Shoulder problem Normally these tendons transmit the force of muscles originating on the shoulder Blade (scapula) to the arm providing motion and stability. The most commonly affected tendon is that of the supraspinatus muscle. Defects in the rotator cuff can come from an injury (cuff tear) or from degeneration (cuff wear). The degree to which a tendon is reparable depends on its quantity and quality. Degenerated tendons are often frail and retracted and may not be amenable to repair. Individuals that are elderly, smokers, or those having had cortisone injections often have weaker tendon tissue that fails without a significant injury. By
Rotator cuff a rotator cuff tear can include rest, ice, physical therapy, and/or surgery. A published review of 14 trials involving 829 patients found that there is insufficient evidence to demonstrate whether surgery is any better than non-surgical options. A review of manual therapy and exercise treatments found inconclusive evidence as to whether these treatments were any better than placebo, however ""High quality evidence from one trial suggested that manual therapy and exercise improved function only slightly more than placebo at 22 weeks, was little or no different to placebo in terms of other patient-important outcomes (e.g. overall pain), and was associated