New Treatments - Shoulder Pain and Rotator Cuff Tendonitis

Rehab for Tendonosis of Rotator Cuff

Given that 90 + percent of shoulder pain is due to rotator cuff tendinitis, it is worthwhile to consider those therapies that focus on rotator cuff tendinitis in order to combat shoulder pain itself. This idea has become even more justified following the results of a recent study presented at The American College of Sports Medicine. This study saw impressive results when patients used a nighttime brace to treat rotator cuff injuries and tendinitis.

The study at The American College of Sports Medicine took patients who were suffering from shoulder pain from rotator cuff injuries and tendinitis and treated them all with traditional care methods that included hands on inflammatory medications and physical therapy. However, half of the patients then received an additional treatment of a nighttime brace that they wore for one month. The study was blinded. The results of the study were remarkable, as those who used the brace saw a 100% improvement in their shoulder situation when compared to patients who did not use the shoulder brace.

During the study, it was found that the patients did not need to wear the brace for more than three weeks before results were realized. Compared to those who used the brace, only 50% of those members of the study who were not given the nighttime brace became better over a similar one month period. This small but powerful study did reach statistical significance. The results of this study lend many to believe that this brace represents a new and exciting therapy to deal with this incredibly common problem of rotator cuff tendinitis.

Michael Carroll, MD is a board certified family physician with a special interest in sports medicine. He is the founding partner of Creekside Clinic, LLC, a progressive primary care center in Traverse City, Michigan and a member of both the American College of Sports Medicine, and the American Academy of Family Physicians.

He also holds special interest in shoulder pain and rotator cuff injuries specifically with regard to cutting-edge treatments and is the author of a Shoulder Pain Talk

Rehab for Tendonosis of Rotator Cuff

Get Rid of Tendonitis Now! Advice From an Expert

Tendons are ropes of fibrous tissue that connect muscles to bones. It is this connection that permits joint motion. When muscles contract, they pull on the tendons which cause the bones to move. In order for tendons to glide they move inside a lubricated sheath of tissue that is lined with synovial tissue. This synovial tissue is the same type of tissue that lines the inside of joints.

Tendonitis refers to a condition where the sheath through which a tendon glides becomes inflamed. This leads to severe pain. The pain usually gets worse with use of the affected joint. However, when tendonitis becomes severe, there may be pain at rest.

Since muscles and tendons surround most joints, tendonitis is rather common. The diagnosis of tendonitis is relatively simple for the experienced clinician. Generally, the diagnosis is made by history and physical examination. In difficult diagnostic cases, magnetic resonance imaging is helpful in confirming the diagnosis.

Some of the more common types of tendonitis are:

Shoulder tendonitis. The tendons in the shoulder that are most often affected are the rotator cuff and the biceps tendon. The rotator cuff consists of four tendons that sit on top of the upper arm bone. The location of these tendons and the muscles they attach to are what give the shoulder such an expansive range of motion. Rotator cuff tendonitis may occur as a result of repetitive activity or tendon degeneration. Pain is felt with most movements and is located on the outside part of the shoulder. The biceps tendon allows the arm to be flexed at the elbow. Biceps tendonitis also occurs due to repetitive activity and pain is felt in the front of the shoulder. Shoulder tendonitis can be treated successfully with anti-inflammatory medication, physical therapy, and occasionally glucocorticoid injection.

Tendonitis in the elbow is usually located either on the outside and is called lateral epicondylitis or tennis elbow. It may also occur along the inside part of the elbow- medial epicondylitis. This is called golfer's elbow. Treatment consists of physical therapy, stretching and strengthening exercises, splints, and injections. Rarely, surgery is required.

Tendonitis in the wrist arises because of repetitive motion. A special type of tendonitis, called Dequervain's tendonitis, is felt on the out side of the thumb. Tendonitis in these areas is managed with glucorticoid injections and immobilization with a splint. Other physical therapy modalities may be helpful. Sometimes surgery is required. Tendonitis in the fingers can lead to catching of the fingers. This is termed "trigger finger." Trigger finger usually responds to injection but may require operative intervention.

Tendonitis in the knee may affect the patellar tendon. This is the tendon that connects the knee cap to the tibia (lower leg bone). Patellar tendonitis usually occurs because of excessive jumping and is actually called "jumpers knee." This is treated with rest, anti-inflammatory medications, and physical therapy.

Tendonitis in the ankle can occur along the outside of the ankle (peroneal tendonitis), the inside of the ankle (posterior tibial tendonitis), or at the back of the ankle (Achilles tendonitis). The tendonitis that occurs along the outside or inside of the ankle can occur because of trauma or because of mechanical instability. Another potential cause is an underlying arthritis condition.

Achilles tendonitis often occurs as a result of excessive stress and repetitive trauma. The Achilles tendon is the thick cord at the back of the ankle that connects the heel bone to the calf muscle. Treatment involves rest, elevation of the heel to take the tension off the Achilles tendon, and physical therapy. Glucocorticoid injection should be avoided because of the danger of Achilles tendon rupture. Anti-inflammatory medication may be helpful.

A new treatment approach has made the need for surgery less likely for patients with chronic tendonitis. The procedure is called "percutaneous needle tenotomy". In this procedure, a small gauge needle is introduced using ultrasound guidance. The needle is used to irritate the tendons stimulating the inflammatory response. platelet rich plasma, obtained from the patient's whole is then injected into the area where the tendons have been irritated. Platelets are cells in the blood that contain multiple growth and healing factors. The end result is the formation of new healthy tendon tissue.

Dr. Wei (pronounced "way") is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians. For more information on arthritis and related conditions, go to:
Arthritis Treatment and Tendonitis Treatment Tips

Shoulder Tendonitis Surgery - Rotator Cuff Tendonitis

Rehab for Tendonosis of Rotator Cuff

First let's find out what shoulder tendonitis or rotator cuff tendonitis is? There are several other names that this can be called. Some are known as tennis shoulder, pitcher's shoulder and even a shoulder impingement. These are all common names for a very similar problem.

So what is it? Shoulder tendonitis or rotator cuff tendonitis is the inflammation and can be an irritation and swelling of the tendons of the shoulder. The shoulder joint is a ball and socket type joint. The top part of the arm bone (humerus) forms a joint with the shoulder blade (scapula). The rotator cuff holds the head of the humerus into the scapula.

What is the most common cause of rotator cuff tendonitis?

A lot of the time the problem occurs with sports. Inflammation of the tendons of the shoulder muscles occur in sports using the arm being moved over the head repeatedly. Such sports are tennis, baseball (pitching mainly) swimming and even lifting weights over the head. What happens sometimes is you get the inflammation or injury and can cause the tendons of the rotator cuff to tear. Sometimes this occurs in people over 40 years of age.

Some of the symptoms

Pain when the arm is moved
Arm is weak when rising over your head
Pain in shoulder at night, especially when lying on the affected shoulder.
Pain in arm when performing overhead activities

How to find out if you have shoulder tendonitis?

X-ray's or MRI. X-ray's can show a burn spur. The MRI can show the inflammation in the rotator cuff. There could also be a tear in the rotator cuff and the MRI will show this.

Shoulder Tendonitis Surgery

Before shoulder tendonitis surgery, you should try physical therapy to strengthen the muscles of the rotator cuff. If the pain is too great to start physical therapy a steroid injection (cortisone) may reduce pain and inflammation enough to start effective therapy.

If there is a tear in the rotator cuff or therapy has not helped and symptoms persist, shoulder surgery may be necessary. For most shoulder surgery, this can be accomplished with arthroscopic surgery. This type of surgery is effective in removing the bone spur and inflamed tissue around the shoulder.

You can also treat small tears with shoulder tendonitis surgery and arthroscopic surgery. There are even some new techniques that allow even large tears to be repaired with arthroscopic surgery. Now there are some large tears that are going to require open surgery to repair the torn tendon.

Shoulder Tendonitis Surgery Expectations

Once the shoulder tendonitis surgery is completed and the bone spur or tear has been repaired arthroscopic ally, you can expect the use of the shoulder to pre-injury levels. The activities that you performed prior to the injury should be able to perform them once again.

There are a couple of factors in determining the success of the shoulder tendonitis surgery. People with tears of their rotator cuff that have had the shoulder tendonitis surgery (arthroscopic) will do well. It will depend upon the size and the duration of the tear. The age of the patient will also have a bearing on the outcome and what the pre-injury level of function was.

So there are some things that you can do and the success of the shoulder tendonitis surgery should have a successful outcome in most cases. In another article I will discuss the rehabilitation of shoulder tendonitis surgery.

Other Tendonitis topics visits: Shoulder Tendonitis Surgery or for Pain Relief visit Tooth Pain Relief

About the Author

Have had many articles published on a variety of subjects. Co author of the best selling golf ebook called "Putt Lights Out". You can find this ebook at http://www.puttlightsout.com. For more information on tendonitis topics visit http://www.tendonitistypes.com

Treat Shoulder Tendonitis Before Its Too Late (Rehab for Tendonosis of Rotator Cuff)

Shoulder tendonitis is the inflammation of the tendons around the shoulder's rotator cuff and upper bicep area. Shoulder tendonitis is usually developed by sports and activities that require you to lift your hands above your head repeatedly. Common activities that often lead to shoulder tendonitis are strength training (bodybuilding), some certain swimming strokes, racket sports like squash and tennis, cricket and any manual job that requires lifting of items over the shoulders.

The early symptoms of shoulder tendonitis include some light pain in the area where the upper bicep meets the shoulder and possibly some light swelling and tenderness. Usually the pain only occurs when the shoulder is under pressure. As the tendonitis develops the pain will occur at any time of the day or night, even when you are sleeping. The area where the pain occurs will get larger often encompassing the entire rotator cuff area and in some cases the upper bicep. Movement of the shoulder will be very restricted often painful.

So how do you know if you are developing shoulder tendonitis? As mentioned above, the first sign of tendonitis developing is the pain in the shoulder when it's under pressure. If you feel a pain in your shoulder when you are lifting heavy weights and playing sport this is usually a sign that tendonitis is developing.

The first (and most obvious) step to take is stop doing whatever activity is causing the pain in your shoulder. We recommend that you stop this activity for at least one week. After that week, you should attempt lifting some very light weights to see if the pain is still occurring. If the pain does not occur, then it is likely that you simply strained your shoulder muscle or in more serious cases damaged the tendon temporarily. In this case you should ease back into the activity. If the pain does occur, it is likely that you have developed mild shoulder tendonitis.

Now that you have identified that you have tendonitis in your shoulder you must rest it once again. This time rest it for about three weeks. During this three week period you should not partake in any activity that may strain your shoulder. This includes light lifting and sports.

After that three weeks is up it is time to start to strengthen the shoulder to prevent the tendonitis. There are several light exercises that you can do strengthen your shoulder muscles and tendons. You should start with very light weights, 1kg should be about right for males and .5kg for females.

Start by holding the weight in your right hand with your palm facing your body. Keeping your arm straight raise the weight straight out in front of you until it is at shoulder height. Repeat this exercise for twenty repetitions. Repeat for your left hand. Now get the same weight and instead of moving it out to your front move it out to your side. Keep your arm straight and do this exercise for twenty repetitions. Repeat for your left arm.

If you feel any pain during these exercises it is time to go and see your doctor or physician. It is possible that your shoulder tendonitis may require further treatment. See links at the bottom of this page for details.

If these exercises do not bring back the pain in your shoulder you are on the road to recovery. You should do these exercises every day for one to two weeks. You may increase the weight slightly if the exercises are feeling too easy for you. But remember now to overdo it.

So in about four to five weeks you should be able to get back into the sport, exercise or activity that caused your shoulder pain. You should always ease back into exercise. Make sure you warm up and stretch your shoulder for about ten minutes before and after the activity.

Remember, shoulder tendonitis can be permanent, but it also can be treated relatively easily without medication. Many people get inpatient and do not give the shoulder sufficient rest time or recovery time before attempting a possibly straining activity. If you do not rest and strengthen your shoulder correctly there is a large possibility that shoulder tendonitis will develop again. If you shoulder pain does reoccur you should see professional advice from your doctor physician.

About the Author

For more information see our shoulder tendonitis information page. This page has all the information you need to know about tendonitis in the shoulder including treatment, symptoms and prevention. This page is part of the info57.com information portal.

Rotator Cuff Shoulder Anatomy Spurs (Rehab for Tendonosis of Rotator Cuff)

Rotator Cuff Shoulder Anatomy Spurs

The shoulder is a ball and socket joint. The ball is called the head of the humerus and the socket is called the glenoid (it's part of your shoulder blade, also known as the scapula). Sometimes, arthritis can form here. On top of this ball and socket joint is another bone known as the acromion. This is a frequent place for bone spurs to form. Right next door to the acromion is the acromioclavicular joint or "AC joint" for short. This is a common place for shoulder separations.

A group of four (4) muscles helps to move your shoulder joint; they are called the rotator cuff. These muscles work together to help get your arm up over your head, as well as rotate it in and out. That's why rotator cuff injuries usually result in weakness, especially in trying to raise the arm overhead. One of the four muscles is injured much more frequently than the others; it is known as the supraspinatus muscle.

In addition, these rotator cuff muscles function to help keep your shoulder "in socket", or "located" (when the shoulder comes out of socket, it's called "dis-located"). You have several ligaments in your shoulder that help to keep it in place. Finally, there's an "O-ring" around the socket, called the labrum, which also helps keep your shoulder in socket and causes pain and popping when it's torn.

Rehab for Tendonosis of Rotator Cuff

Source

Shoulder Injuries Rotator Cuff (Rehab for Tendonosis of Rotator Cuff)

Rehab for Tendonosis of Rotator Cuff

There aren't many people that have shoulder injuries to their rotator cuff. It's not uncommon for many people to even have rotator cuff tears that occur as a result of either some form of repetitive stress, such as heavy lifting over their head to work, or as a result of a fall or some form of trauma to the shoulder area.

The rotator cuff is actually made up of a group of four muscles and their corresponding tendons that began in the area of the shoulder blade and continue on to cover the shoulder area, both protecting the shoulder and the shoulder socket from injury as well as allowing the shoulder to swing in an outward motion and in an upward motion.

The symptoms of the rotator cuff tear generally occur over time. At first they are easily taken care of with some form of over-the-counter pain medications, but eventually they may get strong enough that a person will seek medical advice. In the case of a fall or a sudden trauma to the shoulder area the pain will be sudden and acute, along with a weakness in the arm and a possible snapping sensation.

Some of the possible shoulder injury rotator cuff treatments include immobilizing the arm with the use of a sling, minimizing the use of the affected area, rehabilitation exercises either at home or by using a professional therapist, and perhaps even surgery. Although it is generally not possible to avoid such things as falls or trauma to the area, it is possible to avoid injury due to repetitive injury such as lifting over the head at work.

If you are already suffering from a rotator cuff shoulder injury that it is best to seek advice, as well as some possible exercises that you can do from a professional.

Overcome a painful rotator cuff injury and get rid of shoulder pain for life. Download our Special Report at http://www.rotator-cuff-help.info/

Rotator Cuff Exercises - an Online Special Report, Now Available to Download.