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Normal Anatomy of the Rotator Cuff

The rotator cuff consists of a group of tendons and muscles that surround and stabilise the shoulder joint. These tendons allow a wide range of movement of the shoulder joint across multiple planes. Irritation or injury to these tendons can result in rotator cuff pain.

Causes of Rotator Cuff Pain

Rotator cuff pain may be caused due to:

  • Age-related wear and tear of the rotator cuff tendons in the shoulder
  • Repeated overhead arm movements as performed during manual labour
  • Sports activities such as pitching during baseball or playing racquet sports
  • Trauma such as accidents, direct blows to the shoulder, or falling on the shoulder

Symptoms of Rotator Cuff Pain

The symptoms that often accompany rotator cuff pain include:

  • A weakness of the shoulder
  • Restricted range of motion

Rotator Cuff Pain Exacerbating Factors

Shoulder pain may be exacerbated by:

  • Overhead movements
  • Reaching behind the back
  • Lifting objects
  • Lying on the injured shoulder during sleep

Diagnosis of the Cause of Rotator Cuff Pain 

Your doctor will make a diagnosis based on:

  • History of symptoms
  • Medical history
  • Physical exam
  • X-rays to identify any bony abnormalities that might be irritating the rotator cuff
  • MRIs or ultrasounds, which produce better images of the rotator cuff tendons

Treatment of Rotator Cuff Pain

Initial treatment involves the use of conservative methods such as rest, non-steroidal medications, physiotherapy, and steroid injections.

If the rotator cuff pain is not resolved by conservative methods, surgery may be required. The goal of surgery is to

  • Remove any bony structures or tissue that may be impinging the rotator cuff tendons during movement and causing pain
  • Repair/reattach a torn rotator cuff tendon

This can be done arthroscopically (keyhole surgery) or through open surgery.

Following surgery, your arm will be placed in a sling to allow the shoulder time to heal without any stress being placed on it. Once sufficiently healed, physiotherapy/rehabilitation may be recommended by your doctor to regain strength and range-of-motion.

Prevention of Rotator Cuff Pain 

Rotator cuff pain can be prevented by taking the following precautions:

  • Perform regular stretching and strengthening exercises for your shoulder.
  • Maintain good posture while sitting, standing or walking (avoid hunching).
  • Take breaks while performing repetitive overhead activities.
  • When lifting objects, keep them close to your body.
  • Switch sides often when carrying a heavy bag.
  • Don’t sleep on the same side every night.
  • NHS
  • The Royal College of Surgeons of Edinburgh
British Elbow & Shoulder Society
  • Swor and D

Hospitals Attended

  • Stratford Hospital

    South Warwickshire
    NHS Foundation Trust
    Arden St, Stratford-upon-Avon,
    CV37 6NX
    Driving Directions
    NHS Secretary: Phae Maxwell

    Ext 4798
  • Nuffield Health
    Warwickshire Hospital

    The Chase, Old Milverton Lane
    Leamington Spa
    CV32 6RW
    Driving Directions

  • Warwick Hospital

    South Warwickshire
    NHS Foundation Trust
    Lakin Road, Warwick,
    CV34 5BW
    Driving Directions
    NHS Secretary: Phae Maxwell

    Ext 4798
  • The Grafton Suite,
    Building One

    Stratford Hospital, Arden Street
    CV37 6NX
    Driving Directions

  • The Cherwell Hospital

    Oxford Rd, Banbury
    OX16 9FG
    Driving Directions


  • Spire Parkway (Solihull)

    1 Damson Pkwy,
    Solihull B91 2PP,
    United Kingdom
    Driving Directions

  • South Warwickshire NHS Foundation Trust
  • Nuffield Health
The Grafton Suite - South Warwickshire NHS Foundation Trust
  • Swor and D
  • Swor and D