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Understanding rotator cuff tears in the shoulder

Mr David Thyagarajan
Written in association with: Mr David Thyagarajan Consultant Orthopaedic Surgeon in Sheffield
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3 reviews

Sources: Top Doctors GB
Published: 17/02/2025 Edited by: Conor Lynch on 11/03/2025

A rotator cuff tear is a common injury that affects the shoulder, often leading to pain and limited mobility. The rotator cuff is a group of four muscles and their associated tendons that stabilize the shoulder joint and allow for a wide range of arm movements. These muscles include the supraspinatus, infraspinatus, teres minor, and subscapularis.

Rotator cuff tears can occur due to acute injuries, such as falls or lifting heavy objects, or as a result of chronic wear and tear of the shoulder over time. Age is a significant factor; individuals over 40 are more susceptible to degenerative tears. Symptoms typically include shoulder pain, weakness, and difficulty performing overhead activities.

 

Patients may also experience a clicking sensation when moving the arm. Diagnosis usually involves a physical examination and imaging tests like MRI or ultrasound to assess the extent of the tear. Treatment options vary based on the severity of the injury. For minor tears, conservative approaches such as rest, ice application, physical therapy, and anti-inflammatory medications may suffice.

 

In more severe cases, surgical intervention might be necessary to repair the torn tendon. Rehabilitation plays a crucial role in recovery. Physical therapy focuses on restoring strength and flexibility to the shoulder while gradually increasing activity levels. Most patients can expect significant improvement within several months; however, full recovery may take longer depending on individual circumstances.

 

Preventive measures are essential for those at risk of rotator cuff injuries. Strengthening exercises for the shoulder muscles, maintaining flexibility through stretching, and avoiding repetitive overhead motions can help reduce the likelihood of tears. In conclusion, understanding rotator cuff tears is vital for early detection and effective treatment. With appropriate care and rehabilitation, many individuals can return to their normal activities without long-term complications.

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