Rotator Cuff Injury

    At Mayo Clinic Healthcare in London, our orthopaedic specialists work collaboratively to assess and manage rotator cuff injuries. Using advanced imaging and a multidisciplinary approach, we provide accurate diagnosis and develop a personalised rotator cuff injury treatment plan tailored to your individual needs.

    Shoulder pain can significantly affect arm movements for daily activity and quality of life. Early assessment can help identify the cause and support more effective recovery.

    • The rotator cuff is a group of muscles and tendons that help to stabilise the shoulder joint and enable a wide range of arm movements. It connects the upper arm bone (humerus) to the shoulder blade (scapula), allowing smooth and controlled motion.

      A rotator cuff injury occurs when these tendons become inflamed, strained or torn. This may develop gradually due to repetitive use or occur suddenly following an injury. 

    • Rotator cuff injuries can present in different ways, depending on severity. Common symptoms include:

      • A persistent, deep ache in the shoulder
      • Pain when lifting the arm or reaching overhead or behind the back
      • Shoulder pain affecting sleep , particularly when lying on the affected side
      • Weakness in the arm on certain movements
      • Clicking or grating sensations during movement

      Some people may experience minimal symptoms initially, while others may find everyday activities increasingly difficult. If symptoms persist or worsen, specialist assessment is recommended.

    • Rotator cuff injuries can arise from a variety of causes, including:

      • Repetitive overhead movements, often associated with manual work or sport
      • Acute trauma, such as a fall onto the shoulder or outstretched arm
      • Age-related degeneration of the tendons
      • Bone spurs that irritate surrounding tissue
      • Reduced blood supply to the tendons over time

      These factors may contribute to gradual wear or increase the risk of tendon tears.

    • At Mayo Clinic Healthcare, diagnosis is led by experienced consultants and supported by advanced musculoskeletal imaging. We work collaboratively across specialties, including Orthopaedics, Rheumatology and Radiology, to ensure a comprehensive evaluation. 

      Tests may include: 

      • X-rays - Although a rotator cuff tear won't show up on an X-ray, this test can visualise bone spurs or other potential causes for your pain, such as arthritis.
      • Ultrasound - This type of test uses sound waves to produce images of structures within your body, particularly soft tissues such as muscles and tendons. It allows a provider to assess the structures of your shoulder during movement. It also allows a quick comparison between the affected shoulder and the healthy shoulder.
      • Magnetic resonance imaging (MRI) - This technology uses radio waves and a strong magnet. The images obtained display all structures of the shoulder in great detail. No radiation is involved.

      Your consultant may refer you to one or more of these tests depending on the severity of your condition. 

    • Your rotator cuff injury treatment will depend on the severity of the injury, your symptoms and your overall health. In many cases, non-surgical management is effective.

      Initial treatment may include:

      • Activity modification and rest
      • Ice therapy to reduce pain and inflammation
      • Pain relief medication, such as paracetamol or anti inflammatory medication
      • Physiotherapy to improve strength, flexibility and shoulder function

      For more severe cases, specialist-led interventions may be recommended:

      • Corticosteroid injections for short to mid-term symptom relief
      • Arthroscopic (keyhole) tendon repair
      • Open tendon repair for more complex tears
      • Tendon transfer procedures in selected cases
      • Shoulder replacement surgery for irreparable rotator cuff tears associated with advanced joint damage

      Your consultant will develop a personalised treatment plan designed to relieve symptoms, restore function and support long-term joint health.

    • We use a wide range of diagnostic procedures to ensure your condition is dealt with in the most appropriate way possible.

      Our team may run tests such as:

      • MRI/ultrasound fusion biopsy
      • PET scans
      • Urodynamic studies that measure bladder function
      • Imaging and endoscopy
      • Laboratory and molecular diagnostics
      • Functional testing

      Results are most often available within several days of testing.

    Private health insurance

    Mayo Clinic Healthcare works with all major private health insurance providers, including AXA PPP, Aviva, BUPA, Health Partners Group, Vitality Health and WPA. Self-pay arrangements are also available.

    Private assessment

    At Mayo Clinic Healthcare, we handle each case with a personalised care approach. To arrange a consultation or learn more about rotator cuff injury treatment contact our team 0207 871 2575 or by filling out our online form to request a consultation