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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

image

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

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Guest

In these situations, is actually very best to wait and see for days and
finally move on. Keep vision of one’s work along with success get rid of.

and keep moving. http://verdertars.mihanblog.com/post/comment/new/226/fromtype/postone/fid/15368327795b9a350b71647/atrty/1536832779/avrvy/0/key/391c0a7f7947a2b00103290e6ca97d25/

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[…] via Rotator Cuff Tendinopathy […]

conspicari
Guest

Thank you for following my blog, much appreciated.

priyeshbanerjeept
Guest

😊

Eddie Two Hawks
Guest

Very familiar with this one. Needed the surgery to fix my iminged arm.
Great post! Thanks for the explanation.

priyeshbanerjeept
Guest

You’re Welcome 😊

amleta
Guest

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?

priyeshbanerjeept
Guest

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

https://ptmasterguide.com/2018/11/03/home-exercises-for-frozen-shoulder/

and to know what is periarthritis or frozen shoulder visit

https://ptmasterguide.com/2018/08/20/frozen-shoulderadhesive-capsulitis/

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

alessandria today
Guest

Reblogged this on Alessandria today.

priyeshbanerjeept
Guest

😊

Alex
Guest

Reblogged this on Stardust and commented:
Great post ! Could not resist to reblog it !

Lisa@LismorePaper
Guest

Fantastic post! 💗

priyeshbanerjeept
Guest

Thanks

New Journey
Guest

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

priyeshbanerjeept
Guest

Thank you for appreciating and following back

Herzkoma
Guest

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

Jonathan Caswell
Guest

Reblogged this on By the Mighty Mumford and commented:
SO COMPLETELY HELPFUL!

priyeshbanerjeept
Guest

Thank You

PT Master Guide
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