Conditions

Rotator cuff tendinopathy

Shoulder pain often related to loading, with variable causes and course.

Key points

The cuff comprises four tendons involved in movement and stability. Diagnosis relies on history, clinical examination and, when needed, prescribed imaging.

Possible signs

  • Pain when raising the arm
  • Possible night discomfort
  • Reduced strength or function

Role of physiotherapy

It can grade activity, progressively restore mobility and strength, and support return to meaningful tasks.

Limits of physiotherapy

It does not by itself confirm a tear, provide injections, or replace medical review when indicated.

Red flags

  • Deformity or inability to move after injury
  • Cold, pale or blue arm, numbness or sudden weakness
  • Fever with a red, hot or very swollen shoulder
  • Associated chest pain, breathlessness or faintness

If there is immediate danger, contact emergency services.

Frequently asked questions

Is an MRI always needed?

No. Clinical assessment guides whether imaging is needed, in discussion with a doctor.

Should all movement stop?

Usually, adjusting load is preferable to complete rest, depending on assessment.

Sources

Institutional sources and accessible publications: