rotator cuff strain & Shoulder pain
The rotator cuff is the group of muscles present in the shoulder. The rotator cuff consists of four muscles that help stabilize, raise and rotate the arm. The four muscles are the infraspinatus, supraspinatus, subscapularis, and, teres minor they connect the scapula to the Humerus. Generally, rotator cuff strain is caused by falls, overuse, excessive stress on the shoulder, jerky activity, sports injury in throwers, contact sports (football, rugby, hockey, etc), or the aging process (wear & tear). Generally, minor rotator cuff strain can lead to severe tears simply due to negligence of the initial strain.
Usually, patients have pain on the outside of the shoulder down the arm, and up the neck, symptoms include limited mobility which is the inability to raise one’s arm above shoulder level, and inflammation. There is a need for treatment to heal the rotator cuff strain. Any delay in treatment can cause permanent deformity of the shoulder joint. Or long-standing rotator cuff tear will eventually lead to arthritis or a frozen shoulder.
Traditional treatment of rotator cuff strain includes Rest, Icing, pain medication, and corticosteroid injection that alleviates inflammation, however too many corticosteroid injections can lead to tendon weakness.
Degree 1 and 2 tears of rotator cuff tear can effectively be treated with physiotherapy and grade 3 tears can be fixed with surgery and then physiotherapy rehabilitation is important for recovery and regaining functionality.
Treatment at the acute phase of strain is with rest, icing, and the use of a brace or sling to let the rear heal and once the inflammatory phase is over then you must start with physiotherapy to avoid complications.
PHYSIOTHERAPY TREATMENT INCLUDES:
Elite Physiotherapy & Sports Injury centre is equipped with the latest technology tools for the treatment of rotator cuff strain such as Ultrasound therapy, Extracorporeal shock wave therapy, High-intensity laser, Cryotherapy, TR-Therapy machine, etc.
Strengthening exercises such as elastic band strengthening, for holding the towel or magazine under your armpit to block deltoid contraction > then use an elastic band to strengthen rotator cuff muscles pulling inward for a few sets then outwards.
Stretching to improve mobility- Stand up straight and relax your shoulders. Take your affected arm across your chest, but below your chin; reach as far as possible. The unaffected arm supports by holding the elbow of the affected arm.
Manual mobilization such as Scapulothoracic mobilization, and posterior capsular mobilization.
Shoulder Kinesio taping.
Dry needling to increase shoulder mobility.
Upper extremity plyometric exercises.
Blood flow restriction (BFR) treatment.
Conditioning of muscles.
Home exercise program- Pendulum swings, shoulder isometric exercises.