While there are certainly patients that have a rotator cuff tear with no symptoms, most patients report an aching or throbbing discomfort along the lateral aspect of their shoulder.  The pain is worse and becomes sharper with activities overhead and away from the body.  Pain that awakens them at night is classic and very common.  Weakness and stiffness are also common complaints.  In patients with large and massive tears, they may not be able to elevate their arm to or above shoulder level.