Rotator cuff arthritis is a chronic condition and rarely requires immediate medical attention. At times, however, is a large amount of swelling occurs around the shoulder causing possible pain. If this swelling is associated with pain or fever, the possibilities of an infection need to be considered. Under such circumstances, a physician should examine the patient immediately. If the symptoms are mild the condition may be treated with gentle motion exercises to strengthen the deltoid and other muscles around the shoulder that remain intact. If exercises do not improve the comfort and function of the shoulder surgery may be necessary.