Rotator Cuff Tear: Signs You Must Not Ignore

The shoulder is one of the most flexible joints in the human body, allowing us to perform a wide range of movements. However, this flexibility also makes it vulnerable to injuries, particularly rotator cuff tears. The rotator cuff is a group of muscles and tendons that stabilize the shoulder and help with lifting and rotating the arm. When damaged, it can cause significant pain and limit your ability to perform everyday activities.

Recognizing the early signs of a rotator cuff tear is crucial for seeking timely treatment and preventing further damage. In this blog, Dr Ankit Dave — one of the best doctors for arthroscopy surgery in Nairobi — has shared the key signs you must not ignore.

1. Persistent Shoulder Pain

Pain is one of the most common symptoms of a rotator cuff tear. The pain can vary from mild to severe and may feel like a deep ache in the shoulder. It often worsens when you:

● Lift your arm above your head

● Perform overhead movements

● Sleep on the affected shoulder

Pain may initially come and go, but over time, it can become more constant and interfere with your daily activities. If shoulder pain persists despite rest or over-the-counter pain relief, it’s a sign that something more serious may be happening.

2. Limited Range of Motion

A rotator cuff tear can significantly limit your ability to move your shoulder. You may find it difficult to:

● Raise your arm above your head

● Reach behind your back

● Perform simple tasks like combing your hair or putting on a shirt

This restricted movement is often accompanied by stiffness and discomfort, shares the best orthopaedic surgeon in Nairobi — Dr Ankit Dave. If your shoulder feels “frozen” or you struggle to perform basic movements, it’s time to consult a medical professional.

3. Weakness in the Shoulder

Muscle weakness is another hallmark symptom of a rotator cuff tear. You may notice a sudden or gradual loss of strength in the affected arm, making it difficult to:

● Lift or carry objects

● Push or pull with the affected arm

● Hold your arm in certain positions

This weakness is caused by the inability of the damaged tendons to support the shoulder joint properly. In severe cases, even holding a cup of coffee can feel challenging.

4. Clicking or Popping Sensations

Hearing or feeling clicking, popping, or grinding noises when you move your shoulder can indicate a rotator cuff tear. These sensations may occur when the damaged tendons rub against other structures in the shoulder.

While occasional popping sounds are normal, especially in older individuals, frequent or painful clicking is a red flag that warrants further investigation.

5. Pain That Worsens at Night

Nighttime pain is a particularly distressing symptom of a rotator cuff tear. Many people find it difficult to sleep, especially if they lie on the injured shoulder. The pain can radiate down the arm or feel more intense during periods of rest, disrupting sleep quality and overall well-being.

If shoulder pain is interfering with your sleep and doesn’t improve with changes in position, it’s a clear indication of a more serious issue, warns Dr Ankit Dave — one of the best orthopaedic surgeons in Nairobi.

Causes and Risk Factors

Rotator cuff tears can occur due to:

● Acute injuries: Such as falling on an outstretched arm or lifting something heavy.

● Repetitive strain: Overuse from repetitive overhead motions, common in sports like tennis or swimming.

● Degeneration: Gradual wear and tear associated with aging, particularly in individuals over 40.

Risk factors include poor posture, smoking, and certain professions or activities that place excessive stress on the shoulders.

When to Seek Medical Attention

If you experience any of the above symptoms, especially if they persist or worsen over time, consult an orthopedic specialist. Ignoring the signs of a rotator cuff tear can lead to:

● Increased pain and discomfort

● Permanent loss of shoulder function

● Progression of the tear, making treatment more complicated

Doctors may use physical exams, imaging tests (such as X-rays or MRIs), and strength assessments to diagnose the injury.

Prevention Tips

To avoid rotator cuff tears:

● Incorporate shoulder-strengthening exercises into your routine.

● Practice good posture to reduce strain on your shoulders.

● Avoid repetitive overhead motions when possible.

● Use proper techniques during physical activities.

Final Thoughts

A rotator cuff tear is a painful and limiting injury, but early detection and treatment can make a significant difference in recovery outcomes. If you’re experiencing persistent shoulder pain, weakness, or limited movement, don’t wait to seek advice from the best doctor for arthroscopy surgery in Nairobi. The sooner you address the issue, the better your chances of regaining full function and avoiding long-term complications.

Your shoulders play a vital role in your daily life — take care of them, and they’ll take care of you.