Rotator cuff tear

A partial or full tear of one of the tendons that control and stabilise the shoulder.

Overview

A rotator cuff tear is a partial or complete tear of one of the cuff tendons. Tears can be traumatic or degenerative; many are managed successfully with strengthening, while larger or traumatic tears in active people may need surgical opinion.

Symptoms

  • Shoulder pain, often worse at night
  • Weakness lifting or rotating the arm
  • Pain with overhead activity
  • Difficulty with everyday reaching tasks

Causes

  • Age-related tendon degeneration
  • A fall or sudden load on the arm
  • Repetitive overhead activity

Treatment

  • Progressive rotator cuff strengthening
  • Activity modification and pain management
  • Scapular control exercise
  • Surgical opinion for large or traumatic tears