Rotator cuff
Dealing with Rotator cuff related shoulder pain
Keeping active
Prolonged rest does not help rotator cuff related shoulder pain, as too much rest can make the area less used to movement and activity, and ultimately slow recovery in the long run. Getting back to normal regular activities, even if initially sore, will significantly increase your chances of getting better even without further help and guidance.
Research has shown that aerobic exercise, like walking or cycling, leads to improvements in shoulder function and pain. There is no set approach that has been shown to be the best so feel free to try different types of exercise and activity. Be guided by what you enjoy and what you feel able to start. An example may be a brisk walk, a bike ride or an aqua-aerobics class.
If you are local to Sheffield and you would like support to increase your physical activity, then you can
- Self-refer to Move Well for personalised support and access to a wide range of physical activity opportunities, tailored to your specific needs and preferences.
- Find sport, leisure and activity groups in your local area.
- Visit our page on physical activity under the wider health section of the website for further guidance and support to increase your activity.
Your lifestyle
A healthy body = a speedier recovery. Habits like eating a healthy varied diet, low in processed foods, regular activity, stopping smoking (if you currently smoke) and being a healthy weight will optimise your recovery. Lifestyle may need to be considered if pain persists, returns, or different areas are involved. Making small improvements in lifestyle can significantly improve recovery and reduce the likelihood of suffering in the future. See the Wider Health section for more information about healthy living.
Heat or Ice treatment
Heat packs
You may find that applying heat to the sore area helps relieve your pain and any associated muscular tightness or spasm. Use a microwaveable wheat bag or a hot water bottle wrapped in a towel. Keep it on for 15 – 20 minutes, checking your skin regularly to minimise the risk of suffering burn. Repeat 2-3 times per day. Do not place heat on a swollen body part.
Ice packs
This can help to temporarily numb pain. Apply an ice pack (or a bag of frozen vegetables wrapped in a tea towel) to the area for up to 10 minutes, 2-3 times per day.
Pain medication
Taking pain medication may control the pain so that you can keep mobile. Speak to your GP or a pharmacist for further advice.
Your action plan
This tendon pain leaflet has been created by specialist physiotherapists. It includes an action plan which you can personalise to your own situation and goals.
Further Treatment
Physiotherapy
Not everyone needs to be seen by a physiotherapist. Some people get better on their own, usually when resting is brief, and normal use and activities are resumed. However, some people may need a more tailored programme. The evidence has shown that the best first-line management of rotator cuff related shoulder pain is physiotherapy. Physiotherapy should include active strategies such as targeted and individualised exercises. The time of recovery will vary for each individual depending on their circumstances, but as a rough guide, it will often take at least 3-6 months of consistent rehabilitation before you start to see improvements, and 6-12 months for recovery, so be patient and work with your physiotherapist to get the most from your programme.
Steroid injections
In some cases when pain is severe, a steroid injection may be beneficial, to provide short term pain relief. It is worth noting that steroid injections are not a long term management option as they can make the tissue less healthy in the long term.
Surgery
Surgery comes with risks and fortunately most people benefit from conservative treatment. Physiotherapy exercise rehabilitation has been shown to be as effective as shoulder surgery for people with rotator cuff problems. Your health care professional can guide you with this option.