Not all rotator cuff tears have symptoms. If they develop slowly with age, they can often result in no symptoms at all. In fact, most people with these types of rotator cuff tears may not even know they have them.

However, in some of these “degenerative” tears—and in most rotator cuff tears that occur following an injury—symptoms will develop. The common symptoms in these tears are pain, occasionally a clicking or catching sensation with shoulder motion, and often weakness. The pain is characteristically on the side of your shoulder, particularly while sleeping.

Rotator cuff tears can occur from tendon degeneration as we age or from trauma. Surprisingly, degenerative rotator cuff tears are common as we age. Unfortunately, symptoms do not always exist with this type of tear. Traumatic rotator cuff tears can occur in several ways. Some of the more common ways are a fall onto your elbow or hand, stumbling while holding onto something, pushing overhead, or pushing out in front of you.

The rotator cuff specialists at Town Center Orthopaedics can frequently diagnose rotator cuff tears after an examination in the office. In some cases of older or larger tears, an X-ray can be used. If an MRI of your shoulder is needed, our rotator cuff injury specialists will help arrange for you to get an MRI as efficiently as possible.

Different treatments are appropriate depending on the type of tear you have, how much it affects you, and your needs and goals. Depending on the tear type and your symptoms, nonoperative treatment (including medications and physical therapy) may be all that is needed. If so, our excellent physical therapists will help you feel better.

In other cases, your shoulder may require surgery. Depending on the extent of the tear, a repair of your tendon may be possible. This type of surgery can be performed arthroscopically on an outpatient basis. More extensive tears may require a particular type of shoulder replacement.

In this arthroscopic shoulder surgery video, Dr. Jeffrey Berg shows the difference between a torn rotator cuff and a normal rotator cuff. He also demonstrates how repairs are made during an actual torn rotator cuff surgery.

No matter the surgery needed, our skilled sports medicine shoulder surgeons are proficient in the latest and most effective techniques. You will need physical therapy after surgery, so our surgeons and physical therapists will work together to get you and your shoulder feeling great again.