When shoulder pain starts interfering with your sleep, work, or daily movement, it's time to get answers. Rotator cuff injuries can develop gradually or occur suddenly, and getting the right diagnosis is the first step toward relief.
At Dr. Neil Singh’s practice, we specialize in diagnosing and treating upper extremity conditions, including rotator cuff injuries. Located in New Castle, our team uses advanced imaging, hands-on assessments, and minimally invasive options to guide every patient toward lasting recovery. If your shoulder discomfort isn’t improving, we’re here to help. Request an appointment today to begin your evaluation.
In the guide below, we’ll walk through what you can expect during a rotator cuff diagnosis—and why early detection truly makes a difference.
How Doctors Diagnose a Rotator Cuff Tear
The diagnostic process begins with a detailed review of your symptoms, medical history, and how the injury occurred. Whether you’re dealing with chronic shoulder discomfort or sudden pain from a specific incident, understanding the root cause helps determine the best rotator cuff tear treatment.
During your visit, Dr. Singh will perform a comprehensive physical exam that may include:
- Palpation to assess tenderness near the rotator cuff muscles
- Range of motion tests to check flexibility and function in the shoulder joint
- Strength testing to evaluate shoulder weakness or muscle imbalances
- Specific rotator cuff injury tests like the drop arm test or the Hawkins-Kennedy impingement sign
These in-office assessments help identify signs of tendon irritation, partial or full-thickness rotator cuff tears, and how the injury is affecting your daily movement. However, clinical tests alone may not provide a complete picture, which is where imaging comes in.
The Role of MRI, Ultrasound, and X-Rays in Shoulder Imaging
Advanced shoulder imaging plays an essential role in confirming a rotator cuff diagnosis and evaluating the extent of the injury.
X-Rays
X-rays help rule out bone conditions such as arthritis or bone spurs that can mimic rotator cuff pain. While they don’t show the muscles and tendons, they offer a clear view of the upper arm bone, joint alignment, and structural changes within the shoulder.
Ultrasound
Ultrasound provides real-time imaging of the rotator cuff tendons and can detect tears, inflammation, or fluid buildup. It’s a useful tool for evaluating shoulder pain dynamically, particularly in cases of suspected impingement or mild tears.
MRI
An MRI is considered the gold standard for evaluating rotator cuff tear symptoms. It offers detailed images of the rotator cuff muscles, tendons, and surrounding structures. MRI helps determine whether you have a partial or full-thickness tendon tear and can identify related issues like rotator cuff disease or bursitis
These imaging tools help confirm whether you have a torn rotator cuff and guide personalized treatment recommendations—from conservative care to arthroscopic rotator cuff repair when needed.
Why Early Detection Improves Outcomes
Getting a rotator cuff tear diagnosed early significantly improves your chances of avoiding complications and reducing overall rotator cuff injury recovery time. Delaying treatment can lead to:
- Worsening tears or tendon retraction
- Loss of shoulder strength and range of motion
- Muscle atrophy and long-term dysfunction
- A more complex recovery after rotator cuff surgery
When identified early, many patients respond well to conservative treatment such as physical therapy, activity modification, or injections. If surgery is necessary, early intervention allows for minimally invasive techniques and faster recovery times.
Why Choose Dr. Neil Singh’s Practice for Rotator Cuff Care
At Dr. Neil Singh’s practice, we understand how frustrating and limiting shoulder injuries can be. As New Castle’s trusted upper extremity specialist, Dr. Singh provides focused, high-level care backed by years of experience treating complex rotator cuff injuries.
Here’s what sets us apart:
- Fellowship-trained expertise in rotator cuff diagnosis and repair
- Personalized treatment plans tailored to your goals and lifestyle
- Advanced arthroscopic techniques for minimally invasive repair
- On-site coordination of rehabilitation and physical therapy
- Compassionate support from a dedicated team every step of the way
Whether you’re dealing with shoulder pain from a recent injury or struggling with long-term tendon damage, we’ll work with you to find the right solution—and get you back to the activities you enjoy.
Get Expert Answers and Lasting Relief
If shoulder pain is interfering with your life, don’t wait to get it checked. Early, accurate diagnosis of a rotator cuff injury is the key to faster healing and long-term results. Dr. Neil Singh offers trusted care, advanced imaging, and personalized treatment right here in New Castle.
Call us at 724-656-0086 or request your appointment online to begin your recovery with a shoulder specialist who puts your comfort and goals first.
