This document discusses evidence-based treatment options for rotator cuff problems. It reviews the prevalence of rotator cuff issues, natural history studies on asymptomatic and symptomatic tears, and various treatment approaches including non-operative options like exercise, manual therapy, and corticosteroid injections. It also examines surgical treatment variables and outcomes. The conclusions recommend a trial of non-operative care including physical therapy exercises targeting range of motion, stretching, and strengthening before considering surgery, which may be indicated if non-operative treatments fail or an MRI confirms a tear.