Materiały źródłowe

• #1 Rotator Cuff Tears – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/

  A rotator cuff tear is a common cause of shoulder pain and disability among adults. Each year, almost 2 million people in the U.S. visit their doctors because of rotator cuff tears. […] A torn rotator cuff may weaken your shoulder. This means that many daily activities, like combing your hair or getting dressed, may become painful and difficult to do. […] The most common symptoms of a rotator cuff tear include: Pain at rest and at night, especially if you are lying on the affected shoulder; Pain when lifting and lowering your arm or with specific movements; Weakness when lifting or rotating your arm; Crepitus, or a crackling sensation, when moving your shoulder in certain positions. […] Tears that happen suddenly, such as from a fall, usually cause intense pain. There may be a snapping sensation and immediate weakness in your upper arm.

• #1 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000438.htm

  Early on, pain is mild and occurs with overhead activities and lifting your arm to the side. […] Pain is more likely in the front of the shoulder and may travel to the side of the arm. The pain always stops before the elbow. If the pain goes down the arm to the elbow and hand, this may indicate a pinched nerve in the neck. […] Over time, there may be pain at rest or at night, such as when lying on the affected shoulder. You may have weakness and loss of motion when raising the arm above your head. Your shoulder can feel stiff with lifting or movement. It may become more difficult to place the arm behind your back. […] The pain with a sudden tear after a fall or injury is usually intense. Right after the injury, you will likely have weakness of the shoulder and arm. It may be hard to move your shoulder or raise your arm above the shoulder. You may also feel snapping when trying to move the arm.

• #1 Rotator Cuff Tear: Causes, Symptoms, Treatments | HSS

  https://www.hss.edu/condition-list_rotator-cuff-tear-injury.asp

  Tears in the rotator cuff can cause shoulder pain, weakness and instability. […] When a rotator cuff muscle or tendon gets injured or torn, it can lead to pain, shoulder weakness, and decreased function. […] Rotator cuff tear symptoms include: feeling pain: in the front and/or down the outside of the shoulder, in the shoulder at night, when the arm is moved in certain ways; having trouble raising the arm; experiencing weakness in the shoulder; being unable to lift things; hearing clicking or popping when the arm is moved. […] Sharp pain is usually felt in cases of an acute, traumatic tear. But regardless of cause, rotator cuff pain from a tear may be sharp and isolated (especially while reaching upward) or dull and diffuse (especially at night during long periods of rest or upon waking up from sleep).

• #1 Rotator Cuff Tears – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/rotator-cuff-tears/

  Tears that develop slowly due to overuse may also cause pain and arm weakness. You may have pain in the shoulder when you lift your arm, or pain that moves down your arm. There may also be no symptoms. […] At first, the pain may be mild, and you may feel it only when lifting your arm over your head, such as reaching into a high cabinet. Over-the-counter medication, such as ibuprofen or naproxen, may relieve the pain. […] Over time, the pain may become more noticeable at rest and no longer goes away with medications. You may have pain when you lie on the painful side at night. The pain and weakness in the shoulder may make routine activities, such as combing your hair or reaching behind your back, more difficult. […] It should be noted that some rotator cuff tears are not painful. These tears, however, may still result in arm weakness and other symptoms.

• #1 Rotator Cuff Pain: Treatment, Symptoms, Causes, and More

  https://www.verywellhealth.com/signs-and-symptoms-of-a-rotator-cuff-tear-2549777

  Pain when sleeping on the affected shoulder. Throbbing pain at night is also common with rotator cuff tendinitis or a tear. Sometimes, shoulder pain may be severe enough to awaken you from sleep. […] In some cases, people with rotator cuff tears do not have any pain. Also, more severe tears can sometimes cause less pain than partial tears. Rotator cuff tendinosis does not always cause pain either, especially early on. […] Symptoms can include weakness in the arm and throbbing pain while sleeping. In some cases, however, people with rotator cuff injuries have no symptoms.

• #1 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000438.htm

  With a chronic tear, you often do not notice when it began. This is because symptoms of pain, weakness, and stiffness or loss of motion worsen slowly over time. […] Rotator cuff tendon tears often cause pain at night. The pain may even wake you. During the day, the pain is more tolerable, and usually only hurts with certain movements, such as overhead or reaching toward the back. […] Over time, the symptoms become much worse and are not relieved by medicines, rest, or exercise.

• #1 Four Signs That You’ve Torn Your Rotator Cuff | Orthopaedic Surgery & Sports Medicine Located In Dallas, Fort Worth, Keller, Plano, And Weatherford, TX | Texas Orthopaedic Associates

  https://www.txorthopaedic.com/blog/four-signs-that-youve-torn-your-rotator-cuff/

  Popping, grinding, grating, clicking, or crackling sensations when you move your arm are another relatively common symptom of rotator cuff tears (and other shoulder injuries, as well). […] When you have a muscle strain, resting often makes the pain subside, at least for a little while. But when a tendon is damaged and torn, you can have pain all day — and all night. […] Your rotator cuff muscles coordinate with other arm muscles to help you lift objects and even grasp or grab items. When you have a rotator cuff tear, even something as simple as lifting a coffee cup or combing your hair can be painful, and you may find that your arm feels especially weak or uncoordinated.

• #1 Rotator Cuff Injury – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK547664/

  Additionally, patients will report increasing pain and difficulty with overhead activity, activities of daily living. They may also report pain when lifting or carrying heavy objects. The pain can occasionally radiate down into the area of the deltoid muscle. Quite often, they will report pain when lying on their side to sleep. […] The longer the pain has been present, the more likely patients will develop scapular dyskinesis. […] Pain or weakness with any of these motions is considered positive tests. If pain limits the exam, a diagnostic subacromial injection can be done to see if reducing the patient’s pain improves the exam. […] When considering a rotator cuff tear, there are variations in the tests noted above. If the patient cannot hold the empty can test position, it is called a drop arm test.

• #1 How Do I Know if I Have a Rotator Cuff Tear?

  https://www.sports-health.com/blog/how-do-i-know-if-i-have-rotator-cuff-tear

  The muscles and tendons that make up the rotator cuff help stabilize the shoulder’s ball and socket joint. An injury to the rotator cuff can change the way the ball and socket fit and move together. This change, in turn, may result in a popping or crackling that medical professionals call crepitus. […] Other possible symptoms of a rotator cuff tear include shoulder stiffness, loss of passive range of motion, swelling, and tenderness. […] Research suggests that more than half the people with rotator cuff tears do not feel any symptoms. However, symptoms may appear over time if the tear gets worse. […] The need for medical care may be more urgent if your symptoms include numbness, weakness, tingling, or pins-and-needles in your shoulder, arm, or hand. […] Immediate medical care is recommended if you’re in severe pain, your symptoms affect both sides of your body, or you experience severe weakness, uninterrupted numbness, or difficulty controlling movement in your hand, arm, or shoulder.

• #1 Rotator Cuff Tear: Causes, Symptoms, Treatments | HSS

  https://www.hss.edu/condition-list_rotator-cuff-tear-injury.asp

  A minor, partial tear can occur over time from overuse, or prolonged wear and tear (degeneration). Partial tears can progress to full-thickness rotator cuff tears over time. Complete ruptures can also be caused by a trauma such as dislocating your shoulder or by performing a sudden and heavy lift. […] When trauma is the immediate cause of a tear, it is often the case that existing tendon degeneration or a prior, less severe rotator cuff injury has played a contributing role.

• #1

  https://www.orthobullets.com/shoulder-and-elbow/3043/rotator-cuff-tears

  Rotator cuff tears are a very common source of shoulder pain and decreased motion that can occur due to both traumatic injuries in young patients as well as degenerative disease in the elderly patient. […] Symptoms include pain, typically insidious onset of pain exacerbated by overhead activities, pain located in the deltoid region, night pain, which is a poor indicator for nonoperative management, and acute pain and weakness with a traumatic tear. […] Weakness is characterized by loss of active ROM with greater or intact passive ROM. […] 50% of asymptomatic tears become symptomatic in 2-3 years. […] 50% of symptomatic full-thickness tears progress at 2 years and bigger tears progress faster.

• #1 Rotator Cuff Injury Hinsdale, IL | Rotator Cuff Repair Downers Grove, IL

  https://www.anthonyromeomd.com/rotator-cuff-injury-orthopedic-surgeon-des-plaines-hinsdale-il/

  Ignoring a large tear (i.e., when two or more tendons are torn) can have big consequences. Unfortunately, larger tears have the potential to get worse over time. […] Five years after an initial tear, more than 50% of tears are larger than when the problem first occurred. When the tear extends into a second tendon, or even worse, a third tendon, the shoulder function is likely to be irreversibly decreased even if surgery is performed.

• #1 Rotator cuff injury | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/rotator-cuff-injury?content_id=CON-20126916

  Rotator cuff injuries can range in severity from simple inflammation to complete tendon tears. […] A rotator cuff injury can cause a dull ache in the shoulder that worsens at night. […] The pain associated with a rotator cuff injury may: Be described as a dull ache deep in the shoulder, Disturb sleep, Make it difficult to comb your hair or reach behind your back, Be accompanied by arm weakness. […] Some rotator cuff injuries don’t cause pain. […] Without treatment, rotator cuff problems may lead to permanent loss of motion or weakness of the shoulder joint.

• #1 Rotator Cuff Injuries/Tears: Symptoms & Causes | NewYork-Presbyterian

  https://www.nyp.org/orthopedics/columbia-orthopedics/rotator-cuff-injuries-tears

  Full-thickness rotator cuff tears do not heal on their own, and the pain and weakness will often increase over time if the tear progresses in size or severity. If left untreated, rotator cuff tears may become worse. This can lead to ongoing shoulder pain and difficulty using the injured arm. A large or massive complete rotator cuff tear can make it nearly impossible to move the affected arm. This loss of motion and increased weakness may become permanent without treatment.

• #1 Rotator Cuff Injury – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK547664/

  Rotator cuff injury runs the full spectrum from injury to tendinopathy to partial tears, and finally complete tears. Age plays a significant role. Injuries ranged from 9.7% in those 20 years and younger increasing to 62% in patients 80 years and older (whether or not symptoms were present). […] Increasing age and those with unilateral pain are also at risk for a tear in the rotator cuff of the opposite shoulder. In a study comparing patients with unilateral shoulder pain, the average age for a patient having no cuff tear was 48.7 years. After age 66, there is a 50% likelihood of bilateral tears. Additionally, age was linked to the presence and type of tear but did not correlate with tear size. […] The history of rotator cuff disease all starts with pain. The pain can be acute and arise from a traumatic event, or it can be gradual and mild, but steadily increasing. Generally, active individuals will present when they can no longer do their sport, activity, or job without causing pain.

• #1 Factors affecting the onset and progression of rotator cuff tears in the general population | Scientific Reports

  https://www.nature.com/articles/s41598-020-79867-x

  While previous studies have revealed factors affecting the progression of rotator cuff tear (RCT), none have yet described factors affecting its onset. […] The factor affecting the RCT onset was S-P grade 2 osteoarthritic change in 2012 (odds ratio [OR] 10.10). […] RCT progressed in 22 of 53 shoulders, and the factor affecting RCT progression was the presence of motion pain in 2012 (OR 13.76). […] A stepwise logistic regression analysis revealed that S-P grade 2 in 2012 (odds ratio [OR] 10.10, 95% confidence interval [CI] 1.5665.51) was an independent risk factor of RCT onset in 2017. […] A stepwise logistic regression analysis revealed that the presence of pain in motion in 2012 (OR 13.76, 95% CI 1.49126.85) was an independent risk factor of RCT progression in 2017.

• #1 Patient education: Rotator cuff tendinitis and tear (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/rotator-cuff-tendinitis-and-tear-beyond-the-basics/print

  ROTATOR CUFF INJURY SYMPTOMS […] Tendinitis — People with rotator cuff tendinitis typically complain of shoulder pain at the tip of the shoulder and the upper, outer arm. […] The pain is often aggravated by reaching, pushing, pulling, lifting, positioning the arm above the shoulder level, or lying on the side. Painful daily activities may also include putting on a shirt or brushing hair. The pain may prevent comfortable sleep or awaken a person from sleep, particularly if he or she sleeps on or rolls onto the shoulder. […] Tear — Symptoms of rotator cuff tear nearly always include weakness in the specific muscle-tendon unit and may include pain in the shoulder, although some people have few or no symptoms. […] In addition, the severity of the tear does not necessarily correlate with the severity of a person’s pain; in other words, a person with a partial tear may have severe pain while a person with a complete tear may have little or no pain.

• #1 Shoulder pain – could it be your rotator cuff? | Complete Physio

  https://complete-physio.co.uk/rotator-cuff-pain/

  Interestingly, the intensity of the pain does not necessarily correlate with the severity of the injury/size of the tear. Small tears and even some bigger tears are quite common as we get older but do not cause any pain or weakness. […] Calcific tendinopathy is when there are bony deposits (calcium/calcification) in the rotator cuff tendon. This normally occurs in the supraspinatus and infraspinatus tendon. It can cause a very rapid onset of severe pain, particularly at night and a significant restriction in shoulder movement. If this occurs, it is known as acute calcific tendinitis. […] Approximately 80-90% of rotator cuff tears improve with physiotherapy alone and do not require surgery. The treatment will be similar to the programme outlined above for rotator cuff tendinopathy/tendinitis.

• #1 Common Signs of a Rotator Cuff Injury: Dr. Matthew Pifer: Orthopedic Shoulder Surgeon

  https://www.matthewpifermd.com/blog/common-signs-of-a-rotator-cuff-injury

  Sometimes a partial or full tear can occur in the rotator cuff tendon. This can happen abruptly due to injury or over time as a result of repetitive movement. Additionally, untreated shoulder tendinitis can lead to a rotator cuff tear. A torn rotator cuff requires expert care. […] Rotator cuff tears cause pain even at rest and may especially hurt at night if you lie on the affected shoulder. Youre likely to experience pain when lifting or lowering your arm and may experience weakness in the shoulder. […] Shoulder impingement causes persistent pain and occurs when the rotator cuff rubs on the shoulder bones. Pain may radiate from the front of the shoulder to the side of the arm and may occur at rest or with movement.

• #1 Shoulder Impingement Rotator Cuff Tendinitis

  https://orthoinfo.aaos.org/en/diseases–conditions/shoulder-impingementrotator-cuff-tendinitis/

  As the problem progresses, the symptoms may change to cause: Severe pain at night, which may affect your ability to sleep, Loss of strength and motion, Difficulty doing basic activities, such as getting dressed, putting on a seatbelt, or washing or brushing your hair. […] The pain may come on suddenly and the shoulder may be severely tender to the touch. Movement of the shoulder may be limited and painful.

• #1 Rotator Cuff Tendinitis | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/rotator-cuff-tendinitis/

  Rotator cuff tendinitis is inflammation (swelling) or irritation of the rotator cuff tendons, which leads to pain and restriction of motion at the shoulder joint. […] There is pain along the front and side of the shoulder. Raising the arm out to the side or overhead causes pain. Movements that cause pain at home might include reaching for objects on high shelves or brushing your hair. Pain worsens with activity. There also may be stiffness, weakness or inability to raise the arm completely. Lying on the involved shoulder can cause discomfort, and there may be achy pain at rest or at night. […] In general, the longer your child has symptoms before starting treatment, the longer it will take to get better. Your child should be pain-free with everyday overhead activities before return to sports.

• #1 Rotator Cuff Injury – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK547664/

  The treatment depends on the age of the patient, their functional demands, and the acuteness vs. chronicity of the tear. For complete tears in patients under 40, surgical treatment is the generally recommended treatment followed by appropriate rehabilitation. […] Newly diagnosed, symptomatic rotator cuff tears may start with physical therapy addressing both core and scapular muscle strengthening. This approach is associated with similar clinical outcomes when compared to surgical repair for both small and medium-sized tears. […] The most likely complication would be retearing of the cuff repair this is minimizable with proper patient selection.

• #1 Think You Have a Rotator Cuff Tear?

  https://www.summahealth.org/flourish/entries/2024/04/think-you-have-a-rotator-cuff-tear

  Rotator cuff tears can enlarge over time, and some major tears may not be repairable. Its best to consult a doctor when symptoms develop. […] While non-surgical treatments such as rest, physical therapy, medications and injections can typically help patients with minor rotator cuff injuries, significant tears of the rotator cuff may require surgery in order to repair and heal. […] If a rotator cuff injury is responsive to conservative treatments, it typically improves over the course of a month or two. If surgery is required to repair the tendon, proper healing and physical therapy are very important aspects of the care. Depending on the size of the tear, recovery after surgery can take six to 10 months for the rotator cuff to fully heal.

• #1 Rotator Cuff Tear: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/8291-rotator-cuff-tear

  A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use your injured arm. […] Most people see improvements with nonsurgical treatments. Recovery takes time because your body needs time to heal. Most people who have surgery to repair a torn rotator cuff regain function.

• #2 Rotator cuff injury | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/rotator-cuff-injury?content_id=CON-20126916

  Rotator cuff injuries can range in severity from simple inflammation to complete tendon tears. […] A rotator cuff injury can cause a dull ache in the shoulder that worsens at night. […] The pain associated with a rotator cuff injury may: Be described as a dull ache deep in the shoulder, Disturb sleep, Make it difficult to comb your hair or reach behind your back, Be accompanied by arm weakness. […] Some rotator cuff injuries don’t cause pain. […] Without treatment, rotator cuff problems may lead to permanent loss of motion or weakness of the shoulder joint.

• #2 Shoulder – Rotator Cuff Injuries – AOA Orthopedic Specialists

  https://jointinstituteofnorthtexas.com/rotator-cuff-injuries/

  When one or more of the rotator cuff tendons is torn, the tendon no longer fully attaches to the head of the humerus. Most tears occur in the supraspinatus muscle and tendon, but other parts of the rotator cuff may also be involved. In many cases, torn tendons begin by fraying. As the damage progresses, the tendon can completely tear, sometimes with lifting a heavy object. […] The most common symptoms of a rotator cuff tear include: […] Pain at rest and at night, particularly if lying on the affected shoulder […] Pain when lifting and lowering your arm or with specific movements […] Weakness when lifting or rotating your arm […] Crepitus or crackling sensation when moving your shoulder in certain positions […] Tears that happen suddenly, such as from a fall, usually cause intense pain. There may be a snapping sensation and immediate weakness in your upper arm.

• #2 Rotator cuff problems Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/rotator-cuff-problems

  Early on, pain is mild and occurs with overhead activities and lifting your arm to the side. Activities include brushing your hair, reaching for objects on shelves, or playing an overhead sport. […] Pain is more likely in the front of the shoulder and may travel to the side of the arm. The pain always stops before the elbow. If the pain goes down the arm to the elbow and hand, this may indicate a pinched nerve in the neck. […] Over time, there may be pain at rest or at night, such as when lying on the affected shoulder. You may have weakness and loss of motion when raising the arm above your head. Your shoulder can feel stiff with lifting or movement. It may become more difficult to place the arm behind your back. […] The pain with a sudden tear after a fall or injury is usually intense. Right after the injury, you will likely have weakness of the shoulder and arm. It may be hard to move your shoulder or raise your arm above the shoulder. You may also feel snapping when trying to move the arm.

• #2 Shoulder :: Midlands Partnership University NHS Foundation Trust

  https://www.mpft.nhs.uk/services/msk/self-help/shoulder/rotator-cuff-pain

  Rotator cuff injury is a common condition. However risks of injury increase with age, manual occupations where lifting or working above your head is required, or sports that involve forceful arm movements, such as racquet sports. […] Common signs and symptoms: […] Symptoms in and around the shoulder, however in some cases it can also be felt in the upper arm. […] Pain described as a dull ache deep in the shoulder when resting […] Arm weakness or sharper pains felt on lifting or moving the shoulder/arm […] Disturbed sleep particularly when lying on the painful side […] Shoulder and arm stiffness in the morning (which eases within 2 hours) […] Difficulty performing tasks with arms above head or behind your back, such as washing or dressing. […] Diagnosis is usually made from a consultation with your Health Care Professional, involving a detailed history of the onset of symptoms, current pattern of symptoms and your current functional ability. […] An image/scan is often not required to confirm rotator cuff injury however one may be performed if the Health Care Professional needs further information to finalise the diagnosis or if surgery is being considered.

• #2 Shoulder Signals: Recognizing Rotator Cuff Injury Symptoms — Physical Therapy in Brooklyn | Sports Rehab in Brooklyn- Evolve PT

  https://evolveny.com/blogposts/rotator-cuff-injury-symptoms

  The telltale signs include: An audible or felt „pop” at the moment of injury, Immediate, intense pain radiating through the shoulder, Sudden weakness that makes lifting your arm difficult or impossible. […] Understanding which type of tear you’re experiencing helps set realistic expectations. Degenerative tears often respond well to conservative treatment but may require more patience during recovery. Acute tears sometimes need more immediate intervention, especially if they’re complete tears with significant weakness. […] Your shoulder often whispers before it screams. Those subtle early signals might not send you rushing to the doctor, but they’re actually golden opportunities to address problems before they become serious. […] If you’re noticing decreased range of motion in your shoulder, don’t wait until simple tasks become impossible. Breaking the stiffness cycle early is one of the most effective strategies for a quicker, more complete recovery.

• #2 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000438.htm

  With a chronic tear, you often do not notice when it began. This is because symptoms of pain, weakness, and stiffness or loss of motion worsen slowly over time. […] Rotator cuff tendon tears often cause pain at night. The pain may even wake you. During the day, the pain is more tolerable, and usually only hurts with certain movements, such as overhead or reaching toward the back. […] Over time, the symptoms become much worse and are not relieved by medicines, rest, or exercise.

• #2 Shoulder pain – could it be your rotator cuff? | Complete Physio

  https://complete-physio.co.uk/rotator-cuff-pain/

  Interestingly, the intensity of the pain does not necessarily correlate with the severity of the injury/size of the tear. Small tears and even some bigger tears are quite common as we get older but do not cause any pain or weakness. […] Calcific tendinopathy is when there are bony deposits (calcium/calcification) in the rotator cuff tendon. This normally occurs in the supraspinatus and infraspinatus tendon. It can cause a very rapid onset of severe pain, particularly at night and a significant restriction in shoulder movement. If this occurs, it is known as acute calcific tendinitis. […] Approximately 80-90% of rotator cuff tears improve with physiotherapy alone and do not require surgery. The treatment will be similar to the programme outlined above for rotator cuff tendinopathy/tendinitis.

• #2 How Do I Know if I Have a Rotator Cuff Tear?

  https://www.sports-health.com/blog/how-do-i-know-if-i-have-rotator-cuff-tear

  The shoulders rotator cuff can tear slowly over time or suddenly, as the result of a fall, sports-related collision, or other trauma. Whether a tear occurs gradually or all at once, several common signs and symptoms may appear. […] If you have a rotator cuff tear, you may be experiencing the signs and symptoms described below. […] A rotator cuff tear may produce a dull, aching pain in your shoulder. Raising and lowering your arm may trigger pain or cause pain to worsen. […] The pain from a rotator cuff tear can be hard to ignore when you’re trying to get comfortable in bed. In fact, many patients who have rotator cuff tears say trouble sleeping is the main reason they sought medical care. […] In addition to pain, a damaged rotator cuff may cause weakness. Tasks that require raising your arm, such as washing your hair, may seem challenging.

• #2 Rotator Cuff Injuries/Tears: Symptoms & Causes | NewYork-Presbyterian

  https://www.nyp.org/orthopedics/columbia-orthopedics/rotator-cuff-injuries-tears

  A torn rotator cuff injury weakens the shoulder and often causes discomfort with use and while sleeping at night. This injury can cause pain ranging from a dull ache to sharp pain that worsens with activities requiring the arm to move away from the body. This pain can make daily activities, such as getting dressed, lifting, reaching, and pulling more difficult. […] Signs and symptoms of rotator cuff tears differ depending on the type of tear. Sudden tears are more likely to cause intense pain, while those that develop over time will likely cause mild to no discomfort. Most rotator tears, however, will cause some shoulder weakness. Signs of a rotator cuff tear may include: Pain and/or difficulty raising or lowering the arm, Dull ache at the top part of the arm or shoulder, which may become intense when lying down, Difficulty and/or increased pain when reaching behind the back, Weakness in the shoulder when trying to lift items, Popping/clicking sounds when moving the arm.

• #2 Shoulder Signals: Recognizing Rotator Cuff Injury Symptoms — Physical Therapy in Brooklyn | Sports Rehab in Brooklyn- Evolve PT

  https://evolveny.com/blogposts/rotator-cuff-injury-symptoms

  That deep, persistent ache in your shoulder that seems to get worse just as your head hits the pillow? It’s not your imaginationit’s one of the most revealing signs of a rotator cuff injury. […] This specific type of pain during overhead activities is one of the most telling rotator cuff injury symptoms you’ll experience. […] Weakness is one of the most telling signs of a rotator cuff injury, though it often sneaks up on you. […] As your rotator cuff injury progresses, your shoulder gradually becomes stiffer and less cooperative. […] Those clicks, pops, and grinding sensations aren’t just conversation starters—they’re your body trying to tell you something important. […] This scenario describes the classic acute rotator cuff tear a sudden injury that contrasts sharply with the gradual onset of degenerative tears.

• #2 The Stages of Rotator Cuff Tears

  https://carespace.health/post/the-stages-of-rotator-cuff-tears/

  Shoulder pain is a common problem for athletes, office workers and older adults. One of the most common causes of shoulder pain is a rotator cuff tear. The rotator cuff is a group of muscles and tendons that attach to the shoulder blade and help stabilize the shoulder joint. When these tissues are injured they can tear and cause pain. There are different stages of rotator cuff tear and each stage has its own symptoms and treatments. […] In the first stage of rotator cuff tear there is some inflammation and swelling in the tissues but no actual tear has occurred. Symptoms include mild rotator cuff tear pain triggered especially when lifting the arm overhead. […] In the second stage of rotator cuff tear there is a partial tear in the muscle or tendon that connects to the rotator cuff. Symptoms include moderate to severe pain, weakness, and restricted shoulder movement.

• #2

  https://www.gleneagles.com.sg/conditions-diseases/rotator-cuff-tears-injury/symptoms-causes

  Chronic shoulder pain that worsens with overhead activities or at night, you may have rotator cuff impingement syndrome. […] Left untreated, a rotator cuff tear may worsen and limit your movement due to persistent pain and discomfort. If the tightness or stiffness worsens, the injury can lead to a condition called frozen shoulder (adhesive capsulitis). Over time, frozen shoulder can lead to permanent weakness or loss of motion as well as progressive degeneration of the shoulder joint.

• #3 Rotator cuff problems: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000438.htm

  Early on, pain is mild and occurs with overhead activities and lifting your arm to the side. […] Pain is more likely in the front of the shoulder and may travel to the side of the arm. The pain always stops before the elbow. If the pain goes down the arm to the elbow and hand, this may indicate a pinched nerve in the neck. […] Over time, there may be pain at rest or at night, such as when lying on the affected shoulder. You may have weakness and loss of motion when raising the arm above your head. Your shoulder can feel stiff with lifting or movement. It may become more difficult to place the arm behind your back. […] The pain with a sudden tear after a fall or injury is usually intense. Right after the injury, you will likely have weakness of the shoulder and arm. It may be hard to move your shoulder or raise your arm above the shoulder. You may also feel snapping when trying to move the arm.

• #3 Shoulder – Rotator Cuff Injuries – AOA Orthopedic Specialists

  https://jointinstituteofnorthtexas.com/rotator-cuff-injuries/

  A rotator cuff injury can make it painful to lift your arm out to the side. Tears that develop slowly due to overuse also cause pain and arm weakness. You may have pain in the shoulder when you lift your arm to the side, or pain that moves down your arm. At first, the pain may be mild and only present when lifting your arm over your head, such as reaching into a cupboard. Over-the-counter medication, such as aspirin or ibuprofen, may relieve the pain at first. […] Over time, the pain may become more noticeable at rest, and no longer goes away with medications. You may have pain when you lie on the painful side at night. The pain and weakness in the shoulder may make routine activities such as combing your hair or reaching behind your back more difficult.

• #3 Torn rotator cuff: Symptoms, diagnosis, and treatment options | Orthopaedics | UT Southwestern Medical Center

  https://utswmed.org/medblog/rotator-cuff-surgery-treatment/

  Rotator cuff injuries are often associated with athletes a star pitcher or quarterback makes headlines because they are scheduled for surgery to repair a tear in their shoulder. […] Most rotator cuff tears are progressive, beginning as tendinitis or inflammation in the tissue that connects the shoulder muscles to the shoulder joint, helping to stabilize it. Over time, the tissue can split, resulting in a partially or fully torn rotator cuff. […] Less than half of patients with full rotator cuff tears report pain, and some may walk around with a torn rotator cuff for 20 years or longer without issues. Then, one day, they wake up with disruptive pain, day and night. In fact, sleep loss is a major reason patients seek care for rotator cuff injuries. When nearly every position puts pressure on the shoulder, it can be difficult to lie down comfortably.

• #3 6 Rotator Cuff Tear Symptoms | Forever Fit

  https://foreverfitptw.com/blog/6-symptoms-that-you-may-have-when-dealing-with-a-torn-rotator-cuff/

  In some cases, pain from a rotator cuff tear can extend beyond the shoulder and travel down the arm. You may feel discomfort along the outer part of your arm, sometimes reaching down to the elbow. […] Since the rotator cuff muscles help with shoulder stability and strength, a tear can lead to noticeable weakness in the affected arm. You may struggle to lift objects that were once easy to carry, such as grocery bags or a coffee cup. […] If you hear clicking, popping or crackling sounds when you move your shoulder, it could be a sign of a rotator cuff tear. These sounds might be accompanied by a locking or clicking sensation in your shoulder. […] A torn rotator cuff can make it difficult to move your arm freely. You may find that you cannot raise your arm above your head or extend it behind your back as easily as before. […] A torn rotator cuff can make your shoulder feel unstable. You may feel like your shoulder is going to give out when you try to use it. This instability can be especially noticeable when performing overhead movements, such as reaching for an item on a high shelf or throwing a ball.

• #3 The Stages of Rotator Cuff Tears

  https://carespace.health/post/the-stages-of-rotator-cuff-tears/

  In the third stage of rotator cuff tear, there is a complete tear in the muscle or tendon that connects to the rotator cuff. Symptoms include severe pain, weakness, and limited shoulder function. […] In the fourth stage of rotator cuff tear, there is a massive tear in the rotator cuff, and the muscle may have retracted. Symptoms include constant pain, weakness, and loss of function in the shoulder. […] Rotator cuff tear can be a painful and debilitating condition that affects the shoulder joint. Understanding the different stages of this injury can help patients seek timely treatment and prevent further damage.

• #3 5 Signs That You’ve Torn Your Rotator Cuff – ROC PDX

  https://rocpdx.com/5-signs-that-youve-torn-your-rotator-cuff/

  When the tendons are torn, you’ll notice weakness and pain when using your arm, especially when lifting or raising your arm over your head. […] The severity of your symptoms depends on the extent of the tear. A small tear may support arm movement that gradually becomes more uncomfortable, while a full tear substantially raises the level of pain and arm disability. […] Untreated rotator cuff tears lead to muscle weakness and atrophy (muscle loss). The extent of the muscle degeneration depends on the severity of the tear and the amount of time between the injury and treatment. […] An acute injury and long-term inflammation in the rotator cuff tendons may cause swelling and tenderness to the touch in the shoulder above the injury. […] Many people live with the pain until it gets bad enough that they can’t use their arm or can’t tolerate the discomfort. The problem with this approach is that the damage only gets worse as you keep using a torn tendon.

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