Conservative management with over-the-counter pain medications is the preferred mode of treatment for mild cases of rotator cuff syndrome. Over-the-counter pain medications can include aspirin, ibuprofen, and naproxen. Rest and cold packs are beneficial initially. After the pain starts to diminish, heating pads and stretching can assist with recovery.
If conservative measures do not result in significant improvement of symptoms, a steroid injection can be performed by a knowledgeable and appropriately trained physician. A skilled physical therapist can aid in recovery as well.
Surgery is the last resort for rotator cuff syndrome unless it involves an acute injury that results in a significant tear or rupture of one or more rotator cuff tendons.