Questionnaire/history: Pain on the top and lateral side of the shoulder? Pain worse by lifting the arm or with overhead activities? History of repetitive movements at or above shoulder height or heavy lifting? Night pain? History of trauma? Past medical history? Current medication? Drug allergies? Examination: Active movements painful and restricted? Passive movements full, but painful? Painful arc of movements between 70-120 degrees of abduction? Pain on abduction with the thumb down, which is worse against resistance? Weakness? Hawkins test positive? Neer's test positive? Drop arm test neg? Management: Advised: - Rest (in the acute phase) - Following this gradual increase of activity - Modification of activities that exacerbate symptoms (such as reaching overhead) - Usual activities within the limits of pain to be restarted as soon as possible - Paracetamol, if ineffective ibuprofen or codeine - Physiotherapy - Subacromial corticosteroid injections could be considered - Review if worsening symptoms, no improvement or ongoing symptoms in 6 weeks Reference(s): NICE CKS: Shoulder pain: Scenario: Rotator cuff disorders