Rotator Cuff Tendonitis – Relieving Shoulder and Upper Arm Pain with Expert Care

Overview

 

The shoulder is one of the most mobile joints in the human body, allowing a wide range of movement in the arm. However, that mobility also makes it vulnerable to strain.
Rotator cuff tendonitis—also called shoulder impingement syndrome—occurs when the tendons of the rotator cuff become inflamed or irritated, typically from repetitive overhead use or age-related wear.

At Dr. Burke Orthopedics, we specialize in diagnosing and treating shoulder and upper arm pain caused by tendon inflammation.
Under the leadership of Dr. Robert L. Burke, a board-certified orthopedic surgeon, we help patients across Pearland, Houston, Friendswood, and Southeast Texas regain pain-free motion and strength through personalized, evidence-based care.

Understanding Rotator Cuff Tendonitis

 

The rotator cuff is a group of four muscles and tendons that stabilize the shoulder joint and help lift and rotate the arm.
When these tendons become inflamed or pinched between the shoulder bones, they can cause pain that radiates into the upper arm and even down toward the elbow.

Over time, inflammation may lead to tendon degeneration (tendinopathy) or even small tears if left untreated.
This condition is especially common in athletes, laborers, and anyone performing repetitive overhead activity such as painting,

Common Causes and Risk Factors

 
  • Repetitive overhead activity (painting, throwing, swimming)
  • Lifting heavy objects, especially away from the body
  • Sleeping on the affected shoulder nightly
  • Postural imbalances or weak stabilizer muscles
  • Bone spurs or narrowing of the subacromial space
  • Natural tendon wear with aging
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  • Repetitive strain or overuse of the foot and arch.
  • Tight calf muscles that limit ankle mobility.
  • Sudden increase in physical activity or intensity.
  • Wearing shoes with poor arch support or thin soles.
  • Walking or running on hard or uneven surfaces.
  • Obesity, which increases mechanical stress on the heel.
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Risk Factors:

  • Occupations or sports requiring frequent shoulder use
  • Poor posture or muscular imbalance
  • Previous shoulder injury or instability
  • Age > 40 years (tendons lose elasticity)
  • Previous foot or ankle injuries.
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Symptoms

 

Rotator cuff tendonitis can develop gradually or suddenly after overexertion.

Common symptoms include:

  • Dull, aching pain in the shoulder or upper arm
  • Pain that worsens when lifting, reaching, or throwing
  • Discomfort at night or when lying on the affected side
  • Weakness when raising or rotating the arm
  • Clicking or popping sensation with movement
  • Limited range of motion or shoulder stiffness
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If pain persists longer than a few weeks or interferes with daily activities, an orthopedic evaluation is recommended.

Diagnosis

 

At Dr. Burke Orthopedics, diagnosis begins with a comprehensive shoulder and upper arm assessment to identify inflammation, impingement, or tendon damage.

Diagnostic process:

  • History & symptom review: Identifying activity patterns or recent injuries.
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Physical examination:

  • Evaluating range of motion, tenderness, and strength.
  • Performing special tests such as Neer or Hawkins-Kennedy impingement signs.
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Imaging:

  • X-rays to check bone spurs or joint narrowing.
  • Ultrasound or MRI to visualize tendon inflammation or small tears.
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This precise evaluation allows Dr. Burke to design a treatment plan that targets both pain relief and long-term joint preservation.

Treatment Options at Dr. Burke Orthopedics

 

Our goal is to reduce pain, restore full motion, and prevent recurrence through conservative or minimally invasive options whenever possible.

Non-Surgical Treatments

Most cases of rotator cuff tendonitis improve without surgery.

Conservative options include:

  • Stretching and strengthening exercises:
  • Gentle stretching and range-of-motion exercises.
  • Strengthening of rotator cuff and scapular stabilizers.
  • Manual therapy to restore shoulder mechanics.
  • Progressive resistance exercises to prevent reinjury.
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  • Platelet-rich plasma injections may accelerate tendon healing and decrease inflammation naturally.
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Most patients notice improvement within 4–6 weeks of guided therapy.

Surgical Treatments

If conservative measures do not relieve pain or imaging shows structural damage, Dr. Burke may recommend arthroscopic intervention.

Surgical options include:

  • Arthroscopic Subacromial Decompression: Removes bone spurs and creates more space for tendons to glide smoothly.
  • Arthroscopic Rotator Cuff Repair: Repairs partial or full-thickness tears to restore stability.
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  • Used for severe or chronic cases with multiple tendon involvement.
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Arthroscopic surgery uses small incisions for faster healing and minimal scarring.

Recovery and Rehabilitation

 
  • Non-surgical: 4–6 weeks to restore range of motion; 8–12 weeks for strength.
  • Post-surgical: 3–6 months for full recovery, guided by physical therapy.
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Rehabilitation Focuses on:

  • Gradual restoration of mobility and stability.
  • Strengthening the rotator cuff and shoulder girdle.
  • Correcting biomechanics to avoid impingement recurrence.
  • Progressive return to work, exercise, or sport.
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Following the customized rehab program closely is key to complete recovery.

Long-Term Outlook

 

When treated early, rotator cuff tendonitis responds extremely well to conservative management.
Without care, however, chronic inflammation can weaken tendons and lead to partial tears.

Prevention Tips

 
  • Warm up before physical activity.
  • Strengthen shoulder stabilizer and upper back muscles.
  • Maintain proper posture and avoid slouching.
  • Use proper lifting techniques
  • Allow rest days between repetitive upper-body workouts.
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Routine maintenance therapy and conditioning can prevent recurrence.

When to Seek Medical Care

 

Contact Dr. Burke Orthopedics if you experience:

  • Pain lasting more than a few weeks despite rest.
  • Night pain or difficulty sleeping on the affected side.
  • Weakness when lifting the arm or performing overhead tasks.
  • Grinding, catching, or stiffness that limits daily function.
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Prompt orthopedic evaluation ensures faster recovery and prevents complications.

Compassionate Orthopedic Shoulder Care in Pearland & Houston

At Dr. Burke Orthopedics, your recovery is our priority. We combine cutting-edge diagnostics, proven therapies, and personalized rehabilitation to relieve shoulder and upper arm pain for the long term.

Call (713) 436-3488 or Request an Appointment Online
Serving Pearland, Houston, Friendswood, and Southeast Texas — expert orthopedic care for pain-free motion.

Medical Disclaimer:

This content is for educational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding shoulder or upper arm pain, injury, or weakness. Seek urgent care if you cannot lift your arm or suspect a tendon tear after an injury.

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