What to know about rotator cuff tear in older adults

The rotator cuff helps lift and rotate the arm. A tear can follow an injury, or develop in a tendon that has become less tolerant of load over time. Some people notice pain reaching a shelf, fastening clothing, or lying on the affected side; others mainly notice weakness.

Symptoms can overlap with arthritis, frozen shoulder, neck-related pain, or bursitis. An examination considers movement, strength, sensation, and the effect on daily life. Imaging may be considered when the result would change the treatment plan.

Avoid repeated painful reaching and heavy lifting while keeping gentle, comfortable movement. Support useful tasks by bringing objects closer, using the other arm when appropriate, and taking breaks. A physiotherapist can prescribe mobility and strengthening exercises that respect pain, balance, and other health conditions.

Non-surgical care may be suitable when the main goal is comfortable daily function. If weakness remains substantial or an injury has caused major loss of use, an orthopaedic review can explain procedural or surgical options, recovery demands, and alternatives. Medication choices should account for other medicines and medical conditions.

Seek prompt assessment after a fall or sudden event followed by an inability to raise the arm. Urgent care is appropriate for a deformed shoulder, a numb or unusually cold hand, severe swelling, or rapidly increasing pain. Make a routine appointment for ongoing night pain, weakness, or difficulty with washing, dressing, or eating.

Ask what the examination suggests, whether imaging would alter care, which exercises and medicines fit your health, and how each treatment option could affect independence and daily activities.