What are the treatment options for rotator cuff tendinitis?

Rotator cuff tendinitis involves an irritated or overloaded tendon around the shoulder. Pain may be stronger with reaching overhead, reaching behind the back or lying on that side. The aim is to calm the aggravating load, keep the shoulder moving and improve the tendon’s ability to handle everyday and sporting demands.

Physiotherapy looks at shoulder-blade control, posture, range of motion and strength. Exercise therapy commonly progresses from comfortable mobility to isometric and resisted work. A cortisone injection may be considered when pain blocks rehabilitation, while shockwave therapy may be discussed for persistent tendon pain after assessment.

Reduce painful overhead repetitions and heavy lifting temporarily, while continuing gentle movement within a comfortable range. Do not repeatedly test the painful arc. A clinician can tailor [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) and [Exercise Therapy](/treatments/physiotherapy-and-rehabilitation/exercise-therapy/) to your work, sleep and sport.

Ask whether [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/) or [Shockwave Therapy](/treatments/physiotherapy-and-rehabilitation/shockwave-therapy/) is appropriate if progress is limited. Avoid increasing exercise intensity and volume at the same time; change one demand gradually and monitor how the shoulder responds later that day and the next morning.

Seek assessment if pain persists, repeatedly returns, limits sleep or causes loss of strength despite sensible activity changes. Get prompt care after a sudden injury with inability to lift the arm, or for a cold, numb, visibly deformed or rapidly swollen shoulder or arm.

Ask whether the problem is tendinitis, tendinopathy or a tear, which movements to modify, and how to progress strengthening. If an injection or shockwave treatment is suggested, ask about its purpose, expected short-term effects and how it fits with rehabilitation.