A rotator cuff tear is a common injury affecting the shoulder’s rotator cuff tendons, which are crucial for arm lifting and rotation. Recognizing the early warning signs of a rotator cuff tear can lead to prompt treatment, potentially preventing further damage and facilitating a quicker recovery.

Here are two key warning signs to be aware of…

1. Shoulder Pain

• Location and Nature – Pain associated with a rotator cuff tear is typically located in the front or outside of the shoulder. It often worsens at night, especially when lying on the affected side, and can range from a dull ache to sharp, intense pain.
• Pain Triggered by Specific Movements – Activities that involve lifting the arm overhead, reaching behind the back, or extending the arm can exacerbate the pain. The discomfort might also be noticeable when performing routine tasks such as combing hair or reaching for objects on high shelves.

2. Weakness and Limited Range of Motion

• Difficulty Lifting the Arm – One of the hallmark signs of a rotator cuff tear is a noticeable weakness in the shoulder, particularly when attempting to lift the arm or hold it in an extended position. This weakness may make it challenging to perform activities that were previously easy.
• Reduced Range of Motion – There may be a significant decrease in the shoulder’s range of motion, making it difficult to move the arm through its full range. This limitation can affect both active movements (where you move your arm using your shoulder muscles) and passive movements (where someone else moves your arm for you or you use your other arm to assist).

Additional Symptoms to Consider

While pain and weakness are primary indicators of a rotator cuff tear, other symptoms can also suggest this injury

• Crackling Sensation – Some individuals may experience a crackling or popping sensation (crepitus) in the shoulder when moving the arm in certain ways.
• Inability to Hold Arm in Certain Positions – Difficulty or inability to sustain the arm in specific positions without support, such as holding the arm out to the side, may indicate a tear.
• Nighttime Pain – Increased pain at night or when resting can also be a significant indicator, often affecting sleep quality.

If you experience persistent shoulder pain and weakness, especially if these symptoms are accompanied by a decreased range of motion or difficulty performing daily activities, it’s vital to seek a professional evaluation. Early diagnosis and treatment of a rotator cuff tear can prevent further damage and help ensure a more successful recovery. Treatment options vary based on the tear’s severity and the individual’s needs, ranging from physical therapy and medication to, in some cases, surgical intervention.