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Rotator
Cuff (shoulder)
Injury Introduction
The
rotator cuff
is a group of
4 muscles that
helps to lift
your arm up
over your head
and also rotate
it towards and
away from the
body. Unfortunately,
it is also a
group of muscles
that is frequently
injured by tears,
tendonitis,
impingement,
bursitis, and
strains. The
major muscle
that is usually
involved is
called the supraspinatus
muscle.
Rotator
cuff problems
are usually
broken up into
the following
categories listed
below. If you're
not sure which
one of these
you have, start
with rotator
cuff tendonitis.
Rotator
cuff tendonitis
is also known
as impingement
syndrome or
shoulder bursitis.
Usually this
occurs in people
30-80 years
of age, and
usually the
weakness in
the shoulder
is only mild
to moderate.
Rotator
cuff tears
occur in people
who have had
tendonitis for
a while and
are starting
to experience
more weakness.
It can also
happen in someone
who tries to
lift something
too heavy and
feels a pop
in the shoulder.
Instability
impingement
occurs in younger
patients, typically
15-30 years
old. The rotator
cuff is irritated
because the
shoulder is
loose in the
socket. This
often happens
when repeatedly
throwing the
ball.
The
pain of both
of these types
of bursitis
is usually better
with rest or
even using some
heat over the
areas of pain.
This is the
most common
type of bursitis.
An infection
to the bursa
usually has
redness associated
with this swelling
and the pain
is constant.
If you think
you may have
an infection,
please seek
medical treatment
immediately.
Rotator
Cuff Injury
Signs &
Symptoms
- Restriction
of the shoulders
movement.
- A player
will complain
of weakness
and pain in
the shoulder
especially
when raising
the arm above
the shoulder.
- If the rotator
cuff has a
tear the player
will complain
of severe
pain and difficulty
in sleeping.
- X-rays and
MRI scan may
be necessary.
Rotator
Cuff Injury
Treatment
1.
Painkillers
and anti-inflammatory
medications
will be required
to lessen pain
and inflammation.
2.
Physiotherapy
- keeps your
shoulder strong
and flexible
and reduces
the pain and
weakness.
3.
Cortisone steroid
injections can
be used to reduce
inflammation
and control
the pain.
4.
Surgery is required
if:
a.
If the tear
follows an injury
b. When pain
and weakness
is not improved
with injections
and physiotherapy
- The goal of
any surgery
is to relieve
the pain and
improve the
shoulder strength.
This requires
a long period
of physiotherapy
in addition
to the surgery.
-
Surgery may
be done. The
two types are:
Arthroscopically
(keyhole) or
Open, or a combination
of the two,
know as a Mini-repair.
-
Some tears are
too large to
repair and then
Arthroscopic
Debridement
may be performed
to relieve the
pain.
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Retaining heat
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a shoulder injury.
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