Rotator Cuff Tear
The rotator cuff is a group of muscles and tendons that surround the shoulder joint. These muscles and tendons hold the arm in its joint. They also help the shoulder move and rotate. The rotator cuff can be torn from overuse or injury. Gradual wear and tear can lead to inflammation of these tendons. This can progress to gradual or sudden tears.
Symptoms of a torn rotator cuff include:
Shoulder pain that gets worse when you raise your arm overhead
Weakness of the shoulder muscles with overhead activity
Popping and clicking when you move your shoulder
Shoulder pain that wakes you up at night when sleeping on the hurt shoulder
Your healthcare provider may suspect a rotator cuff injury based on your symptoms and a physical exam. You may also have an MRI or arthroscopy. Arthroscopy is a surgical procedure to look inside the joint through a small tube. X-rays may be taken to determine if there is another reason for your pain, such as an abnormality in the bone.
Partial rotator cuff tears can be treated by first resting, then strengthening the rotator cuff muscles. Anti-inflammatory medicines, such as ibuprofen or naproxen, are useful. Your healthcare provider can give you a limited number of steroid injections. Your provider may recommend surgery for complete tears and partial tears that don't respond to medical treatment.
Try to avoid activities that make your pain worse. This includes overhead activities, doing the same motion over and over, and heavy lifting.
You may use over-the-counter pain medicines to control pain, unless another medicine was prescribed. If you have chronic liver or kidney disease or ever had a stomach ulcer or gastrointestinal bleeding, talk with your healthcare provider before using these medicines.
If you were given a sling, use it for comfort. After your pain decreases, don’t keep your arm in the sling all the time. Take your arm out several times a day and move the shoulder joint, as you are able.
Your healthcare provider may recommend gentle pendulum exercises. Stand or sit with your arm vertical and close to your side. Relax your shoulder muscles and gently swing the arm forward and back, side to side, and in small circles for about 5 minutes. Do this once or twice a day. There should be only slight pain with this exercise.
You may benefit from physical therapy or a home exercise program to strengthen your shoulder muscles. This will also increase your pain-free range of motion. Applying heat before exercises can help prepare the muscles and joint for activity. Talk to your healthcare provider about what is best for your condition.
Follow up with your healthcare provider, or as advised.
When to seek medical advice
Call your healthcare provider right away if the following occurs:
Call 911 or get immediate medical care if any of the following occur:
Rapid swelling in the involved shoulder or arm
Numbness, tingling, or loss of strength down the arm to the hand