Rotator cuff syndrome (shoulder injury)
About Rotator cuff syndrome (shoulder injury)
The rotator cuff is a band of tendons which compose a portion of the shoulder joint. The rotator cuff is composed of tendons of the supraspinatus, infraspinatus, teres minor and subscapularis muscles. Rotator cuff syndrome is a spectrum of diseases ranging from shoulder impingement, to inflammation (tendonitis or bursitis) to a partial or complete tear (rotator cuff tear).Symptoms
Shoulder pain which may radiate down to the elbow. Pain with reaching, lifting, and overhead activities. Tenderness may be experienced through the front, side and back of the shoulder. Most individuals with rotator cuff pain will experience increased pain at night while sleeping.Tests & Diagnostics
A history and physical exam will be performed. In most cases this is all that is needed for making a diagnosis. Shoulder x-rays can check for other causes of pain, such as fracture. A MRI is useful in severe cases, when your doctor suspects a rotator cuff tear..Common tests: MRI, X-ray.
OTC sleep aids and supportive treatments
Prescription medications
- Etodolac
- Salsalate
- Tolmetin
- Indomethacin
- Sulindac
- Piroxicam
- Ketorolac
- Oxaprozin
- Diclofenac
- Celecoxib
- Ketoprofen
- Nabumetone
- Diflunisal
- Morphine Oral
- Tramadol
- Acetaminophen and Propoxyphene
- Fentanyl Buccal (Transmucosal)
- Acetaminophen and Codeine
- Hydrocodone
- Fentanyl Transdermal
- Hydromorphone Oral and Rectal
- Meperidine
- Oxycodone
Conventional treatment summary
Treatment depends on the extent of injury but may include: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), injection of the shoulder, physical therapy, and (in the case of a rotator cuff tear) surgery.Medical specialties
Internal Medicine · Orthopedic Surgery · Pediatrics · Family Practice · Sports Medicine · Pediatric Orthopedic Surgery · Sports Medicine Surgery
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Rotator cuff syndrome (shoulder injury).