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: