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Some of the contributing factors to the severity of shoulder tendonitis symptoms include: Overuse – Repetitive overhead motion is the most common cause of rotator cuff degeneration Weak muscles – When the rotator cuff muscles are weak, more force is exerted on the tendons and bursa by the action of the deltoid muscle Improper technique — Improper/inappropriate swimming or throwing techniques can put stress on your muscles, tendons and tissues Strenuous training – One hard throw, weight lift or workout may start the problem Previous injury — Once you’ve had shoulder tendonitis, you are more likely to have a recurrence Loose shoulder joint — Previous injuries can cause permanent damage to your shoulder, making tendonitis a recurring problem Stages of Shoulder Tendonitis Depending on the state of the present shoulder tendonitis, it can be found at different stages