Non-Surgical:
  • Rest and activity modification to prevent further damage
  • Ice therapy and anti-inflammatory medications (NSAIDs) for pain relief
  • Physical therapy to strengthen shoulder muscles and improve flexibility
  • Corticosteroid injections for temporary pain relief
• Surgical:
  • Arthroscopic Repair: Minimally invasive surgery to reattach the torn tendon
  • Open Surgery: For larger tears requiring a more extensive repair
  • Tendon Transfer or Shoulder Replacement: In severe cases where the tear is irreparable

Recovery and Rehabilitation:

• Recovery time varies, with non-surgical treatment taking weeks to months
• Post-surgical recovery may take 4-6 months, with physical therapy playing a key role
• Strength and mobility gradually improve with consistent rehabilitation
• Avoiding repetitive overhead activities helps prevent future injuries

If you have persistent shoulder pain or weakness, schedule a consultation with us to discuss the best treatment options for you.