ROTATOR CUFF TEAR
Symptoms: Symptoms of a rotator cuff injury are due to inflammation that results from the soft tissue injury associated with the strain. Shoulder pain, weakness, and reduced range of motion are the common symptoms. The swelling present in the rotator cuff is not usually visible due to how deep the rotator cuff is and the overlying musculature. Sharp pain with shoulder elevation possibly causing hiking or shrugging of the shoulder and dull/achy pain at rest is common. Some patients report a sensation of tearing or a sudden pop/click in the shoulder area accompanied by severe/sudden pain down the arm toward the elbow. Some chronic rotator cuff injury patients report no mechanism of injury but a gradual on-set of pain at night, and a gradual on-set of weakness and reduced motion.
Causes: Overuse is the most common reason for rotator cuff damage to occur. The rotator cuff is a group of four muscles that are responsible for keeping the ball of the humerus and the socket of the scapula in close connection during active motion of the arm. This group of muscles receive alot of stress during a lifetime and typically fray and wear throughout a lifetime.
Sudden trauma- can cause a quick stretch on the rotator cuff tissue, often combined with rotational forces, and/or shoulder dislocation.
Relief: Special testing by an Orthopedic physician or Physical Therapist can determine the presence of Rotator Cuff injury but the severity of the damage is most commonly assessed using MRI, Ultrasound, or CT scan. Surgical Intervention is often required for large rotator cuff tears and smaller tears are often treatable with a combination of anti-inflammatory medication, immobilization, and physical therapy intervention. Physical Therapy intervention includes manual therapy techniques to normalize the soft tissue and muscles that are limiting normal joint mechanics and putting excessive stress on the effected area of the rotator cuff. Pain relieving/anti-inflammatory modalities such as Ultrasound, Iontophoresis, laser, and Electric stimulation. Then a strengthening program is implimented that includes addressing the upper spine and shoulder complex to coordinate and normalize movement, to reduce stress and allow healing to occur.
If you’re experiencing shoulder pain, visit Neolife Physical Therapy & Wellness in D’Iberivlle, Mississippi today.
Causes: This condition is caused by compression of the median nerve at the wrist. The carpel bones of the wrist create a tunnel that allows the tendons of the forearm to the fingers and wrist pass through. This tunnel has a roof composed of a dense ligament that caps this tunnel. With excessive gliding of the tendons with the wrist out of a neutral position, friction can cause inflammation to build in this compartment putting pressure on the median nerve causing pain at and along the path of the nerve into the hand/fingers. Sleeping with wrist in “resting” flexed position also increases pressure exerted on this area
Relief: Gentle stretching, soft tissue mobilization/massage of the wrist ligaments/tendons/carpel bones. Modalities to relieve inflammation such as Ultrasound, Laser, E-stim, hot/cold, and Anti-inflammatory medications delivered through phonophorisis (ultrasound) or Iontophorisis (medicated patch) may be performed. Modifying the activity or resting the extremity may be recommended to allow healing to occur. Your therapist may recommend and fit you for a supportive brace to help support the extremity. Commonly an assessment and treatment of the neck, shoulder and elbow can improve overall nerve mobility and overall symptoms.
Neolife Physical Therapy & Wellness D’Iberville
4016 Cassimer Ave.
D’Iberville, MS 39540