A rotator cuff tear can extend or get larger over time. This can occur with repetitive use or a re-injury. It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. This likely represents extension of an existing tear. If you know you have a rotator cuff tear, then worsening pain and decreasing strength may mean the tear is getting larger.
Many Central and South Americans with ethnic ties to the native peoples of the region have a distinctive high-bridged nose. A religion is a belief system. Unlike an ethnicity, you can pick it up or drop it at will. Religions can exist across ethnicities, just like they can span nationalities.
1 Largest Religious Groups in the U.S.A. See also: Composite U.S. Demographics - incl. race, ethnic, gender, religion, etc.  Geographical Top Ten Lists - Largest communities of Muslims, Christians, Sikhs, Lutherans, etc.