How is a rotator cuff tear diagnosed?
A clinical exam will identify the location of pain and tenderness during range of motion of the shoulder. People often have pain raising their shoulder actively above their head. Routine x-rays will not diagnoses a rotator cuff tear, but they will show bony overhang that catches on the rotator cuff. Sometimes a physical exam will not identify a rotator cuff problem and further diagnostic tests, such as an MRI, are needed to fully evaluate the rotator cuff muscles. Other problems such as biceps tendinitis or ganglions (fluid-filled cysts) in the shoulder can mimic rotator cuff tears. MRI can help to evaluate the cause of shoulder pain. How is a torn rotator cuff treated? Nonsteroidal anti-inflammatory medicines and physical therapy are necessary when a rotator cuff muscle is inflamed. The physical therapy regimen may include muscle strengthening and ultrasound treatment. Applying ice directly to the area that is most painful also can help to reduce swelling and relieve pain. A steroid i
