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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 youve 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