
Rotator Cuff Tears
Rotator cuff tears are among the most common causes of shoulder pain, especially in active adults and older patients. At Carolina Shoulder, Dr. Michael Sirignano provides advanced, personalized care that is tailored to your specific needs, helping you regain strength, stability, and motion.

What Is a Rotator Cuff Tear?
The rotator cuff is a group of muscles and tendons that help keep your shoulder stable and allow for lifting and rotation.
A tear can occur due to injury (such as a fall or sudden lift) or degeneration over time, often resulting in pain, weakness, and limited movement.
Common Symptoms
- Pain when lifting or reaching overhead
- Weakness in the arm or shoulder
- Nighttime pain, especially when lying on the affected side
- Difficulty with daily tasks like getting dressed or reaching behind your back
- Clicking or popping sensations with movement
Causes & Risk Factors
- Repetitive overhead motion (athletes, manual laborers)
- Age-related degeneration
- Acute trauma (falls, sudden pulling)
- Poor posture or shoulder mechanics

Diagnosis
Dr. Sirignano begins with a detailed history and physical exam, often followed by imaging such as:
- X-rays (to rule out bone spurs or arthritis)
- MRI or ultrasound (to confirm the presence and size of a tear)
Treatment Options
Non-Surgical Treatments:
- Rest and activity modification
- Anti-inflammatory medications
- Physical therapy to strengthen the surrounding muscles
- Cortisone injections for inflammation
Surgical Treatments:
If the tear is large, painful, or not responding to conservative care, minimally invasive rotator cuff repair may be recommended. Dr. Sirignano specializes in advanced repair techniques for quicker recovery and long-term stability.
What to Expect After Treatment
Recovery depends on the size of the tear and the treatment approach.
- Many non-surgical patients improve within weeks.
- Surgical recovery includes a structured rehab plan, with return to full activity typically in 3–6 months.
- Dr. Sirignano will guide your progress every step of the way—from early mobility to full strength.
Why Choose Carolina Shoulder?
- Fellowship-trained shoulder and elbow surgeon
- Personalized, one-on-one care plans
- Emphasis on restoring function, not just relieving pain.
- Care tailored to your activity level and lifestyle


Don’t Let Shoulder Pain Limit You
If you suspect you may have a rotator cuff tear, remember that early treatment can make a significant difference. Don’t let shoulder pain limit you. Let Carolina Shoulder help you move forward with confidence.