Shoulder pain can make even simple movements, like reaching, lifting, or dressing, feel difficult. Among the most common causes of shoulder pain is a rotator cuff injury, which affects the group of muscles and tendons that stabilize the shoulder joint. These injuries are common in athletes, workers with repetitive overhead motions, and older adults due to wear and tear.
At Dr. Neil Singh Orthopedics, serving patients from Lawrence and Mercer Counties as well as Pittsburgh, PA, we specialize in treating shoulder injuries, including rotator cuff tears that cause pain and limit movement. Led by Dr. Neil Singh, DO, a UPMC-affiliated, fellowship-trained orthopedic surgeon, our team provides advanced diagnostics, minimally invasive treatments, and on-site physical therapy to help patients recover strength, mobility, and comfort safely and effectively.
If you’re struggling with shoulder pain or weakness, early evaluation can make all the difference.
Let’s look at how rotator cuff injuries are treated, from conservative care to surgical repair, and how you can return to pain-free movement.
Understanding Rotator Cuff Injuries
The rotator cuff consists of four muscles and their tendons that surround the shoulder joint. They work together to keep the arm bone (humerus) centered in the shoulder socket, allowing smooth and stable motion.
Common Causes
Rotator cuff injuries can happen gradually or suddenly due to:
- Repetitive overhead motion (such as throwing, painting, or swimming)
- Lifting heavy objects
- Falls or direct shoulder trauma
- Degeneration from age-related wear and tear
Common Symptoms
Patients often report:
- Persistent shoulder pain, especially when lifting or lying on the affected side
- Weakness or difficulty raising the arm
- Clicking or popping sounds during movement
- Pain that worsens at night
If you’re unsure of the cause, a rotator cuff injury test, including a physical exam and imaging such as MRI or ultrasound, can help confirm the diagnosis.
Non-Surgical Treatment Options
Many rotator cuff injuries can be treated successfully without surgery. At Dr. Neil Singh Orthopedics, our approach focuses on reducing inflammation, improving function, and preventing further damage.
1. Physical Therapy
Physical therapy is the cornerstone of conservative treatment. Our on-site physical therapy program allows patients to strengthen shoulder muscles, restore mobility, and improve stability under professional supervision. Dr. Singh and our rehabilitation team customize exercise programs based on each patient’s condition and recovery goals.
2. Activity Modification
Avoiding repetitive or overhead motions gives the tendon time to heal. Temporary rest, combined with guided strengthening, can prevent additional strain.
3. Anti-Inflammatory Medications
Over-the-counter medications (NSAIDs) can help relieve pain and swelling during the early stages of healing.
4. Bracing and Support
A brace or shoulder support may be recommended to stabilize the joint and reduce stress during recovery.
Dr. Singh always begins with non-surgical methods whenever possible, combining evidence-based therapies and patient education to achieve long-term results.
When Surgery Becomes Necessary
When symptoms persist after several weeks or months of conservative care, or when imaging shows a complete tear, surgical repair may be the most effective treatment.
Indications for Surgery
- Persistent shoulder pain despite physical therapy
- Loss of strength or function
- Large or complete tendon tears
- Ongoing instability or weakness
At Dr. Neil Singh Orthopedics, surgical procedures are performed using minimally invasive arthroscopic techniques, allowing precise repair through small incisions. This approach reduces pain, scarring, and recovery time compared to traditional open surgery.
What to Expect During and After Rotator Cuff Surgery
The Procedure
During arthroscopic shoulder surgery, Dr. Singh inserts a small camera and specialized instruments into the shoulder joint to assess and repair damaged tissue. The torn tendon may be reattached to the bone using sutures and anchors, or frayed areas may be smoothed to promote healing.
Recovery and Rehabilitation
Recovery varies based on the severity of the tear and overall shoulder health. Most patients follow a structured rehabilitation plan that includes:
- Initial rest (0–4 weeks): The arm is supported in a sling to protect the repair.
- Rehabilitation (4–8 weeks): Gradual stretching and range-of-motion exercises begin.
- Strengthening (3–6 months): Supervised therapy builds strength and flexibility.
With consistent follow-up and rehabilitation, most patients regain full shoulder function and return to work, sports, or recreational activities.
The Role of Rehabilitation in Recovery
Rehabilitation is essential for a full recovery after any rotator cuff tear treatment. At Dr. Neil Singh Orthopedics, our on-site physical therapy and rehabilitation services ensure seamless, coordinated care from diagnosis through recovery.
Our therapy programs focus on:
- Strengthening shoulder and back muscles
- Restoring range of motion and endurance
- Improving posture and movement patterns
- Preventing re-injury through safe, progressive exercises
By following a structured rehabilitation plan, patients experience faster healing and improved long-term shoulder stability.
Preventing Future Rotator Cuff Injuries
Once healed, protecting your shoulder is key to maintaining long-term strength and mobility. You can prevent future injuries by:
- Warming up before physical activity
- Maintaining good posture during work and exercise
- Avoiding repetitive overhead motions
- Strengthening the shoulder and upper back regularly
- Listening to early warning signs like stiffness or mild pain
For athletes or those with physically demanding jobs, periodic visits with a sports medicine specialist near me can help detect early signs of overuse or strain.
Get Expert Rotator Cuff Care in Pittsburgh and New Castle, PA
Shoulder pain doesn’t have to limit your lifestyle. Whether you need non-surgical care, arthroscopic repair, or structured rehabilitation, Dr. Neil Singh Orthopedics provides advanced, compassionate treatment for rotator cuff injuries. Dr. Singh’s fellowship training, UPMC affiliation, and hands-on approach ensure you receive high-quality care tailored to your needs.
Take the first step toward healing. Call (724) 656-0086 or book an appointment online to schedule your consultation today.
Frequently Asked Questions
What is the best treatment for a rotator cuff tear?
Small tears often heal with physical therapy and rest. Larger tears may require arthroscopic repair for full recovery.
Can a rotator cuff heal without surgery?
Yes. Many partial tears respond well to non-surgical care, such as therapy and medication.
How long does recovery take?
Most patients recover within 3–6 months, depending on the size of the tear and adherence to rehabilitation.
When should I see a sports medicine specialist near me?
If shoulder pain lasts longer than a week, limits movement, or affects sleep, schedule an evaluation immediately.
What is a rotator cuff injury test?
A combination of a physical exam and imaging — such as MRI or ultrasound — is used to diagnose the tear and guide treatment.
