True or False: Rotator cuff tears are always painful.

The statement that "Rotator cuff tears are always painful" is false. While many individuals with rotator cuff tears do experience pain, especially during specific movements or activities, it is not a universal symptom. Some people may have a rotator cuff tear and not report any pain at all, which can be particularly common in older adults or individuals with chronic tears that have developed gradually.

This variability in symptoms is significant because it highlights the difference between injury and symptomatology; not all injuries manifest as pain. Some may present with weakness or restricted movement without any associated discomfort. This aspect is crucial for clinical assessments, as the absence of pain does not necessarily indicate an absence of injury. Understanding this concept can aid in the proper diagnosis and management of shoulder injuries in various populations, including both athletes and non-athletes.