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Damage to muscles and tendons can occur from acute injuries like a fall or accident, and from chronic over use like throwing a ball or lifting. Muscle injuries or strains can turn a person's life upside down and lead to serious damage if it's not addressed. "Rotator cuff injury is probably one of the most common injuries I see in my practice,” said Dr. Marion Herring”. I would venture to say that most people have some type of rotator cuff injury during their lifetime. People have pain with function, they have pain at night, and they're really not able to do lifting overhead or shoulder like they want to.” When the pain starts to affect your normal routine, especially your sleep, it's time to see a doctor. Many times, no surgery is needed, but it all depends on the person. For more info: www.hcavirginia.com