Rotator Cuff Tears After 40: Causes, Symptoms and Treatment in Sydney
Feb 15, 2014
Rotator cuff tears are one of the most common shoulder problems seen in people over the age of 40, particularly those whose work or sport involves repetitive overhead arm movements, such as painting, swimming, tennis, or manual trades.
As we age, the tendons of the rotator cuff naturally lose some of their strength and elasticity. Over time they can become frayed or thinned, which makes them more vulnerable to tearing – sometimes from a single injury, such as a fall, and sometimes gradually with no clear single cause.
Warning signs to look out for
Common symptoms of a rotator cuff tear include:
- Weakness when lifting or rotating the arm
- Pain when reaching overhead, behind the back, or lying on the affected shoulder
- A dull ache in the shoulder that can worsen at night
- A crackling or catching sensation with certain movements
Symptoms can develop suddenly after an injury, or build up gradually over weeks or months. If you notice ongoing weakness or pain with these movements, it’s worth having the shoulder assessed, as early diagnosis can help guide the most appropriate treatment.
Treatment options
Not all rotator cuff tears require surgery. Depending on the size and location of the tear, the patient’s age, activity level, and goals, treatment may involve physiotherapy and activity modification, or arthroscopic (keyhole) surgical repair. As with any orthopaedic treatment, outcomes vary from patient to patient, and your surgeon can advise which option is most appropriate for your particular tear.
Dr Mark Haber is a Sydney-based orthopaedic surgeon (FRACS) with a special interest in shoulder surgery, including the assessment and surgical management of rotator cuff tears.
Consultation locations
Consultations are available at clinics in Sydney CBD, Macquarie University, Wollongong, and Campbelltown.
If you are experiencing shoulder weakness or pain and would like an assessment, contact the practice on 1300 747 077 or by email at reception@so.com.au.
