News

Contact: Amy Blaser

(COLUMBUS, Neb.) – The next time you reach up to brush your hair or grab something from a high
shelf, take a moment to appreciate your rotator cuff.

This group of muscles and tendons plays a key role in helping you lift and rotate your arm. The rotator
cuff is composed of four muscles that come together as tendons around the shoulder joint. Over time —
or sometimes suddenly — those tendons can fray or tear, leading to pain and limited movement.

Rotator cuff injuries are both painful and common. Each year, nearly 2 million people in the United
States visit doctors because of rotator cuff problems.

How and why tears happen

A rotator cuff tear can happen suddenly due to an injury. This may occur if you lift something too heavy
or fall and land on an outstretched arm.

You may also be at higher risk if your daily activities or hobbies require repetitive shoulder motion.
Sports like tennis or jobs such as carpentry can place ongoing stress on the shoulder.

Most rotator cuff tears, however, develop slowly over time. They are often related to the natural wear
and tear of aging, and are more common in people who are middle-aged or older.

Signs to watch for

Rotator cuff tears that happen suddenly often cause sharp, intense pain. Tears that develop gradually
tend to worsen over time.

You may have a rotator cuff tear if you notice symptoms such as:

• Pain at rest or at night, especially when lying on the affected shoulder.
• Pain when lifting or lowering your arm.
• Weakness when lifting or rotating your arm.
• A crackling or popping sensation when moving your shoulder in certain positions.

When to seek care

If you suspect a rotator cuff tear, schedule an appointment with your primary care provider. Many
rotator cuff injuries can be treated effectively without surgery.

Nonsurgical treatment options may include:

• Rest.
• Avoiding activities that worsen symptoms.
• Nonsteroidal anti-inflammatory pain medications.
• Physical therapy.
• Steroid injections.

If nonsurgical treatments do not provide relief, your provider may recommend surgery to repair the
tear. You may need surgery sooner if your job or favorite activities depend heavily on shoulder strength
and mobility.

Early evaluation and treatment can help reduce pain, restore movement and prevent further injury.
Sources: American Academy of Orthopaedic Surgeons; UpToDate.