Understanding The Rotator Cuff:
The rotator cuff is a group of four muscles and their tendons that stabilise the shoulder joint and allow for a wide range of arm movements. They do this by controlling the head of the humerus (arm bone) as you move your arm around. When one of these tendons gets torn, life can quickly become frustratingly painful, usually because there is a lot less control than you want (think of a golf ball sliding off the tee).
Rotator Cuff Tears: Causes and Symptoms
The causes of rotator cuff tears can range from acute injuries, like falling awkwardly on your shoulder, to the slow wear and tear of repetitive movements over time. Ageing also plays a role as tendons naturally weaken and degenerate.
Symptoms include persistent shoulder pain, difficulty lifting your arm, and a lovely bonus feature called night pain that makes sleeping uncomfortable.
The Role of MRI in Diagnosis:
Rotator cuff tears can often be recognised through symptoms and testing without requiring an MRI. If a tear is suspected, an MRI may be recommended to determine its size, shape, and location accurately. If surgery is being considered, an MRI is essential to assess all affected structures. Treatment Options:
Treatment for a rotator cuff tear depends on the severity of the injury. Mild cases may heal with rest, while severe tears might require surgery.
Non-Surgical Treatments
- Rest & Activity Modification – Avoid activities that strain the shoulder.
- Physiotherapy – Phased rehabilitation including: Decreasing pain, regaining painfree range of motion and strengthening to improve function.
- Medications – NSAIDs (e.g., ibuprofen) help reduce pain and inflammation.
- Corticosteroid Injections – Reduce severe inflammation and pain.
Surgical Options
- Arthroscopic Repair – Minimally invasive procedure to reattach the tendon.
- Open Surgery – Used for large or complex tears.
- Shoulder Replacement – For severe, irreparable damage.
Early treatment improves recovery, so consult your physiotherapist or doctor if you suspect a tear.
If shoulder pain is limiting you, don’t wait—working with a skilled physiotherapist and staying committed to recovery can help you regain strength and mobility. Bookings can be made online 24/7.
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