Rotator cuff tendonitis and tears

History. The first step to a diagnosis is a thorough history, including when and how the pain began. Was it directly related to a trauma or of gradual onset? Where is the pain located? Are there any other issues that can masquerade as shoulder pain such as a history of neck arthritis?
Physical Exam. Look for abnormal findings, including tenderness, weakness, deformity, and decreased range of motion. Provocative tests will be performed to help isolate the source of the pain.
Imaging. X-rays are typically taken to examine the bones that make up the shoulder.
MRI and ultrasound help evaluate the soft tissues identifying tears or inflammation of the tendons

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