Rotator Cuff Tear | Dr. Daniel A. Romanelli, M.D

Rotator Cuff Injuries

The rotator cuff is a group of four muscles and tendons that stabilize the shoulder and enable movement. Injuries are common and can result from trauma, overuse, or aging—causing pain, weakness, and limited motion.

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Rotator cuff injuries often present with pain in the shoulder, especially during lifting or overhead movements. Other common symptoms include weakness, limited range of motion, difficulty sleeping on the affected side, and a clicking or popping sensation during movement.
Diagnosis typically begins with a physical exam to assess range of motion, strength, and pain points. Imaging studies such as X-rays, ultrasound, or MRI may be ordered to confirm the presence, size, and severity of a tear or inflammation in the rotator cuff.
Treatment depends on the severity of the injury. Mild to moderate cases often respond well to conservative management, while larger or complete tears may require surgical repair.
Non-surgical options include rest, ice, anti-inflammatory medications, corticosteroid injections, and physical therapy. These approaches aim to reduce pain, restore function, and strengthen the shoulder muscles.
When conservative treatments fail or the tear is severe, surgery may be recommended. The most common procedure is arthroscopic rotator cuff repair, where the torn tendons are reattached to the bone using small incisions and specialized instruments.
Rehabilitation is key to recovery. Physical therapy focuses on restoring shoulder mobility, improving strength, and preventing re-injury. Whether following surgery or as part of non-surgical care, a structured PT program supports long-term healing and function.