How Do I Know If I Have A Rotator Cuff Tear? 3 Shoulder Injury Signs & Symptoms

Literally Off The Cuff

Without the muscles and tendons in the shoulder, lifting, twisting, and rotating the arms would be impossible. A rotator cuff is a group of 4 muscles and tendons that stabilizes the shoulder. Known as the SITS muscles, these muscles connect the shoulder to the chest, protecting the ball-and-socket shoulder joint. Sometimes, one or more tendons can tear, called a rotator cuff tear.

Types of tears and signs of injury

Rotator cuff tears are quite common. Some damages can be partial, where part of the ligament gets stretched or torn. More severe injuries are full tears, where the tendon gets detached completely. Some injuries are acute, for instance, caused by a sports injury, accident, or fall. Other injuries are chronic and due to old age or repetitive use. Research shows up to 80% of adults over 80 are at risk of damage. Of course, any physical injury will bring pain. But how can someone tell if the issue is just shoulder pain or a rotator cuff tear? Look for these 3 injury signs and symptoms.

1. Look for sudden weakness and pain

A rotator cuff tear brings a sudden, unexpected change of strength. Closely monitor the shoulder for any changes. In acute cases, after a heavy fall or accident, the once-strong arm becomes weaker. Chronic cases happen gradually and can go unnoticed, so be aware. In both cases, there would be pain that runs down the side of the shoulder and arm. If both pain and weakness happen for 2 or more weeks, there could be a tear.

2. What’s the catch?

The shoulder should move smoothly, supported by the tendons and muscles. A tear disrupts the shoulder mechanics. Sometimes, a loud popping or catching sound called crepitus occurs. If this popping sound happens when moving the arm up and down, don’t ignore the condition.

3. Reaching a painful point

The rotator cuff helps with reaching out and overhead. Look out for constant pain when reaching a high shelf or reaching overhead to touch the back. A good test would be to raise the painful arm straight up into the air. Then, take 10 seconds, slowly bringing the arm straight back down to the side. If there is intense pain, discomfort, or the limb gives way, see a doctor right away.

A suspected tear needs medical support

Only a doctor can truly diagnose a rotator cuff tear. If these signs continuously show up, don’t hesitate to see a doctor. Using a combination of physical tests, x-Ray or MRI, the doctor can confirm the tear. From there, use a combination of ice, medication, and rest. Most partial tears heal with pain management. If the pain is ongoing or there is an apparent full tear, surgery works best. Using minimally invasive techniques, an orthopedic surgeon can repair the damage. Discuss the best course of action with a doctor or surgeon today.