Occasionally a rotator cuff tear can cause referred pain up along the neck, or the back, or the front of the chest, or even into the arm. Their history, as well as physical examination done by a physician, may be suggestive of a rotator cuff tear. If the diagnosis is not confirmed, then an MRI of the shoulder may be done to confirm the diagnosis. Occasionally patient may have a pinched nerve in the neck as well as a torn rotator cuff, and a judicious diagnosis plan as well as treatment plan is needed for such patients.