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1. This diagnosis after an examination by a doctor about a history of falls, occupational and sports activities, age, etc.. And on symptoms (pain at night and moving the arm in some or all movements, loss of strength or mobility, inability to lift the arm, etc.)..
2. The scan performed to verify this data is very important.
3. This is set quite closely what the problem is often used although some additional tests such as:

• or X-rays: They do not provide much information but allow other diseases. They are useful to see the calcifications.
• or ultrasound: Valid for the study of tendon problems and bursae.
• or MRI: Allows good study of the structures of the shoulder and quite accurately.

In general, if diagnosed and treated early especially, the prognosis is good, obtaining complete improvements even in cases of significant breaks.

In cases of massive cracks in non-operated patients age, the functionality that is acquired, albeit limited, becomes sufficient to perform most daily activities such as cleaning, clothing or food.

What most improved prognosis is early mobilization, albeit painful, always directed and prescribed by a physician. Please start to move quickly and try to maintain and recover lost or everyday activities painful.

As there is degenerative relapses possible to avoid them we must learn to protect the shoulder in sleep, housework and work. Avoid sleeping with arms raised, repeated movements with the arm away from the body and unsupported, and above all the tasks above head level and even more if they involve efforts. It is advisable to conduct daily exercises to strengthen weak muscles and to maintain and sometimes improve shoulder mobility.

The practice of some sports like swimming, tennis and other intensively release or who have experienced any of these problems should be avoided or carefully controlled to avoid further damage to the tendon.