{"id":3611,"date":"2026-08-25T12:43:27","date_gmt":"2026-08-25T04:43:27","guid":{"rendered":"https:\/\/redefinedphysio.com\/?page_id=3611"},"modified":"2026-08-25T13:02:16","modified_gmt":"2026-08-25T05:02:16","slug":"rotator-cuff-problems","status":"publish","type":"page","link":"https:\/\/redefinedphysio.com\/index.php\/rotator-cuff-problems\/","title":{"rendered":"Rotator Cuff Problems"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3611\" class=\"elementor elementor-3611\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c911a4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c911a4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-68d4b50\" data-id=\"68d4b50\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c0e70c elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-image\" data-id=\"3c0e70c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/08\/WhatsApp-Image-2026-08-25-at-13.01.33-1024x682.jpeg\" class=\"attachment-large size-large wp-image-3616\" alt=\"Rotator Cuff Problems\" srcset=\"https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/08\/WhatsApp-Image-2026-08-25-at-13.01.33-1024x682.jpeg 1024w, https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/08\/WhatsApp-Image-2026-08-25-at-13.01.33-300x200.jpeg 300w, https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/08\/WhatsApp-Image-2026-08-25-at-13.01.33-768x512.jpeg 768w, https:\/\/redefinedphysio.com\/wp-content\/uploads\/2026\/08\/WhatsApp-Image-2026-08-25-at-13.01.33.jpeg 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4df4f1e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4df4f1e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6fa83da\" data-id=\"6fa83da\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2dc2854 elementor-widget elementor-widget-heading\" data-id=\"2dc2854\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Rotator Cuff Problems and Shoulder Impingement: How Do We Know Which Tendon Is Involved?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6650e5f elementor-widget elementor-widget-text-editor\" data-id=\"6650e5f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Shoulder pain can be confusing. You may be told that you have a <b>\u201crotator cuff problem,\u201d \u201cshoulder impingement,\u201d or \u201ctendonitis.\u201d<\/b> But what do these terms actually mean?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bd25583 elementor-widget elementor-widget-heading\" data-id=\"bd25583\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Is rotator cuff pain the same as shoulder impingement?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b4b1fd elementor-widget elementor-widget-text-editor\" data-id=\"5b4b1fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Not exactly. <b>Shoulder impingement<\/b> is a clinical term that has historically been used to describe pain associated with structures around the rotator cuff and subacromial region. Rotator cuff tendinopathy, partial tears, bursitis and other shoulder problems can produce similar symptoms. Therefore, simply being told that you have \u201cimpingement\u201d does <b>not necessarily mean that one particular tendon is damaged<\/b>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b8ff0c4 elementor-widget elementor-widget-heading\" data-id=\"b8ff0c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">1. Supraspinatus: The Shoulder's Lifting Muscle<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ee9eaa elementor-widget elementor-widget-text-editor\" data-id=\"6ee9eaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>What might suggest supraspinatus involvement?<br \/><\/b>During an assessment, your therapist may look for:<\/p><p><b>Painful arc:<br \/><\/b>Pain occurs during a particular portion of active shoulder elevation, commonly around the middle range.<\/p><p><b>Pain or weakness with resisted shoulder abduction:<br \/><\/b>The therapist asks you to lift your arm while they apply resistance.<\/p><p><b>Pain with passive elevation:<br \/><\/b>The therapist moves your arm for you and assesses whether symptoms occur near the end of the available range.<\/p><p>These findings can be consistent with rotator cuff-related shoulder pain, but <b>no single test can confirm that the supraspinatus is definitely the source of the problem<\/b>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d191c26 elementor-widget elementor-widget-heading\" data-id=\"d191c26\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">1. Supraspinatus: The Shoulder's Lifting Muscle<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-23f039b elementor-widget elementor-widget-text-editor\" data-id=\"23f039b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>What might suggest supraspinatus involvement?<br \/><\/b>During an assessment, your therapist may look for:<\/p><p><b>Painful arc:<br \/><\/b>Pain occurs during a particular portion of active shoulder elevation, commonly around the middle range.<\/p><p><b>Pain or weakness with resisted shoulder abduction:<br \/><\/b>The therapist asks you to lift your arm while they apply resistance.<\/p><p><b>Pain with passive elevation:<br \/><\/b>The therapist moves your arm for you and assesses whether symptoms occur near the end of the available range.<\/p><p>These findings can be consistent with rotator cuff-related shoulder pain, but <b>no single test can confirm that the supraspinatus is definitely the source of the problem<\/b>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-028b3c8 elementor-widget elementor-widget-heading\" data-id=\"028b3c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Could the supraspinatus be completely torn?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-33e97ee elementor-widget elementor-widget-text-editor\" data-id=\"33e97ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A full-thickness rotator cuff tear can produce significant weakness.<\/p><p>A clinician may become more concerned about a substantial tear when there is:<\/p><ul><li>Marked weakness during resisted abduction<\/li><li>Weakness that is not simply explained by pain<\/li><li>Difficulty actively lifting the arm<\/li><li>A significant difference in strength compared with the other shoulder<\/li><li>Loss of active movement<\/li><\/ul><p>Importantly, <b>painful or limited movement alone does not prove a complete tendon rupture<\/b>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc98b38 elementor-widget elementor-widget-heading\" data-id=\"dc98b38\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">2. Infraspinatus: The External Rotator<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-399d262 elementor-widget elementor-widget-text-editor\" data-id=\"399d262\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>What might suggest infraspinatus involvement?<br \/><\/b>Your therapist may assess:<\/p><p><b>Painful arc:<br \/><\/b>Pain during a particular portion of shoulder elevation.<\/p><p><b>Resisted external rotation:<br \/><\/b>You are asked to rotate your forearm outward while the therapist provides resistance.<\/p><p><b>Pain with passive elevation:<br \/><\/b>The therapist moves the arm and assesses the range and location of your symptoms.<\/p><p>Again, these findings are interpreted <b>together rather than individually<\/b>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f11e079 elementor-widget elementor-widget-heading\" data-id=\"f11e079\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How might a major infraspinatus tear present?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aff3c44 elementor-widget elementor-widget-text-editor\" data-id=\"aff3c44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A significant tear affecting the external rotators may result in:<\/p><ul><li>Marked weakness with external rotation<\/li><li>Difficulty actively rotating the arm outward<\/li><li>Reduced active external rotation<\/li><li>Difficulty maintaining the arm in an externally rotated position<\/li><\/ul><p>One clinical test that may be used is the <b>Hornblower&#8217;s sign.<span class=\"Apple-converted-space\">\u00a0<\/span><\/b><b><\/b><\/p><p>During this test, the arm is positioned with the elbow bent and the shoulder elevated. The patient attempts to maintain external rotation.<\/p><p><b>Inability to maintain the position or marked weakness can suggest significant dysfunction of the external rotators, particularly the teres minor and\/or infraspinatus.<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d74fa8 elementor-widget elementor-widget-heading\" data-id=\"2d74fa8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">3. Subscapularis: The Internal Rotator<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d811831 elementor-widget elementor-widget-text-editor\" data-id=\"d811831\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><b>What might suggest subscapularis involvement?<br \/><\/b>Your clinician may assess:<\/p><ul><li>Pain with resisted internal rotation<\/li><li>Pain during certain shoulder movements<\/li><li>Weakness with internal rotation<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2560716 elementor-widget elementor-widget-heading\" data-id=\"2560716\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What About Calcific Rotator Cuff Tendinopathy?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07d57a0 elementor-widget elementor-widget-text-editor\" data-id=\"07d57a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Sometimes calcium deposits develop within a rotator cuff tendon. This is called <b>calcific tendinopathy<\/b> or <b>calcific tendonitis<\/b>.<br \/><b>Is high-energy shockwave therapy the only effective treatment?<\/b><\/p><p>This is an important point to clarify.<\/p><p><b>High-energy extracorporeal shockwave therapy (ESWT) is one treatment option for calcific rotator cuff tendinopathy, but it is not accurate to say that it is the only effective treatment.<\/b><b><\/b><\/p><p><i>This article is for educational purposes and does not replace an individual assessment by a qualified healthcare professional.<\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Rotator Cuff Problems and Shoulder Impingement: How Do We Know Which Tendon Is Involved? Shoulder pain can be confusing. You may be told that you have a \u201crotator cuff problem,\u201d \u201cshoulder impingement,\u201d or \u201ctendonitis.\u201d But what do these terms actually mean? Is rotator cuff pain the same as shoulder impingement? Not exactly. Shoulder impingement is &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/redefinedphysio.com\/index.php\/rotator-cuff-problems\/\"> <span class=\"screen-reader-text\">Rotator Cuff Problems<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"class_list":["post-3611","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Rotator Cuff Problems and Shoulder Impingement: How Do We Know Which Tendon Is Involved? 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