Rotator Cuff Injuries

Restore Shoulder Strength With Compassionate Rotator Cuff Care

Rotator Cuff Injuries affect a group of four essential muscles and tendons that stabilize the shoulder and allow smooth, controlled movement. These injuries are common among athletes, active individuals, and anyone who performs repetitive overhead activities. At iMsk & Spine Group, we understand how shoulder pain can interfere with work, exercise, and daily tasks. Our team provides warm, personalized care to reduce pain, restore strength, and help you return to your normal activities confidently and safely.

What Are Rotator Cuff Injuries?

The rotator cuff is made up of four muscles and their tendons:

  • Supraspinatus
  • Infraspinatus
  • Subscapularis
  • Teres minor

These structures work together to lift, rotate, and stabilize the shoulder joint. Rotator cuff injuries occur when these tendons become inflamed, irritated, compressed, or torn due to:

  • Impingement (tendons pinched between bones)
  • Overuse
  • Repetitive overhead motions
  • Traumatic injury
  • Degenerative wear over time

Injuries can range from mild tendonitis to partial or complete tendon tears

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Common Causes of Rotator Cuff Injuries

Overuse & Repetitive Strain

  • Throwing sports (baseball, tennis, volleyball)
  • Swimming
  • Weightlifting
  • Repetitive overhead work

Degenerative Wear

  • Age-related tendon weakening
  • Chronic inflammation
  • Long-term impingement

Traumatic Injuries

  • Falls landing on the shoulder
  • Lifting something heavy suddenly
  • Rapid jerking motions

Symptoms of Rotator Cuff Injuries

Rotator cuff injuries can present in different ways depending on severity:

Pain Symptoms

  • Shoulder pain when lifting or reaching overhead
  • Pain that worsens at night, especially when lying on the affected side
  • A dull ache deep in the shoulder

Movement Symptoms

  • Weakness with lifting or rotating the arm
  • Pain with raising the arm
  • Difficulty performing daily tasks like brushing hair or reaching behind the back

Mechanical Symptoms

  • Cracking or popping sensations
  • Reduced range of motion
  • Stiffness

Severe injuries may cause sudden weakness or inability to lift the arm.

How We Treat Rotator Cuff Injuries at iMsk & Spine Group

Every injury is different, so we provide customized treatment plans based on your pain level, activity demands, and personal goals.

1. Conservative Treatments

  • Rest and activity modification
  • Ice/heat therapy
  • Anti-inflammatory medications
  • Shoulder supports or braces

2. Physical Therapy & Rehabilitation

  • Strengthening of rotator cuff and shoulder blade muscles
  • Stretching and mobility improvement
  • Postural training
  • Corrective exercises for impingement
  • Functional training for lifting and sports mechanics

3. Interventional Treatments

  • Corticosteroid injections to reduce inflammation
  • Ultrasound-guided injections for precision
  • Advanced regenerative or minimally invasive treatments when appropriate

4. Surgical Consideration (If Needed)

While most rotator cuff injuries improve without surgery, large or complete tears may require orthopedic consultation. We provide full pre- and post-operative rehabilitation support.

5. Long-Term Protection & Prevention

  • Strength training programs
  • Shoulder stabilization exercises
  • Ergonomic recommendations
  • Sports-specific guidance

Rotator Cuff Injuries FAQ

Do all rotator cuff tears require surgery?

No. Many partial tears and most cases of tendonitis improve with structured physical therapy and focused treatment.

Why does my pain get worse at night?

Inflammation and pressure on the shoulder tendons often increase when lying down, especially on the affected side.

How long does recovery take?

Mild injuries may improve within weeks, while moderate or severe tears may require several months of therapy. A personalized treatment plan ensures steady progress.

What happens if I don’t treat a rotator cuff injury?

Symptoms may worsen over time, leading to decreased mobility, chronic pain, or a progression from tendonitis to tearing.

Can strengthening exercises prevent future rotator cuff injuries?

Yes. Strong shoulder and scapular muscles reduce strain on the rotator cuff and improve shoulder stability.

How can I prevent rotator cuff injuries during sports or exercise?

Proper warm-up, strengthening surrounding muscles, avoiding overloading, and performing exercises with correct form are key for prevention.
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