- Rotator cuff injuries are common. According to the American Academy of Orthopaedic Surgeons, most people report a recurring pain in their shoulder after a specific incident, like a fall or heavy lifting. Other times a shoulder dislocation can cause the tear. In most cases, rotator cuff tears are because the muscles are being used too much over time, which is usually the result of normal wear and tear.
- Several signs that point to a rotator cuff tear. Doctors look for pain or weakness when lifting the arm. There also may be a crackling sensation when the shoulder is rotated a certain way, and the muscle may become thin. These symptoms can happen immediately after an injury, or they can develop gradually over time.
- There is a greater risk in people over the age of 40 of getting a rotator cuff injury. Athletes also are prone to tears because of their overuse of the muscles. People employed in construction, like carpenters and painters, may get these tears. Poor posture also can affect the rotator cuff.
- Doctors usually diagnose a rotator cuff tear through a physical exam, X-rays and MRI. Depending on the severity of the tear, there are several treatment options. In most cases, rest, use of a sling and physical therapy help rebuilds the muscle. Some doctors may chose to give steroid injections to help with pain and inflammation. If that does not help, surgery may be needed.
- In all cases, the arm must be immobilized and put into a sling to heal. Physical therapists recommend exercises to keep muscles from stiffening. Even after the shoulder heals, it is important to keep up the strengthening exercises to prevent a future tear.
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