The rotator cuff is a group of 4 muscles which control shoulder stability and rotational movements. Rotator cuff tears are often present with no symptoms with 40-50% of those aged over 60 having a rotator cuff tear but 70% of these having no pain or symptoms.
During normal aging the rotator cuff will degenerate and may then be unable to meet the demands asked of it. It is not the tear itself that causes the pain but the altered biomechanics and therefore irritation as a result. Tears can either be traumatic (from an accident) or degenerative (from normal ageing). Evidence suggests there is no difference between outcomes of surgical intervention compared to physiotherapy treatment.
Rotator Cuff TearsShoulder Pain
GP Debenham Group Practice, IES CCG Prescribing and Diagnostics Lead
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