Physical Therapy Nest

A healthcare provider or physical therapist can diagnose a rotator cuff tear through:

• Medical history review (injury details, activity level, prior shoulder issues).

• Physical exam testing shoulder strength, range of motion, and painful positions.

• Special movement tests (like arm rotation or resisted lifting) to identify tendon involvement.

• Imaging such as MRI, ultrasound, or X-rays to confirm the size and severity of the tear.

Physical therapy is the first-line treatment for most rotator cuff tears and can often restore strength and function without surgery. A personalized treatment plan may include:

• Manual therapy to reduce stiffness and improve shoulder mobility

• Targeted strengthening of the rotator cuff and scapular stabilizers

• Postural correction to reduce joint stress during daily activity

• Stretching routines to maintain flexibility in the shoulder capsule

• Pain management techniques such as heat, ice, or electrical stimulation

• Activity modification to avoid aggravating movements while healing
  In severe or complete tears, surgical repair may be required, but physical therapy is still essential for both pre-surgery preparation and post-surgery rehabilitation.

Rotator cuff tears can vary in severity, but common symptoms include:

• Shoulder pain that worsens with overhead movement or lifting

• Night pain that disturbs sleep, especially when lying on the affected side

• Weakness in the arm when raising or rotating it

• Clicking, catching, or popping sounds in the shoulder joint

• Difficulty performing daily tasks like reaching behind the back, dressing, or grooming

To reduce the risk of rotator cuff tears or prevent recurrence:

• Warm up and stretch before sports or heavy lifting

• Strengthen the rotator cuff and upper back muscles regularly

• Avoid repetitive overhead motions without rest

• Maintain good posture at work and during physical activity

• Listen to early warning signs like shoulder pain or weakness and seek care early