Minor pain or injury involving the rotator cuff may require RICE therapy:
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, may be used to reduce inflammation and discomfort. In some cases, a corticosteroid, such as triamcinolone, may be injected into the shoulder. Physical therapy helps to increase the strength of the tendons and muscles. Ultrasound may be used to warm the muscles and improve blood flow. If conservative treatment is not successful, surgery may be needed. Surgery called rotator cuff repair is done to relieve tendons that are being pinched by the shoulder blade.
NSAIDs can cause stomach upset, ulcers, and bleeding, or allergic reactions. NSAIDs may also affect the liver and kidneys. Surgery poses a risk of bleeding, infection, and allergic reaction to anesthesia.
In some individuals with rotator cuff tendinitis, no further treatment is needed for minor pain and inflammation. For more serious disease or injury, treatment may continue. After surgery, the person may need to take it easy for several days to several weeks. Follow-up care may be needed. Physical therapy and daily strengthening exercises may be recommended.
Any new or worsening symptoms should be reported to the healthcare provider.