Rotator Cuff Tear

A rotator cuff tear can happen due to acute injury or long-term wear and tear. Acute tears typically occur during activities that involve lifting something heavy, falling onto an outstretched arm, or a sudden jerking motion. These injuries are more common in contact sports or accidents. Chronic tears, on the other hand, are often the result of repetitive overhead motions, such as those in tennis, baseball, or swimming, which cause the tendons to weaken and fray over time. Age-related degeneration also increases the likelihood of rotator cuff tears, as tendons lose elasticity and strength with age.

The treatment for a rotator cuff tear varies depending on the severity of the injury. For small or partial tears, non-surgical treatments like rest, physical therapy, anti-inflammatory medications, and corticosteroid injections can help relieve pain and restore function. If conservative treatments are ineffective or if the tear is large or full-thickness, surgery may be recommended. Rotator cuff surgery involves reattaching the torn tendon to the bone, followed by an extensive rehabilitation process. The Movement Doctors can develop a personalized physical therapy plan to support recovery, whether surgical or non-surgical.

The most common symptoms of a rotator cuff tear include pain in the shoulder, particularly during movements like lifting the arm or reaching overhead. Many people also experience shoulder weakness, making it difficult to lift or carry objects. Another key symptom is a loss of range of motion in the shoulder, accompanied by a clicking or popping sound when moving the arm. Pain from a rotator cuff tear often intensifies at night, especially when lying on the affected side. If left untreated, the symptoms can worsen and lead to more significant shoulder dysfunction.

Signs of a rotator cuff tear include a dull, aching pain in the shoulder that worsens with movement, particularly during overhead activities. You may also notice weakness in the shoulder, making it difficult to perform everyday tasks like lifting, reaching, or carrying items. Reduced shoulder mobility is another sign, along with a popping or clicking sensation when moving the arm. In some cases, the shoulder may feel unstable, and pain might radiate down the arm. If you experience any of these signs, it's important to seek evaluation to prevent further damage.

Starting physical therapy as soon as possible is essential for optimal recovery from a rotator cuff tear. For non-surgical cases, physical therapy can begin immediately to strengthen the shoulder, improve mobility, and reduce pain. If surgery is required, prehab—physical therapy before surgery—can significantly improve surgical outcomes. By working with The Movement Doctors on a personalized prehab and long-term care plan, you can enhance your shoulder strength, stability, and flexibility before surgery, leading to faster recovery and a lower risk of reinjury. Post-surgery, a tailored rehabilitation plan will ensure you regain full function and return to your activities with confidence.