Rotator Cuff Injuries

How do rotator cuff injuries occur?
A rotator cuff injury often occurs as a result of overuse, a collision, or a fall on an outstretched hand. Sports that require you to use repeated overhead arm motion or occupations requiring heavy lifting also place a strain on rotator cuff tendons and muscles and increase your risk of developing a rotator cuff injury.

What are the symptoms of rotator cuff injury?
Usually patients with a rotator cuff injury complain of pain at the top and outer side of the shoulder (over the deltoid muscle), especially when the arm is raised or extended out to the side. Activities that require these types of movements, such as getting dressed, can be quite painful. The shoulder may feel weak, especially when trying to lift the arm into a horizontal position. There may also be a clicking or popping when the shoulder is moved. An arthrogram may be used to confirm rotator cuff injuries.

How do we manage rotator cuff injuries?
Conservative treatment including resting the shoulder, applying heat or cold to the sore area, and taking medicine to relieve pain and inflammation may be the first line of treatment. Other treatments might be added, such as electrical stimulation of muscles and nerves, ultrasound, or a cortisone injection. A sling may be used to help keep the shoulder still. Exercise may be used to build flexibility and strength and restore the shoulder's function. However, if there is no improvement with conservative treatments the injury may need to be surgically repaired.