> Shoulder Pain > Rotator Cuff Tendinitis Physiotherapy
Rotator Cuff Tendinitis Physiotherapy
Disorders of the rotator cuff and the tissues around it are the most
common causes of shoulder pain in people over 40 years of age. Rotator
cuff tendinopathy occurs when a shoulder tendon (a bundle of fibers
connecting muscle to bone) is irritated and becomes sore.
If left undiagnosed and untreated...with continued
irritation, the tendon can begin to break down, causing tendinosis—a
more chronic condition.
People who perform repetitive or overhead arm
movements, such as
- weight lifters
- and manual laborers
most at risk for developing rotator cuff tendinopathy. Unfortunately, poor posture can
also contribute to its development.
Our senior physiotherapists can help you
identify and correct risk factors for rotator cuff tendinopathy, and
help you decrease your pain while improving your shoulder motion and
first of all, What is Rotator Cuff Tendinitis?
Our rotator cuff muscles are a group of 4 muscles that attach the
humerus (upper arm bone) to the scapula (shoulder blade).
cuff muscles functions to
- and stabilize the upper arm
is a bundle of fibers that connects the muscles to the bone.
cuff tendinitis happens when the tendon connected to the rotator cuff
muscles becomes inflamed and irritated.
This condition can be caused by:
- Repetitive arm movements, such as those performed by a hair stylist or house painter
- Overhead shoulder motions, such as those performed by baseball pitchers or swimmers
- Weakness and muscle imbalances in the shoulder blades and shoulder muscles
- Tight muscles and tissues around the shoulder joint
- Bony abnormalities of the shoulder region that cause the tendons to become pinched
- Poor posture, such as rounded shoulders caused by leaning over a computer for long periods (shoulder impingement syndrome)
what does Rotator
cuff tendinitis feel like?
Rotator cuff tendinopathy is characterized by shoulder pain that can
happen slowly and gradually over time or come on very suddenly. The pain occurs in
the shoulder region and sometimes radiates into the upper arm. It does
not usually radiate past the elbow region, although it can.
You may be
symptom free at rest or experience a mild, dull ache; however, pain can
be moderate to severe with certain shoulder movements and can be easily
provoked. Often, just reaching behind the body to perform a motion, as in fastening a
seat belt, can be very painful.
So can overhead activities, such as
- reaching into a cupboard
- or combing your hair
pain can worsen at night, especially when rolling over or attempting to
sleep on the painful side. You may notice weakness when lifting and
reaching for household items. Holding a heavy platter or taking a pan
off the stove may become difficult.
If the condition is left untreated,
it is possible to begin to experience pain in other areas, such as the
How Is It Diagnosed?
Our senior physiotherapists will perform an evaluation and ask you questions
about the pain and other symptoms you are feeling. We may perform
- strength and motion tests on your shoulder
about your job duties and hobbies
- evaluate your posture
- and check for
any muscle imbalances and weakness that can occur between the shoulder
and the scapular muscles
We will gently touch your
shoulder in specific areas to determine which tendon or tendons are
inflamed, and may perform other special tests to detect rotator cuff
tendinopathy. Generally, a physical examination is all that is needed to
diagnose rotator cuff tendinopathy.
If the symptoms do not resolve with
shoulder physical therapy, imaging (eg, MRI) may be considered, to help
determine any possible underlying condition that could be affecting the
how our senior physiotherapists can help with rotator cuff tendinitis
It is important to get proper treatment for shoulder and rotator cuff tendinitis as soon as it
Over time, a degenerated tendon that is not treated can begin to
tear, causing a more serious condition. Shoulder physical therapy can be very
successful in treating
You will work with our senior physical therapists to
devise a treatment plan that is specific to your condition and goals.
Your individual physiotherapy treatment program may include:
We will help
you identify and avoid painful movements to allow the inflamed tendon to
heal. Cold therapy, massage, heat therapy or moist heat may be applied for pain management.
Therapeutic modalities, such as iontophoresis (medication delivered
through an electrically-charged patch) and electrical stimulation (TENS)
may be applied.
Posture education is an important
part of shoulder physiotherapy.
For example, when your shoulders roll forward
as you lean over a computer, the tendons in the front of the shoulder
can become pinched. We may suggest adjustments to
your workstation and work habits.
instruct you in ideal sitting, standing, and sleeping positions to help
alleviate symptoms. We may suggest different ways to perform
currently painful activities and show you movements to avoid while the
shoulder is painful.
We may use
manual therapy techniques, such as gentle joint movements, soft-tissue massage,
and shoulder stretches, to get your shoulder moving again in harmony
with your shoulder blade.
You will learn exercises
and stretches to help your shoulder and shoulder blade move properly, so
you can return to reaching and lifting without pain.
We will determine which strengthening exercises are right for you,
depending on your specific condition. You may use weights, medicine
balls, resistance bands, and other types of resistance training to
challenge your weaker muscles.
You will receive a home-exercise program,
so you can continue rotator-cuff and shoulder-blade strengthening long
after you have completed your formal physical therapy.
As your symptoms improve, we will help you return to your previous level of
function, which may include household chores, job duties, and sports-
Functional training can include working on lifting a
glass into a cupboard or throwing a ball using proper shoulder
mechanics. You and our senior physical therapists will decide what your goals
are, and get you back to your prior level of functioning as soon as
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Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
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DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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