The rotator cuff plays a key role in shoulder movement and stability. When it’s injured, especially torn, it can cause pain, weakness, and limit your ability to perform everyday tasks like reaching overhead or lifting objects. Some rotator cuff tears develop suddenly due to injury, while others worsen gradually over time.
In this article, we explain the common signs and symptoms of a rotator cuff tear and when you should consider seeking medical attention.
Common Signs and Symptoms of a Rotator Cuff Tear
Pain in the Shoulder or Upper Arm
- Often described as a dull ache deep in the shoulder.
- May be felt even at rest or at night, especially when lying on the affected side.
- Can worsen with overhead movements or when lifting the arm.
Shoulder Weakness
- Difficulty lifting or rotating the arm.
- May notice a sudden loss of strength after an injury or gradual weakness over time.
- Tasks like combing hair, lifting a bag, or reaching into a cabinet may feel harder than usual.
Limited Range of Motion
- Trouble moving the arm fully in certain directions, especially overhead or behind the back.
- Shoulder may feel stiff or stuck, especially during daily activities.
Clicking or Popping Sensations
- Some patients report a clicking, grinding, or popping sound when moving the shoulder.
- This may be due to irregular movement of the torn tendon or other structural issues in the joint.
Pain at Night or When Lying on the Shoulder
- Night pain is a common symptom of rotator cuff tears.
- It may interfere with sleep, especially when lying on the affected side or changing positions during the night.
Acute vs. Degenerative Rotator Cuff Tears
Not all rotator cuff tears happen the same way:
Acute tears: Usually caused by a sudden injury such as a fall, lifting something too heavy, or a forceful shoulder movement. Symptoms tend to appear quickly and may be severe.
Degenerative tears: Develop gradually over time due to wear and tear, especially in people over 40. Symptoms are often milder at first but can worsen if left untreated.
When Should You See A Rotator Cuff Specialist?
You should consider seeking medical advice if:
- Shoulder pain persists for more than a few weeks.
- You’re unable to lift or move your arm normally.
- The shoulder feels weak, unstable, or painful during sleep.
- You’ve had a recent fall or injury followed by sudden loss of strength or movement.
Early diagnosis can help prevent further damage and improve treatment outcomes.
Conclusion
Rotator cuff tears are a common cause of shoulder pain and dysfunction—especially in active individuals and older adults. Recognising the symptoms early can lead to better treatment and prevent long-term complications. Whether your symptoms are sudden or gradual, don’t ignore persistent shoulder issues. Worried about ongoing shoulder pain or weakness? Book a consultation with Dr Poh Seng Yew, orthopaedic specialist in shoulder and sports injuries, to assess your condition and explore treatment options tailored to your needs.
