Rotator cuff pain:
The tendons which control the shoulder movements are called the rotator cuff. These work together to provide strength, stability and movement of the shoulder. However they are prone to damage due to numerous factors. Tears may develop from repetitive motions caused by sports or work movements, a fall, sudden trauma or an excessive load. These can range from micro tears to full tears or multiple tears. As tendons age they also prone to gradual wear and tear, which predisposes them to injury.
This is an irritation of the tendons as they pass through the space between the top of the humerus (upper arm) and the acromium (boney point on top of your shoulder). These are generally caused by an imbalance in the muscle around the shoulder joint and scapula. This triggers an abnormal movement pattern, which may result in inflammation of the rotator cuff tendons or the bursa in the shoulder joint. This can lead to pain in the shoulder.
This is a generally caused by a sudden trauma, which causes the humerus to be forcibly removed from your shoulder socket. It can be dislocated anteriorly, inferiorly or posteriorly.
Following a shoulder dislocation a relocation is generally performed in A&E. The force of the trauma normally results in damage to the labrum (cartilage that is surrounding the shoulder socket) and also the ligaments, which assist in increasing the stability of the joint.
After a dislocation you will generally be placed in a sling. On some occasions you may need to have your shoulder surgically repaired to improve the stability. During your assessment with your physiotherapist we will go through the different stages of rehabilitation. This will be gaining your normal range of motion, slowly increasing the strength and control in your rotator cuff using a personalised rehab program. As we move towards the end of your rehab process we will continually make it very specific to what your goals are so that you return to the activity that you want to.
This is also known as adhesive capsulitis. It is a painful condition which results in the all the shoulder movements becoming progressively restricted. It is a condition that does resolve naturally but it can take a significant amount of time. Physiotherapy plays a vital role in helping progress this painful condition along to the point of regaining normal movement and function of the shoulder.
Some other shoulder injuries that we treat in Dynamic Physiotherapy are:
- Rotator Cuff injuries
- Shoulder Instability
- Frozen Shoulder/Arthritis
- Shoulder Impingement
- Rotator Cuff Tear
- Rotator cuff tendinopathy
- Adhesive Capsulitis