Injuries to the rotator cuff (muscles and tendons surrounding the shoulder) are often related to overuse, especially in activities that take place above head height. Occasionally, these can be related to specific trauma. Injuries can be as simple as a strain to the muscle(s) and tendon(s), while in more extreme injuries, the tendon(s) may become partially or completely torn. The prevalence of rotator cuff disease increases with age, with four percent occurring in individuals 40 years of age and older. Fifty-four percent of rotator cuff injuries affecting those 60 years and older are usually more severe, resulting in partial or complete tendon tears. Symptoms of a rotator cuff strain or tear may include pain and swelling in the front or side of the shoulder, pain when raising or lowering the arm, pain when reaching back (putting on a jacket). Treatment involves avoiding activities that cause pain, and gentle stretching exercises as prescribed by your physiotherapist. Doug Treloar (BMR, PT, Acupuncture Certified) PhysioFirstClinic.ca