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Rotator Cuff Problems?

What You Need to Know About Rotator Cuff Tears

By Jonathan Cluett, M.D., About.com

About.com Health's Disease and Condition content is reviewed by Kate Grossman, MD

Rotator cuff tears are a common injury of a complicated joint. Because of our dependence on the shoulder for many activities, these injuries can be frustrating experiences. Learn more about rotator cuff tears, including diagnosis, symptoms, treatments and rehabilitation.

What Can Cause Shoulder Pain?

Image © Sebastian Kaulitzki
Shoulder pain is an extremely common complaint that has many causes. Because we use our arms for so many common activities, shoulder pain can cause significant problems. In order for proper treatment, the cause of the problem must be identified.

What Is the Rotator Cuff?

rotator cuff tearImage © Medical Mulitmedia Group
The rotator cuff is the group of four tendons and muscles that surround the shoulder joint. Often confused with other names, the proper word used to describe these muscles and tendons is the rotator cuff. When the rotator cuff is injured, it's the tendons of the rotator cuff that are injured. It is these tendons that connect the rotator cuff muscles to the bone. When the tendons are inflamed or torn, they cannot function properly.

Probably the best way to understand what happens when the rotator cuff is injured is to see the rotator cuff. Use this animation to see the rotator cuff in action, so you can understand why a rotator cuff injury causes problems.

Rotator Cuff Tear Video

What Are the Symptoms of a Rotator Cuff Tear?

The most common symptom of a rotator cuff problem is pain. Patients usually complain of pain over the top of the shoulder and arm. In some patients, the pain can descend down the outside of the arm all the way to the elbow.

The other common symptom of a rotator cuff tear is weakness of the shoulder. Weakness causes difficulty lifting the arm up overhead or difficulty with activities such as reaching, getting dressed, or carrying objects.

What Treatments Are Available for the Rotator Cuff?

rotator cuff tear cortisone injection treatmentImage © Nicholas Monu
Most rotator cuff tears can be treated without surgery -- in fact, it is the small minority of patients who end up undergoing surgical treatment for a rotator cuff tear.

Non-operative rotator cuff treatments may include physical therapy, anti-inflammatory pain medications, and cortisone injections. The goal of treatment is to reduce inflammation and strengthen the uninjured muscles around the shoulder to compensate for the torn muscles.

Is Surgery Necessary for a Rotator Cuff Tear?

Most rotator cuff tears can be treated non-surgically. However, in some patients, surgery may be recommended as a treatment option. Surgery is performed to repair the torn tendons. Determining when surgery may be appropriate depends on the type of rotator cuff tear, the patient's activity level, and the treatments that have been attempted.
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