To understand what is Rotator cuff tendinopathy? First of all, you should know what is Rotator cuff?
The Rotator Cuff is a common name for the group of four different muscles and their tendons that provide strength and stability during motion of the shoulder. These muscles forms a cuff at your shoulder joint that helps your joint to rotate or to move thereby, called as rotator cuff. Rotator cuff tendinopathy is a condition in which your shoulder tendon has tiny tears in it as well as inflammation, which causes pain and stiffness in your shoulder. It is also called as rotator cuff tendinitis and common in individuals more than 30 years of age.
What are the causes?
-If you are overusing your shoulder i.e repeatedly using your arms, especially in movements above your head
-Any trauma to your tendon
-Muscle weakness and stiffness
-Narrowing or Compression of the arch by which rotator cuff tendon is passing which puts stress on tendon, when you try to lift your hand.
*Weigh more than normal
*Certain Sports which require overhead activities
What are the Symptoms?
-You will notice, pain around your shoulder and it increases when you bring your hand above your head or reach behind your back. Your pain will become worse at night.
-Swelling and tenderness in the front of your shoulder
-A “clicking” in your shoulder when you raise your arms over your head
-Loss of strength or range of motion
How to diagnose?
To diagnose history and physical examination is the key point. Various special tests are to be done-
1. “Empty Can” test
2. “Hawkins Kennedy” Test
How to Manage Rotator cuff tendinopathy?
Physical therapy management aims to reduce pain, swelling and to restore normal range of motion of shoulder.
Rest- avoid all overhead activities that causes pain
Ice- Use ice pack to reduce swelling for 10-20 minutes
Use Ultrasound, LASER and TENS to reduce pain and inflammation.
Stretching and ROM exercises-
1.Start with isometric exercises of shoulder to reduce pain
2.Pendulum exercise: bend forward and move your fully extended arm at shoulder height 90° “too and fro” from the body
3.Posterior capsule stretching: reach with your affected arm across your body and use the other arm to pull the affected arm closer to your body.
4. Progress to strengthening exercise once your pain is reduced.
If you are already performed all the above things but won’t have much relive in your conditions then consults to a nearby doctor! Or you can consult us we have free Consultations for you!