The rotator cuff is a group of deep muscles and tendons that holds the shoulder joint together and helps control its motion. When strength, flexibility, coordination, or posture changes, the cuff can become pinched between the shoulder ball and its bony roof. Pain and inflammation can follow, making everyday activities difficult.

Pain or weakness with particular arm movements can be a sign of rotator cuff irritation or injury. Overhead athletes and people who frequently reach overhead may be especially affected.

Normal changes with age—including tendon fraying, bone spurs, and arthritis—may contribute to shoulder pain and altered movement control.

Gradually increasing pain and stiffness that limits most shoulder movements can indicate a frozen shoulder, also called adhesive capsulitis.
Our approach includes stretching and strengthening exercises along with hands-on manual therapy. We assess shoulder flexibility and strength as well as the movement of the neck, upper back, shoulder blade, and first rib. Restoring mobility, coordination, and strength helps reduce pinching and supports a return to normal activity.
We identify which movements hurt, where stiffness or weakness is present, and what other areas may be affecting your shoulder mechanics.
Your plan may include manual therapy, flexibility work, rotator cuff strengthening, and exercises that improve shoulder blade and upper-body control.
Very large tears or significant loss of strength may need additional medical evaluation. We will help you understand your options and next steps.