How does the rotator cuff tear?
A tear may result suddenly from a single traumatic event or develop gradually because of repetitive overhead activities. Traumatic tears are sudden and weakness occurs immediately. Degenerative changes, as we age, can also contribute to rotator cuff tears, which often become painful over time. Common symptoms include recurrent pain with overhead activity, night pain that awakens you from sleep, weakness (especially when attempting to lift your arm), and possible catching and cracking sounds as the arm is moved. Not all rotator cuff tears require surgery. Sometimes, rehabilitation and time can allow the shoulder to return to normal, painless function. Tears that remain painful despite rehab and/or cause a functional deficit may benefit from surgery.
