Evaluation includes a history of symptoms, a physical examination, x-rays for bone
spurs or arthritis, and specialized physical exam maneuvers. Specialized maneuvers
are used to help distinguish tendonitis from rotator cuff tears. An MRI may be done
to determine a partial from a full thickness rotator cuff tear.
Treatment is based on examination, imaging, and pain. Initial treatment is aimed
at reducing pain and starts with anti-inflammatory medications and physical therapy
to reduce inflammation and strengthening to reduce future recurrence. A corticosteroid
injection into the shoulder is used in those who do not get better with initial
treatment. In those who’s symptoms persist despite the above treatment, arthroscopic
shoulder surgery to decompress the space around the rotator cuff may be done. In
this case, without a rotator cuff tear, the shoulder can be used just a few days
after surgery.