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Rotator cuff injury

Also called: Rotator cuff injury, torn rotator cuff, rotator cuff tendinitis

Pain and weakness in the shoulder from irritated or torn muscles that hold the arm in its socket. Pain is often worse at night and reaching overhead.

TypeShoulder injury
Common inOver 40, overhead work
TreatmentTherapy; surgery for some tears

Overview

Tendons wear with age and overuse, or tear in a fall.

Symptoms

Common signs:

  • Shoulder pain, worse lifting the arm or at night
  • Pain lifting the arm overhead

Less common

  • Weakness

When to get medical care

Call 911Shoulder pain with chest pressure or shortness of breath.
Get care todaySudden weakness after a fall.
See a doctor soonPain over 2 weeks.

Causes

Wear, overuse, falls.

Who is more likely to get it

  • Over 40
  • Painters, carpenters

Diagnosis

A clinician checks shoulder strength.

The exam

Testing motion and strength.

Tests

Tests, if needed:

  • MRI or ultrasound:

Treatment

Rest and rebuild.

Self-care

  • Avoid overhead lifting
  • Use ice
  • Do gentle exercises

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
Pain and swellingAsk first if you have kidney, stomach, or heart problems.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Physical therapy, injections, or surgery.

Prevention

To prevent it:

  • Strengthen shoulders

Which doctor treats this

  • Urgent care or the ER can treat it first. For minor problems, your primary care provider can help.
  • They may send you to an orthopedist (bone and joint doctor).

Back to school, work, or sports

  • Recovery time varies. Ask your care team when you can drive, lift, work, and exercise.

Outlook

Most improve with therapy.

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Rotator cuff injury

Sources

Last updated 2026-11-12.