Rotator cuff tears are commonly the result of overuse activities involving overhead motions such as a tennis serve. Playing tennis with a torn rotator cuff might not be feasible depending on how bad the tear is. If there is a complete separation, surgery might be required to restore the stability in the shoulder. If the tear is less severe, time and rest might still be needed before returning to the tennis courts and possibly creating more damage.
Step 1
Go to your doctor to get a proper diagnosis of the tear. An MRI, X-ray or ultrasound are diagnostic methods used by doctors to confirm the severity of the tear.
Step 2
Follow your doctor's recommendation for rest and rehabilitation. If surgery is required, you should expect to be off the tennis court for at least six months with several months of immobility with your arm in a sling. Build the muscles around the shoulder slowly to create stability in the shoulder.
Step 3
Stretch your shoulder before playing. Assuming your right shoulder is injured, cross your right arm in front of your chest, pulling it into your chest with your left arm. Reach behind your head with your arm, trying to touch the middle back. Perform shoulder shrugs and arm rotations.
Step 4
Warm up slowly. Start with ground strokes that don't create undo strain on the shoulder. Getting warmed up increases blood flow, releasing endorphins to help with pain and provide oxygen to your muscles, including the shoulder.
Step 5
Serve swinging at one-quarter speed. Slowly increase swing speed paying particular attention to any pain, clicking or instability in the shoulder. Stop if pain presents itself or the shoulder feels unstable.
Step 6
Ice the shoulder after playing for 20 minutes. Take anti-inflammatory medications to reduce swelling and alleviate pain as per your doctor's recommendations.
Step 7
Rest for several days after playing.


