Tag Archives: rehabilitation

Exercises for Rotator Cuff Injury Rehabilitation

There are many great exercises for rotator cuff injury, but there are two that are very easy to do and can be done on the go if you have a busy schedule that may limit the time you have to devote to physical therapies. Although these quick exercises for rotator cuff injury do not replace the care of a physician or physical therapist, they will go a long way in Read more…

Full Thickness Rotator Cuff Tear

Rotator cuff tears are a fairly common cause of mild to severe shoulder pain. The chances of the shoulder rotator cuff getting damaged increases as a person ages. Mostly this issue is caused by tendon degeneration and not injury or trauma in most cases.

Surgeons don’t always recommend surgery for a full thickness rotator cuff tear. At first, non-surgical treatment is tried. If the rotator cuff muscle refuses to respond to nonsurgical methods, or if the tear is caused due to muscular weakness, or loss of function, surgery is immediately recommended.

The trial of non-surgical management is considered appropriate, as there is no evidence that treating the tear with surgery early on gives better results. Full thickness rotator cuff tears that are caused owing to profound weakness or those that are caused acute trauma are considered for early surgery. This is especially true if the full thickness rotator tear is more than 3 centimeters long.

The surgical treatment of a full thickness rotator cuff tear is meant to repair the tendon back to the ball of the shoulder joint from where it was torn. The surgeon’s choice of surgical method to fix this tear depends on many factors. One of these factors is the surgeon’s familiarity with a specific procedure and experience.

The second consideration would be the size of the tear, how good the tendon tissue or the bone is, and the patient’s ability to heal and so on. The commonly used surgical methods to fix full thickness rotator cuff tears are mini-open repair, open repair, and arthroscopic repair.

An individual surgeon’s ability to repair a torn rotator cuff and achieve a satisfactory result varies by technique. Variation is based on experience and familiarity with the technique. Although one surgeon may be capable of achieving a quality repair through all-arthroscopic means, another may have better results with mini-open repair. Prior to surgery, patients should discuss the options available to them with their surgeon. The surgeon can share results of using different techniques so that the most appropriate treatment plan can be designed.

Rotator Cuff Injury Rehabilitation Locations

There are several ways to achieve health rotator cuff injury rehabilitation. As with all rotator cuff injury rehabilitation a knowledgeable medical professional should advise you on the perfect method for your own rotator cuff injury rehabilitation.

Chiropractics

Although most rotator cuff injuries alone are not treated specifically for rotator cuff injury rehabilitation at a chiropractic clinic, some rotator cuff injuries can be sustained or inflame by other injuries as well. For this reason some sort of chiropractic treatment may be a required part of your rotator cuff injury rehabilitation.

Physical Therapy

Rotator Cuff Injury Rehabilitation is likely to include some means of physical therapy. These therapies can include heat therapy, exercise or even electrical stimulation of muscles and supporting tissue. The values of physical therapy for rotator cuff injury rehabilitation may still yet to be fully uncovered. This highly common form of rehabilitating muscles and tissues to their original state has been a very effective means of rotator cuff injury rehabilitation for many years.

Acupuncture

Though this form of rotator cuff injury rehabilitation is not as commonly used in this country as others it is still an acceptable and understood method in which to achieve full recovery. This method involves the insertion of very small painless needles into the muscles in around an afflicted area. The key placement of the needles are of utmost importance and are proven to provide relief for many painful injuries and help in these kinds of injuries.

Hydrotherapy

This doesn’t have to be some complicated expensive form of rotator cuff injury rehabilitation. You can gain the same benefit by simply performing rotator cuff exercises while immersed in a swimming pool or even a nearby safe lake or river. Performing your rotator cuff injury rehabilitation in this manner allows for a very slow build up of muscle to allow you to recuperate fully, not just quickly.

Inflamed Rotator Cuff

The rotator cuff comprises of four tendons that attach the four shoulder muscles to your upper arm. When there is an injury to any one of the rotator cuff muscles, the resulting pain and the loss of mobility in the injured shoulder can be severe.

Rotator cuff muscle injuries can be of different types. The muscles can tear due to injury or trauma, or the rotator cuff can become inflamed. When the rotator cuff becomes inflamed, the condition is referred to as tendinitis. This condition is characterized by chronic swelling or inflammation of the tendons either due to improper use, overuse or tendon irritation. This common problem affects the shoulder and is not something happens only to sports people.

An inflamed rotator cuff can bother the patient for some time and then might seem to disappear. However, an inflamed rotator cuff can be torn due to overuse and must not be taken lightly. Some people with an inflamed rotator cuff can develop calcium deposits or even abnormal growths in the bone that are called bone spurs. Either condition can aggravate the tendons, thereby causing weakness tear to the rotator cuff, either partial or full.

Many doctors overlook the seriousness of an inflamed rotator cuff. They treat the inflammation with anti-inflammatory agents or steroid injections.  When these anti-inflammatory drugs wear off, the inflammation occurs again when the patient throws a ball the next time.

When this happens, the tendon is pinched or impinged again and the pain returns, requiring another shot of the steroid anti-inflammatory.  The best way to treat rotator cuff inflammation is to strengthen the cuff muscles so that the head of the shoulder is held firmly in place. If the shoulder muscles don’t slip, inflammation will not occur.

Rotator Cuff Recovery

Rotator cuff recovery from a rotator cuff injury or surgery can be a long, complicated process. Rehabilitation post surgery is one of the biggest downtimes of rotator cuff procedures.

If the injury is mild, your surgeon’s rotator cuff recovery instructions will be that you completely rest the injured shoulder until it recovers. Mild inflammations and inflamed bursae can be treated with rest and physical therapy, after a thorough checkup and MRI scan to ensure there are no secondary complications.

Rotator cuff recovery from a more serious injury would require that the shoulder be bound in a tight tape bandage that cannot be removed easily. Since the shoulder is one of the main areas of the body and therefore involved in many different body movements, keeping this area immobile is very essential to recovery.

Inflammations are mostly treated using steroids. Once the inflammation reduces, the shoulder is moved in particular ways using physical therapy procedures. The initial movements are meant to get the shoulder get used to lifting the arm. The more complex exercises allow the shoulder to remember how to rotate the arm and how to pull objects.

Rotator cuff recovery from surgery is the toughest. If the surgery is arthroscopic, recovery includes the same process as when the rotator cuff is injured. Usually surgery is not recommended unless the rotator cuff is torn all the way through the tendon. For mild tears, physical therapy and rest are the prescribed norms.

Once the tear in the tendon is stitched up, the shoulder is bound and packed tightly into a sling. Rotator cuff recovery doesn’t take too long if the patient responds well. In the case of an open surgery, rotator cuff recovery can take a long time because the larger incision has to heal and the pain is more severe.