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Rotator Cuff Injuries- Shoulder pain


Shoulder pain Rotator cuff

Rotator Cuff Injuries: One common musculoskeletal ailment that is recognised as being debilitating and having a significant financial impact is shoulder pain. According to statistics, it is the third most typical musculoskeletal ailment that patients bring to physiotherapy. The discomfort and impairment caused by shoulder pain can significantly affect a person's daily life, capacity to work, and relationships with their family, community, and healthcare system.


Degenerative changes within the joint are a common occurrence as people age and can be seen in the majority of those over 50, with symptoms or no symptoms. More than 50% of people over the age of 70 experience chronic shoulder pain and disability, which is linked to a diminished capacity for everyday tasks that has an influence on health-related quality of life. A fundamental awareness of the changes brought on by ageing can aid in evaluation and management, which can be difficult.


According to prevalence estimates, up to 30% of people suffer shoulder discomfort at some point in their life, and up to 50% of people have at least one episode of shoulder pain per year. We can conclude that shoulder issues are rather prevalent. After three years, 54% of persons with shoulder issues state that their symptoms are still persistent. Since 30% of the population is thought to have rotator cuff tendinopathy, it is thought to be the most typical kind of shoulder pain. Those who engage in repetitive overhead activities, such as throwing sports like baseball or volleyball or jobs like painting or construction, are more likely to experience shoulder pain. Age-related increases in the incidence of rotator cuff tendinopathy must be taken into account while discussing.


The signs and symptoms of rotator cuff tendinopathy include dull shoulder joint soreness and pain around the four rotator cuff tendons, especially with overhead reaching, reaching behind the back, lifting, and sleeping on the affected side. More significant in shoulder elevation, an abduction that cannot go higher than 90 degrees, and anteflexion of the upper arm. Activities of daily living, or ADLs, can be quite painful. The discomfort is not immediate; rather, it develops gradually over time. Pain is accompanied by your shoulder's waning strength and your incapacity to move. There might also be some localised oedema.

Rotator cuff partial tears or para- tendinitis


How physiotherapy can aid in the healing of rotator cuff issues in patients:

Physical treatment for rotator cuff issues seeks to achieve a normal range of motion, lessen pain and swelling of the tendons, and finally strengthen the shoulder. Pain is initially treated with rest and ice. It's crucial that patients refrain from doing anything at first that will make their pain and symptoms worse. When the patient can continue these activities, the physiotherapist should provide guidance.


The physiotherapist can prepare the muscles for range-of-motion and strength exercises by using techniques like massage. The patient must perform the exercises in the right sequence, beginning with stretches and range-of-motion exercises and moving on to muscle-strengthening activities. The posterior capsule should be checked and stretched if necessary as shoulder internal rotation decreases.


It has been demonstrated that Kinesio taping can help with the treatment of rotator cuff tendinopathy. But more study is required.


Swelling and pain associated with rotator cuff calcific tendonitis should be successfully reduced by ultrasound percutaneous therapy.

Exercises suggested by physiotherapists have been proven to be efficient and helpful in treating shoulder tendinopathy.

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