- Rotator cuff injuries are common. According to the American Academy of Orthopaedic Surgeons, most people report a recurring pain in their shoulder after a specific incident, like a fall or heavy lifting. Other times a shoulder dislocation can cause the tear. In most cases, they are caused by muscles becoming used too much exertion over time, which is usually the result of normal wear and tear.
- Doctors look for pain or weakness when lifting the arm. There also may be a crackling sensation when the shoulder is rotated a certain way, and the muscle may become thin. These symptoms can happen immediately after an injury, or they can develop gradually.
- Those over the age of 40 are at greater risk. Athletes and others who exert their arms routinely, like construction workers, are also prone to tears. Poor posture can affect the rotator cuff.
- Diagnosis is done via physical exam, X-rays and MRI. There are several treatment options, depending on the severity. In most cases, rest, use of a sling and physical therapy help rebuild the muscle. Some doctors give steroid injections to help with pain and inflammation. If that does not help, surgery may be needed.
- In all cases, the arm must be immobilized and put into a sling to heal. Physical therapists recommend exercises to keep muscles from stiffening. Even after the shoulder heals, it is important to keep up strengthening exercises to prevent a future tear.
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