Rotator cuff injuries
Shoulder pain and weakness from strain, tears or wear of the rotator cuff tendons.
By Andrew Ellis, AHPRA registered physiotherapist · Reviewed July 2026
What it is
The rotator cuff is the group of muscles and tendons that control and stabilise the shoulder. It can be irritated, overloaded or torn through injury or gradual wear, leading to pain and weakness, especially with overhead movement.
Signs and symptoms
Everyone is different, but these are common with rotator cuff injuries. You may have some and not others.
How physiotherapy helps
Most rotator cuff problems respond well to a structured program. We assess the shoulder, settle the pain with hands on therapy and dry needling, then progress targeted strengthening that rebuilds the cuff. We guide load carefully so the tendon can recover.
- Shoulder assessment
- Pain easing hands on therapy
- Progressive rotator cuff strengthening
- Load and activity guidance
How we treat it
The right mix depends on your assessment. These are the services we most often draw on for this.
Exercise and rehabilitation
Tailored programs to rebuild mobility, strength and confidence in the movements that matter to you.
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Soft tissue release
Skilled hands on work through muscles, tendons and ligaments to ease tension and restore flexibility.
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Trigger point dry needling
Fine needles into trigger points to release muscle tension and ease referred pain. A core focus at PACT.
Learn more →
What you will actually pay
The full fee is $165 for an initial visit and $142 for a follow up, and every appointment is a full, unhurried session with the time to work through complex, persistent problems. Once your cover is applied, here is what you actually pay.
Before any rebate. Private paying is welcome, and your fee buys the whole session, never a rushed 20 minutes.
A GP Chronic Disease Management referral rebates $61.80 on every visit, up to 5 a year.
The usual out of pocket once you claim on the spot, depending on your level of cover.
Nothing for you to pay at any visit. Accepted workers compensation and CTP motor accident claims are billed straight to your insurer, and we handle the paperwork.
The bars compare what an initial and a follow up visit cost you on each pathway.
See full fees and rebates. Telehealth with PACT Virtual Care is charged at the same rates, Australia wide.
Other problems we help with
Pain rarely sits in one neat box. These are commonly linked, and we treat them all.
Good to know before you book
Does a cuff tear always need surgery?
How much will it cost?
Do I need a referral?
Can it be managed by telehealth?
Sources and further reading
Written and reviewed by Andrew Ellis, AHPRA registered physiotherapist. Last reviewed July 2026.
This page is general information about rotator cuff injuries, not a diagnosis or a substitute for an assessment. If you are concerned about your symptoms, book an appointment or see your GP.
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Same day appointments often available at our Miranda clinic, or by telehealth across Australia.