Shoulder pain can make simple tasks feel hard. Reaching for a shelf, getting dressed, brushing your hair, or sleeping on your side may become painful. One common cause of shoulder pain is a rotator cuff injury.
The rotator cuff is a group of four muscles and tendons that help hold your shoulder in place. They also help you lift and move your arm. When these muscles or tendons become irritated, strained, or torn, it can cause pain and weakness.
What Causes a Rotator Cuff Injury?
Rotator cuff problems can happen in several ways. Repeated use of the shoulder can cause the tendons to become worn or irritated over time. This is common in people who do a lot of lifting, reaching, or overhead work. This injury can also happen from a fall, lifting something heavy, or making a sudden movement.
Age can also play a role. As we get older, the rotator cuff tendons can become weaker and more likely to become injured.
Common Signs of a Rotator Cuff Injury
Rotator cuff problems can cause:
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Pain in the shoulder or upper arm
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Pain when lifting or reaching with your arm
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Shoulder weakness
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Trouble reaching behind your back
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Pain that gets worse at night
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A popping or clicking feeling in the shoulder
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Trouble doing normal daily activities
Not all shoulder pain comes from the rotator cuff. That is why it is important to have your shoulder checked if pain does not improve.
How Is It Treated?
Treatment depends on the type and severity of the injury. Many rotator cuff problems can improve without surgery. A physical therapist may create a treatment plan to help reduce pain and improve shoulder movement and strength. Your therapist may use gentle stretches and exercises to help your shoulder work better.
Your treatment may include:
- Gentle exercises: These can help improve your shoulder’s range of motion and keep it from becoming stiff.
- Strength exercises: As your shoulder gets better, exercises can help strengthen the rotator cuff and the muscles around your shoulder blade.
- Activity changes: You may need to take a break from activities that make your pain worse. Your therapist can help you find safer ways to move.
- Pain relief: Your health care provider may suggest ice, heat, or medicine to help manage pain.
In some cases, a doctor may recommend an injection or surgery, especially if there is a large tear or pain and weakness do not improve with other treatments.
How Can Physical Therapy Help?
Physical therapy can be an important part of rotator cuff recovery. Your therapist will look at your shoulder movement, strength, and pain. Then they can build a plan that fits your needs. The goal is not just to make your shoulder feel better, but to help you safely return to the activities you enjoy. Your therapist can teach you how to move your shoulder without putting extra stress on the injured area. They can also show you exercises to do at home.
How Long Does Recovery Take?
Recovery time is different for everyone. A mild injury may improve in a few weeks, while a more serious injury can take several months. Your recovery may depend on the type of injury, your overall health, how long you have had pain, and how well you follow your treatment plan. It is important not to rush your recovery. Doing too much too soon can make your shoulder pain worse.
When Should You Get Help?
If shoulder pain is making it hard to sleep, work, exercise, or do everyday activities, it may be time to talk with a health care provider or physical therapist. The right treatment and exercise plan can help you move better, build strength, and get back to the activities you love.
