Rotator Cuff Tendinopathy

It refers to the pain and weakness of rotator cuff musculature Rotator cuff comprises of four main muscles viz. Subscapularis, Supraspinatus, Infraspinatus, Teres Minor responsible for abduction and rotation movement of shoulder

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EPIDEMIOLOGY

Commonly affects athletes involved in sporting activities like Cricket, Swimming, Throwers etc and it can be age related problem affecting old aged patients their is an incidence of 11.2 cases per 1000 patients per year

CLININCAL PRESENTATION AND PATHOPHYSIOLOGY

Their is a difference between tendinitis and tendinopathy. Tendinitis is an inflammation of tendons whereas tendinopathy is deterioration of tendons. Rotator Cuff tendinopathy is clinically presented with

Pain, Weakness, Loss of strength to bear load aur lift weight on shoulders along with tenderness around shoulder joint painfull overhead movement localised swelling may also be present

MECHANISM

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PHYSICAL EXAMINATION AND DIAGNOSIS

For Physical examination two clinical tests are performed namely

Empty can test and Hawkins test

Other tests include Modified Belly press test, Palpation, ROM testing the latter two are not so significant In order to see how the tests are performed visit

https://www.physio-pedia.com/Rotator_Cuff_Tendinopathy

Other diagnostic tools include ultrasound, radiographs, radionucleotide isotope scan, magnetic resonance imaging (MRI), computed axial tomography (CT), electromyography

Ultrasound reveal partial tear of tendon fibres partial thickened tears and thickened subacromial bursa MRI also reveals rotator cuff tears

DIFFERENTIAL DIAGNOSIS

Osteoarthritis

Biceps tendinopathy

Frozen Shoulder

Cervical Disc Disease

Cervical Spondylosis

MEASUREMENT

For measuring extent of rotator cuff tendinopathy VAS score, SPADI (Shoulder pain and disability index) have be adopted extensively by physiotherapist

PHYSIOTHERAPY MANAGEMENT

Physiotherapy is the gold standard treatment for rotator cuff tendinopathy along with Medical Management in majority cases and rarely require surgical intervention if Conservative treatment doesn’t work Medical Management includes NSAIDS, Shoulder immobilisation etc Surgery involves Arthroscopic intervention Physiotherapy treatment includes step wise procedure firstly Stretching, ROM exercises and then Muscle Strengthening exercises for pain management Ultrasound, TENS etc Modalities can be applied Kinesiotaping have shown better result in patients with Rotator Cuff Tendinopathy. Other techniques include

Isometric exercises

Kinetic Chain exercises

Correcting scapulohumeral rhythm

Corrective Posture

Pilates technique

for more info visit

https://www.physio-pedia.com/Rotator_Cuff_Tendinopathy

Scalenus posterior muscle

In this article we will discuss about Scalenus posterior muscle. So let’s get started.

Scalenus posterior muscle

It originates from the posterior tubercles of transverse processes of C5-C7 and gets inserted into the outer surface of second rib. It is innervated by the spinal nerves C6,C7 and C8 and artery supply is through the ascending cervical artery. It’s chief action is elevation of second rib and ipsilateral flexion of neck.

Pic courtesy:- http://www.physiowarzish.in
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Scalenus medius muscle

In this article we will discuss about the Scalenus medius muscle. So let’s get started.

Scalenus medius muscle

It originates from the posterior tubercles of transverse processes of C2-C7 and gets inserted into the scalene tubercle of first rib. It is innervated by the anterior rami of C3-C8 and artery supply is through the ascending cervical artery. It’s chief action is elevation of first rib and ipsilateral flexion of neck.

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Pic courtesy:- http://www.yoganatomy.com

Splenius cervicis muscle

In this article we will discuss about the Splenius cervicis muscle. So let’s get started.

Splenius cervicis

It originates from the transverse processes of T3-T6 and gets inserted into the posterior tubercles of transverse processes of C1-C3. It is innervated by the posterior rami of C5-C6 and artery supply is through the transverse cervical artery and occipital artery. It’s chief action is extension of cervical spine along with ipsilateral rotation and flexion of neck.

Pic courtesy:- http://www.yoganatomy.com

Splenius capitis muscle

In this article we will discuss about Splenius capitis muscle. So let’s get started.

Splenius capitis

It originates from the lower half of the nuchal ligament and spinous process of C7 and upper three or four thoracic vertebrae and gets inserted into the mastoid process of temporal bone, occipital bone and lateral part of the superior nuchal line. It is innervated by the posterior ramus of spinal nerves C3-C4 and artery supply is through the muscular branches of aorta. It’s chief action is head extension along with lateral flexion and rotation of cervical spine.

Pic courtesy:- http://www.yoganatomy.com
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