Does rotator cuff tear cause shoulder stiffness?

Pain after a tear can make a person protect the shoulder, reducing use and making movement feel restricted. Irritation around the joint may also make reaching behind the back, putting on clothes, or lifting the arm difficult. Stiffness may be most noticeable after rest. A cuff tear does not explain every stiff shoulder, and the pattern of restricted movement matters: a clinician compares active movement, which you do yourself, with assisted movement during an examination.

Use the arm for light tasks within a tolerable range and avoid forcing a painful stretch. Gentle pendulum movements or exercises recommended by a physiotherapist may help maintain mobility. Do not start strengthening with heavy resistance until the injury has been assessed. A clinician can tailor treatment to the tear, your work and sport demands, and the amount of movement you have. Pain relief should be chosen with attention to your medicines and medical conditions.

Seek prompt care if stiffness began after a fall, the shoulder suddenly became unusable, or pain is severe and rapidly increasing. Urgent help is appropriate for shoulder symptoms with chest pressure or breathing difficulty. Make an appointment for stiffness that persists, interferes with sleep or dressing, or continues to reduce movement despite activity changes.

Ask which movements are safe, whether the pattern suggests a cuff tear or another cause of stiffness, and whether physiotherapy is suitable now. Ask how to measure progress and when restricted movement warrants reassessment.