Rotator Cuff Injury

Introduction

When to Consult a Physician

• If you're experiencing shoulder discomfort that persists and isn't affected by movement, it's crucial to contact your doctor. In some cases, shoulder pain can be a symptom of other underlying conditions, such as heart issues. Pain from a rotator cuff problem typically worsens with movement.
• If shoulder pain lasts for more than two days.
• If shoulder problems (pain) hinder your ability to work.
• If you find it challenging to reach overhead, such as retrieving items from a cabinet above shoulder level.
• If you're unable to participate in certain sports, like baseball, or engage in activities like swimming due to shoulder pain.

When to Seek Immediate Medical Attention

If you experience an acute shoulder injury that prevents movement in the injured shoulder, seek emergency medical care.

Self-Care at Home

• Rest the injured shoulder.
• Apply ice for 15-20 minutes at least three times a day during the initial two days after the injury. To apply ice to the shoulder effectively, wrap it with a large Ace bandage. You can also wrap it around the injured arm and across the body.
• After the initial two days of applying ice, you can apply heat. A heating pad can be placed over the shoulder while sitting up to provide warmth and relief.
• Take an anti-inflammatory medication, such as ibuprofen or naproxen sodium, to reduce pain and swelling. However, do not take it if you have allergies or specific medical concerns, such as stomach or kidney problems.

Follow-up

• An orthopedic surgeon (bone specialist) can further evaluate your pain or problems and determine if surgery is necessary.
• For both routine care and post-surgery, consider working with a physical therapist. Your doctor can provide a referral.

Prevention

• Avoid direct shoulder impact during sports or falls, though this may not always be easy to accomplish.
• If you develop shoulder pain due to overuse, seek prompt medical attention.

Outlook

• Treatment without surgery has reported success rates ranging from 40% to 90%, dependent on the individual's age and the severity of the injury.
• Recovery may take longer for older individuals.
• People who undergo surgical repair often experience a high rate of recovery. In one study, 94% of individuals reported satisfaction after surgery, with lasting relief from pain and improved function.
• In cases where the rotator cuff tear is exceptionally large, even with surgery, the outcomes may be less favorable. Fortunately, only a small percentage of individuals have such extensive tears.