Rotator Cuff Injuries - Shoulder Pain

A rotator cuff tear is a common injury that affects the shoulder, specifically the group of muscles and tendons that stabilize the joint. It can cause pain, weakness, and limited mobility, impacting daily activities and range of motion.

What can cause a Rotator Cuff Tear?

Rotator cuff tears can occur due to various reasons, including:

  1. Acute injury: A sudden fall, direct impact, or forceful lifting can cause a tear in the rotator cuff tendons.

  2. Degenerative changes: Over time, wear and tear on the tendons can lead to degeneration and weakening, making them more prone to tearing, especially in older individuals.

  3. Repetitive overhead movements: Athletes or individuals engaged in activities that involve repetitive overhead motions, such as throwing, swimming, or painting, may develop rotator cuff tears due to repetitive stress on the tendons.

  4. Poor posture and muscle imbalances: Rounded shoulders, forward head posture, and weak muscles in the shoulder girdle can contribute to abnormal mechanics and increase the risk of rotator cuff tears.

What are the symptoms of Rotator Cuff Tears?

The symptoms of a rotator cuff tear can vary depending on the severity of the tear, but common indications include:

  1. Shoulder pain: Dull ache in the shoulder that may worsen with certain movements, especially reaching overhead or behind the back.

  2. Weakness: Difficulty in lifting or carrying objects, as well as weakness when performing activities that require arm movement.

  3. Limited range of motion: Difficulty reaching or moving the arm fully, particularly with external rotation or raising the arm to the side.

  4. Shoulder stiffness: Reduced flexibility and tightness in the shoulder joint.

  5. Clicking or popping sensation: Some individuals may experience a clicking or popping sensation during shoulder movement.

What are treatment options for Rotator Cuff Tears?

The treatment approach for a rotator cuff tear depends on various factors, including the severity of the tear, age, current function and activity level. Treatment options may include:

  1. Conservative management:

    • Rest: Avoid activities that worsen symptoms and allow the shoulder to rest and heal.

    • Physio: Targeted exercises and stretches to improve strength, flexibility, and shoulder mechanics.

    • Pain management: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections to alleviate pain and reduce inflammation.

    • Modification of activities: Adjusting movements and techniques to avoid exacerbating the tear.

  2. Surgical intervention:

    • Partial or complete tear repair: Surgical repair may be necessary for larger or more severe tears, especially if conservative treatments fail to provide relief.

To book an appointment with one of our physiotherapists click here.

Next
Next

Subacromial pain syndrome - Pain overhead