What Happens If Rotator Cuff Is Not Repaired?

If a rotator cuff tear is not repaired, it can lead to potential complications over time; including increased pain, reduced shoulder function, and even long-term joint damage. The effects can be different depending on the severity of the tear and how much you rely on your shoulder for daily activities.

Rotator Cuff Injuries: 6 Important Things To Think About

Increased Pain & Discomfort

Without repair, the torn rotator cuff may lead to persistent or worsening pain. Pain can become more intense during movement and may eventually be present even at rest, particularly at night.

Reduced Range of Motion & Strength

The rotator cuff is essential for shoulder movement and stability. When left untreated, a tear can weaken the shoulder and limit its range of motion, making it difficult to lift the arm or perform overhead tasks. This reduced functionality can impact daily activities, work tasks, and recreational activities.

Progression of the Tear

Minor tears can gradually worsen over time, especially with continued use or strain on the shoulder. A partial tear may eventually become a complete tear, leading to even greater loss of function and strength.

Muscle Atrophy & Degeneration

Over time, the muscles surrounding the rotator cuff may start to atrophy (waste away) due to disuse or decreased blood supply to the injured area. This can make future repair more challenging and reduce the chances of a full recovery.

Development of Shoulder Arthritis

Chronic rotator cuff injuries can lead to shoulder joint instability, which may increase wear and tear on the joint over time. This can eventually result in shoulder arthritis, causing further pain, stiffness, and reduced mobility.

Impact on Adjacent Structures

When the rotator cuff is weakened or torn, other muscles and tendons around the shoulder may compensate, leading to overuse injuries or pain in other areas, such as the neck, back, or opposite shoulder.

When Should You Get Treatment?

For minor tears, conservative treatments such as physical therapy, rest, and anti-inflammatory medications can help. However, for more significant or complete tears, surgery might be recommended to restore function and prevent long-term complications.  If left untreated, a torn rotator cuff can lead to chronic pain, loss of shoulder function, and further joint damage. Early intervention and appropriate treatment might help avoid major problems down the road.