How common is shoulder pain in rotator cuff tear?

The rotator cuff helps centre and move the shoulder joint. A tear can cause pain at the outer shoulder, pain when lying on that side, or discomfort during reaching. Some tears develop gradually, while others follow a forceful event. The amount of pain does not always match the size or age of a tear, and some tears cause little discomfort.

Arrange an examination if pain continues, strength has changed, or you cannot perform familiar movements. A clinician may test lifting, rotation, and shoulder stability, then decide whether imaging is useful. Reduce aggravating overhead tasks for now, but keep comfortable movement so the shoulder does not become unnecessarily stiff. Follow a tailored strengthening plan when advised.

Seek prompt care after a fall or sudden pull if you cannot lift the arm, the shoulder appears abnormal, or weakness starts abruptly. Urgent assessment is also warranted for severe swelling, a hot or red joint, fever, chest discomfort, or rapidly increasing pain.

Ask whether weakness suggests a rotator cuff problem, what movements are safe, and whether your examination calls for imaging. Discuss activity changes, physiotherapy, pain relief options, and the signs that should bring you back sooner.