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1. Be described as a dull ache deep in the shoulder. 2. Disturb sleep, particularly if you lie on the affected shoulder. 3. Make it difficult to comb your hair or reach behind your back. 4. Be accompanied by arm weakness.

A complete tear makes it impossible to move the arm in a normal range of motion. It is usually impossible to raise the arm away from your side by yourself. Most rotator cuff tears cause a vague pain in the shoulder area. They may also cause a catching sensation when you move your arm.

It takes six to eight weeks for the tendon to heal to the bone. Complete recovery time varies by size of the tear. For a small tears, full recovery time is about four months, for large tears, six months. For severe, massive tears, a complete recovery can take anywhere from 6 to 12 months.

A recent research study showed that even a complete tear wasn't very likely to get bigger. In this study, 24 patients who had full thickness supraspinatus tears and who opted to forego procedure were tracked over time. In 2 of the 24 patients, the rotator cuff tear completely healed on its own.

The muscles and tendons in the rotator cuff group may be damaged in a variety of ways. Damage can occur from an acute injury for example from a fall or accident, from chronic overuse like throwing a ball or lifting, or from gradual degeneration of the muscle and tendon that can occur with aging.

For most rotator cuff disorders, specialist recommend these steps first: Rest the shoulder; Use ice or heat on the shoulder, whichever feels better; Take anti-inflammatory remedies to relieve pain and reduce swelling and inflammation; Avoid positions and activities that are uncomfortable.