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A Guide to Rotator Cuff Injuries: Symptoms, Causes, and Treatment


Rotator cuff injuries are among the most common ailments to afflict the shoulder, leading to pain, weakness, and diminished range of motion. These injuries are particularly prevalent among athletes, manual labourers, and the ageing population. In this article, we delve into the anatomy of the shoulder, types of rotator cuff injuries, their causes, symptoms, and potential treatments.

Anatomy of the Rotator Cuff

The rotator cuff is not a single structure but a group of four muscles and their associated tendons that stabilise and move the shoulder. These muscles include:

  • Supraspinatus
  • Infraspinatus
  • Teres minor
  • Subscapularis

Together, they form a ‘cuff’ around the head of the humerus, the upper arm bone, and ensure it stays in the shoulder socket.

Types of Rotator Cuff Injuries

Rotator cuff injuries can be broadly classified into:

  • Tears: These can be either partial (affecting just part of the tendon) or complete (where the tendon is split into two pieces).
  • Tendonitis: Inflammation of the tendons due to overuse or strain.
  • Impingement: When the shoulder blade presses or rubs against the tendon, leading to inflammation and pain.

Causes of Injury

Several factors contribute to rotator cuff injuries:

  • Age: Tendons naturally wear and degenerate over time, making older individuals more susceptible.
  • Repetitive motion: Activities like pitching, swimming, or certain jobs requiring repetitive overhead motion can stress the cuff.
  • Trauma: Sudden force, like a fall, can result in tears.
  • Poor posture: Years of slouching can affect shoulder mechanics and place stress on the rotator cuff.
  • Genetics: Some people might be predisposed due to familial history or anatomical variations.

Symptoms of Rotator Cuff Injuries

While symptoms can vary, common indicators include:

  • Persistent pain, especially at night
  • Weakness when lifting or rotating the arm
  • A crackling sensation during shoulder movements
  • Restricted movement or stiffness

Diagnosis and Treatment

Should any of the aforementioned symptoms be detected, it is essential to consult a healthcare specialist to ensure an accurate diagnosis. This commonly comprises a comprehensive physical assessment and the implementation of imaging procedures like X-rays, MRI, or ultrasound imaging.

Treatment depends on the severity and type of injury:

  • Conservative measures: Rest, ice, physical therapy, and over-the-counter pain relievers often suffice for mild injuries.
  • Steroid injections: These can alleviate inflammation and pain but are used cautiously due to potential side effects.
  • Surgery: In cases of severe tears or when conservative treatments fail, surgical interventions might be necessary. These can range from minimally invasive arthroscopic procedures to traditional open surgeries.


Prevention is always better than cure. Incorporating shoulder-strengthening exercises into one’s routine, ensuring ergonomic work setups, and practising good posture can help mitigate the risk of rotator cuff injuries.


Rotator cuff injuries, though common, can significantly impact one’s quality of life. Early detection, accurate diagnosis, and appropriate treatment are paramount. As with any medical concern, always consult with a healthcare professional when faced with symptoms or uncertainties. Through understanding, awareness, and proactive care, many of these injuries can be managed effectively, leading to better outcomes and quicker recoveries.

Our Client Story: Jane’s Journey with Perfect Balance Clinic in Hatfield

I’m someone who enjoys staying active, doing yoga, swimming, and going on short hikes occasionally. However, a few months back, I started feeling a persistent ache in my shoulder that just wouldn’t quit. This wasn’t only disrupting my exercise routine but also causing problems in my everyday tasks. Simple tasks like reaching for a cup in the kitchen cabinet became a struggle. I felt trapped in my own body, and it was emotionally draining.

I knew I needed professional help, so I started researching clinics that specialise in shoulder injuries. That’s when I stumbled upon an article from Perfect Balance Clinic about rotator cuff injuries. The article was a revelation—it described my symptoms to a tee and offered insights into potential treatments. I felt a glimmer of hope.

I was still a bit sceptical, but then I read testimonials from real people who had been treated at Perfect Balance Clinic. David Follett’s words particularly resonated with me: “I had a lower back injury and Shereen Jameel really took care of me… She was enthusiastic, professional, and friendly.” Jo Kerr’s experience was equally compelling: “If you have a sports injury than Perfect Balance is the place to go! The service I received was brilliant.”

That was it; I was convinced. I booked an appointment at their Hatfield location, which was conveniently close to my home.

The minute I stepped into the clinic, I got a friendly vibe. The receptionist was really nice, and the place felt really soothing. My therapist, Shereen, was just as David described—professional, friendly, and incredibly knowledgeable. She conducted a thorough examination and confirmed that I had a rotator cuff injury. She then laid out a treatment plan tailored just for me, which included physical therapy and a set of exercises to do at home.

The journey to recovery wasn’t easy, but Shereen was there every step of the way, offering encouragement and adjusting my treatment as needed. I got help for my body and my feelings. The clinic didn’t only care about the injury; they cared about me as a person.

After a few weeks, I started to notice a significant improvement. The pain was lessening, and my range of motion was getting better. I felt like I was reclaiming my life, and it was exhilarating.

Now, I’m back to my old self, enjoying my active lifestyle without any pain. I even took up a new sport—archery! I can’t thank Shereen and the Perfect Balance Clinic enough for their exceptional care. They’ve not only healed my shoulder but also restored my confidence and joy in life.

If you’re struggling with any sort of physical ailment, I highly recommend Perfect Balance Clinic. Their customer-focused approach, expertise, and genuine care make all the difference. Trust me; it’s a life-changing experience.

If this article resonated with you then…

This article was written by our team of specialist therapists at Perfect Balance Clinic. If you would like more specific advice about how our team can help you with this condition or symptoms you may be having, please complete the contact form below and one of the team will get back to you shortly.

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