Rotator Cuff tendinopathy Shoulder pain

Rotator Cuff Tendinopathy

Pain and weakness around shoulder joint

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



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


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





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

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



Biceps tendinopathy

Frozen Shoulder

Cervical Disc Disease

Cervical Spondylosis


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


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

18 replies on “Rotator Cuff Tendinopathy”

I’ve got a periarthritis in my shoulder and the doctors say to take painkillers and antinflammatories but even if the pain finish, this lasts only for few days. Then the pain begins again. And again and again.
Doctors didn’t eliminate the cause of pain but only cover the pain but that for me is not enough. I practise sport and it’s very difficult now for me. What can I do?

i would suggest you to go for physiotherapy as it is the best treatment method available for frozen shoulder or periarthritis shoulder.
Also i have already posted a blog on simple home exercises for frozen shoulder link is

and to know what is periarthritis or frozen shoulder visit

Do perform these home exercises and go for physiotherapy it will help you big time.

Good morning, what a great blog. Thank you for checking mine out. I tore my rotator cuff years ago moving large rocks in my garden, did not have it surgically repaired, choose to let it heal naturally. As the MD told me, I know have osteoarthritis in my shoulder. Thank you for this wonderful article. I am following your blog know an look forward to your post. Kathy

Sprichst du auch deutsch? Do you speak german too? Ich habe ein medizinisches Problem, aber mein englischer Wortschatz reicht nicht aus, es zu definieren. Lipom am Bauch, rechts zwischen Bauchnabel und Rippenbogen. Seitdem verlangsamte Darmtätigkeit und Verkrampfung der Bauchdecke, wenn ich was Schweres hebe bzw. mich nach vorne bücke, um etwa das Bad zu reinigen oder eine Kiste hochzuheben .. LG PP

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