Symptoms of a
rotator cuff disorder include pain and weakness in
your shoulder. It may be uncomfortable or impossible to do everyday activities,
such as combing your hair, tucking in your shirt, or reaching above your head.
Most often, you will feel the pain on the side and front of your upper arm and
shoulder. You may have pain during the night and experience trouble sleeping on
the affected side.
The amount of pain
varies, although it often increases when you raise your arm above the shoulder.
The pain usually is closely related to the degree of damage. It is almost
always worse when making overhead movements.
Minor damage: Pain most often occurs only when you
are active and is usually relieved with rest.
Moderate damage: You will likely notice pain both
during and after activity. Pain may also occur at night, especially when you
lie on your shoulder.
Severe damage: You may have continuous pain.
Pain may result in limited use, which can cause more
weakness and stiffness in the shoulder. Pain that affects function is not
always directly related to the amount of damage to the rotator cuff. For
example, your rotator cuff may have minor damage, but strength and the loss of
range of motion may be severe because it is too painful to move in certain
ways. This is especially true if you normally make a lot of overhead movements.
Pain is the
main symptom of inflammation in the tendon (tendinitis).
The pain usually starts gradually, over the side of the shoulder and the upper
arm. The shoulder and arm will not be particularly weak but are painful when
they are being used. The pain may radiate down the outside of the upper arm,
even to the elbow. The pain may be worse at night and may interfere with sleep,
especially if you lie on the injured shoulder. Lifting the arm to the side
or to the front (flexion) makes the pain worse.
Eventually, the pain may get worse or you may have
continuous pain. In some cases, this "tendinitis" may actually be one or more
small tendon tears.
Rotator cuff tendinitis may be linked to
inflammation in adjacent structures, which can result in conditions such as
tendinitis in the biceps tendons or inflammation of the subacromial bursa
(bursitis). Some people have neck pain from using other
muscles to help move the shoulder.
Symptoms of rotator cuff tears
The most common
symptoms of a tear are:
Pain when moving your arm, especially overhead or against
Pain at night.
Weakness in your shoulder, although some people don't
notice any weakness if the tear is small.
Symptoms of a sudden, severe (acute) tear include:
A popping sound or tearing sensation in your
Immediate pain in your shoulder.
and pain when lifting or rotating your arm.
Limited range of motion and
inability to raise your arm because of pain or weakness.
Possibly, bruising in your shoulder or upper arm.
A complete tear can be present without obvious symptoms,
especially in an older adult who is not very active.
In some cases, shoulder pain may be a sign of a more
serious problem, such as a heart attack. If you have other symptoms such as
chest pain, sweating, shortness of breath, or nausea, call 911 or other emergency services. For more information, see the topic