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1609 Woodbourne Rd #203B | Levittown, PA 19057 (215) 945-0100

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Shoulder Articles

Adhesive Capsulitis (Frozen Shoulder) Shoulder Instability Reoccurring Dislocations Posterior Dislocation Multidirectional Instability Signs and Symptoms Shoulder Tendonitis and Impingement Rotator Cuff Tears Acromioclavicular Separation (Separated Shoulder) Labral Tears

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Rotator Cuff Tears

Rotator Cuff Tears

Rotator cuff tears can occur in different age groups, with different underlying causes. In younger individuals, rotator cuff tears often result from a traumatic event such as a fall. On the other hand, in middle-aged individuals and seniors, these tears are typically associated with gradual degeneration of the rotator cuff tendon(s). Common signs and symptoms of rotator cuff tears include shoulder pain that may radiate down the middle of the arm, particularly when raising the arm overhead, weakness, and in severe cases, a complete loss of arm-lifting ability. Diagnostic tests may include an arthrogram, where a radio-opaque dye is injected into the shoulder to visualize any leakage from the rotator cuff on an x-ray, or an ultrasound. However, magnetic resonance imaging (MRI) is the most commonly used diagnostic test for assessing rotator cuff tears.

Treatment approaches vary based on age and severity of the tear. In young and middle-aged patients, arthroscopic or open repair of the torn tendons is often recommended. In older patients, conservative measures are typically explored first, including activity modification, anti-inflammatory medication, physical therapy, and cortisone injections. Surgery becomes an option for older patients who experience persistent pain and functional limitations despite conservative treatment.

Possible Treatments

Active Assistive Range of Motion

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