Rotator Cuff Tear Exercises Symptoms

Refers to mechanical compression and or wear of the rotator cuff tendons the rotator cuff is actually a series to four muscles and tendons connecting the scapula.

To the humeral head upper part of the arm bone these muscles are located deep in the shoulder beneath the Deloitte muscle theta given your should its contour Rotator Cuff 
Tear Exercises Symptoms.

Rotator Cuff Tear Exercises Symptoms

Rotator Cuff Tear Exercises Symptoms

The rotator cuff is important in maintaining the upper  am bone within the socket during normal shoulder function and also contributes to shoulder strength during activity.

Normally the rotator cuff glides smoothly when moving any process that compromises the gliding function of the rotator cuff is know as shoulder impingement.

Anatomy Rotator Cuff Tear Exercises Symptoms

To understand the shoulder impingement syndrome and its causes you need to be familiar about the anatomy of your shoulder joint.

1.    Upper arm {humerus}
2.     Shoulder blade{scapula}
3.     Collarbone {clavicle}

 The ball at the top of the upper arm fits into the socket of the shoulder blade s re also a number of muscles tendons and ligament around the shoulder.

 These are four rotator cuff muscles that work to keep the upper arm bone centered in he shoulder socket they help to stabilize the shoulder joint.

Anatomy Rotator Cuff Tear Exercises Symptoms

Anatomy Rotator Cuff Tear Exercises Symptoms

 The tendons of the rotator cuff muscles join together and attach to a bony
 surface on the top of the upper arm bone.

  There is a space under the acromion of the scapula called the subacromial space the     rotator cuff tendons pass thought this space.

  In between the acromion and rotator cuff tendons is the subacromial burs the is a fluid led sac that helps to reduce friction and provides a smooth surface for the rotator cuff tendons to glide.

Causes Rotator Cuff Tear Exercises Symptoms

When these is rubbing between impingement syndrome occur the acromion some possible causes the rotator cuff the bursa are as follows:

·        The rotators cuff may be injured or incompetent

·        These may be a bony deformity under the acromion like a bone spur

·        The coraco acromial ligament can calcify or thicken usually secondary to a     trauma

·        These maybe an acromial defect where it is shaped abnormally

·        The subacromial bursa may be thickened

Epidemiology Rotator Cuff Tear Exercises Symptoms

The incidence of shoulder pain in community setting is high estimated to be 11.2 per 1000 person years out of sample of 644 people 170 26% reported shoulder pain with at least 70% subacromial impingement syndrome mostly shoulder pain in 66% of swimmer.

44% of collegiate volley ball played 57 % of professional pitcher and 20% of collegiate javelin thrower.

Types

Shoulder impingement is classified as either internal or external.

External impingement

Refers to a structural abnormality or interference with the proper operation of the rotator cuff primary impingement is generally due to the abnormally shaped arch in the shoulder bones.

External impingement

External impingement

Secondary impingement usually result form poor position of the arch and causes rubbing it can also be a consequence of tendons weal end form overuse.

Internal impingement.

Generally occurs in athletes whose sports focus on throwing such as javelin or baseball the underside of the rotator to cause pain at both the back and front of the shoulder.

Risk factors

     Repetitive activity at or above the shoulder during work or sports represents the main  factors for SIS.

·        As with many shoulder disorders increasing age also predisposes to SIS.

·        Is common among athletes who participate in overhead sports.

·        Theses sports may include swimming throwing tennis weightlifting golf volleyball and gymnastics.

·        Overhead work activities that can increase risk for developing much include painting stocking shelves and mechanical repair.

Symptoms

Commonly rotator cuff impingement has the following symptoms

·        An arc shoulder pain approximately when your arm is at shoulder hight and or when you arm is overhead.

·        Shoulder pain that can extend form the top of the shoulder to the elbow.

·        Pain when lying on the sore shoulder.

·        As your condition deteriorates shoulder pain at test

·        Muscles weakness or pain when attempt ion to reach or lift

·        Pain when putting your behind your back or head.

·        Pain reaching for the seat belt.

Diagnosis

·        A physical therapist will perform an evaluation and ask you questions abut the pain you are felling and other symptoms.

·        Your physic all therapist may perform strength and motion tests on your shoulder for any muscles imbalances and weakness that can occurs between the shoulder and the scapular muscles.

·        Special test involving gentle movement of your arm and shoulder may  be performed to determine exactly which tendons are involved.

·        May also be taken to identify other conditions that could be contribution to your discomfort  such as bony spurs or abnormalities or arthritis  specific shoulder impingement tests.

·        In front of you at a you will asked to put your arm out

·        The thumb pointing to the floor degree angle to your  with

·        The therapist will ask you to raise your arm whilst they resist your movement thesis tests the supranational tendon.

·        The therapist will position your arm with the thumb facing down and at a 45 degrees angle to your  body they will then lift your arm up above your if you experience impingement of supranational.

         The therapist will term medially  rotaror turn the wrist down and elbow up the arm if this causes pain you probably have an impingement or supranational.

Treatment and medications

Initial treatment for impingement syndrome or rotator cuff tendinitis is usually  conservation to relieve swelling and inflammation and involves the following ::

·        Avoiding activities which aggravate the pain

·        Shoulder bout thrice daily applications of cold packs to

·        Use of NSAIDS like ibuprofen or naproxen

Physical therapy

This initially consists or stretching exercises and other passive for restoration of range of motion and reduction  of pain .

Once the pain is brought under control exercise are started for regaining strength of the shoulder.

Use of steroids

If the above mentioned conservation treatment fail to relieve symptoms then steroid injection may be used to reduce symptoms.

The function of the steroid injection is to reduce inflammation and contralto the pain.

Use of shoulder braces

Wearing a brace to stabilize your shoulder is impingement issue

Surgery

If all forms of conservative treatments and steroid injections fail to relive symptoms then a surgery route is taken  of a rotator cuff surgery which usually results in completed relief of symptoms.

Insert which an instrument called this is done via arthroscopy is an arthroscopy is inserted which has a camera to look at the damaged structure .

This is the most non-invasive method of testing impingement syndrome of rotator cuff tendinitis.

Not necessary for impingement usually open shoulder surgery is

syndrome or rotator cuff tendinitis however this route can be take in cases of a large rupture of the tendon.

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