Diagnosing Rotator Cuff Tendinopathy: What Tests Are Involved?
Published: Aug 28, 2024
Understanding the diagnostic process for rotator cuff tendinopathy can help you get the right treatment faster.
Contents
Physical Examination
A thorough physical examination is the first step in diagnosing rotator cuff tendinopathy. Doctors look for signs like muscle atrophy, range of motion limitations, and perform specific tests like the Neer and Hawkins-Kennedy tests to identify shoulder impingement.
Imaging Tests
Imaging tests, such as musculoskeletal ultrasound and MRI, are often used to assess the severity of tendon damage. Ultrasound is particularly useful for real-time evaluation and is considered the gold standard for diagnosing tendon issues.

Lidocaine Injection Test
For distinguishing between tendinopathy and tendon tears, a lidocaine injection test can be employed. This involves injecting anesthetic into the shoulder, and observing if pain relief also results in improved muscle strength, indicating tendinopathy rather than a tear.
Frequently Asked Questions
A physical examination is the first diagnostic step.
Ultrasound and MRI are commonly used imaging tests.
It differentiates between tendinopathy and tears by assessing pain relief and strength.
It's real-time, non-invasive, and considered the gold standard for tendon issues.
Key Takeaways
Accurate diagnosis through these tests is crucial for effective treatment of rotator cuff tendinopathy.
Discuss with Doctronic to find out which diagnostic tests are right for you.Related Articles
References
Hegedus EJ, Goode AP. Physical examination tests for the shoulder. Br J Sports Med 2012; 46:964.
Teefey SA, Rubin DA. Ultrasonography of the rotator cuff. J Bone Joint Surg Am 2004; 86-A:708.
Always discuss health information with your healthcare provider.