Tag Archives: tear

Rotator Cuff Tears

This issue is close to my heart because as I wrote in the first post, I have a “small full thickness tear of the Supraspinatus” (I just quoted my ultrasound results). The tear is only 6.7 mm but it’s still very painful. I wanted to know more details about my rotator cuff injury, so I gathered all the information I read about rotator cuff tear and I decided to write here briefly what is a rotator cuff tear and how it can be treated.

Rotator Cuff Tear Background

A Tear of a rotator cuff tendon of the shoulder is the most common tendon tear in the body. Most rotator cuff tears occur in the Supraspinatus muscle, but other parts of the rotator cuff may be involved.

A rotator cuff tear can be partial or complete and can occur as a result of a trauma such as falling on the arm (acute pain) , and it can occur as a result of the tear and wear through the years (chronic pain).

Rotator Cuff Tear Symptoms

  • Severe pain when lifting the arm
  • Weakness in the shoulder
  • Difficulty in sleeping on the injured shoulder
  • Cracking sensation when moving the shoulder
  • Pain which radiates down the front of the shoulder or into the neck

Rotator Cuff Tear Diagnosis

  • Examination of the range of motion of the shoulder
  • Examinations of the instability of the shoulder joint
  • X-ray for the shoulder (less clear to diagnose a soft tissue problem)
  • Ultrasound or MRI as an addition to the x-ray

Rotator Cuff Tear Treatments

The treatment is determined by the size of the tear, the patient’s age, functional limitations and pain.

  • Physical therapy
  • Anti-inflammatory medications to ease the pain
  • Exercises for rotator cuff strengthening
  • Steroid injunctions
  • Using a sling
  • Ultrasound
  • In some cases the doctor will decide a surgery is necessary

Rotator Cuff Surgery Pain

The rotator cuff comprises a group of muscles that that help move the shoulder and keep the shoulder joint stable. If any of these muscles, their tendons or ligaments is damaged, it calls for rotator cuff treatments.

Surgery is the only option in case of a severe tear of the rotator cuff. The severity of rotator cuff surgery pain depends on the type of surgery that is performed. A small tear can be fixed via arthroscopic surgery, which requires more than one tiny incision to be made. Rotator cuff surgery pain management is not as severe if arthroscopic surgery is performed.

A severely torn rotator cuff calls for open surgery, which needs a large incision. During surgery, the skin is cut and the scar tissue is released, and bone and tendons are sutured. During surgery, the pain is managed by administering anesthesia and pain medications. After the surgery is over, strong pain medications such as Demerol or morphine are injected. When the rotator cuff surgery pain subsides in a day or two, oral pain medications such as Tylenol or hydrocodone are given to manage the pain.

Sometimes the patient is allowed to control the pain medications as needed. Pain medications are administered intravenously only for the first couple of days after the procedure. Post surgery, oral pain medications continue for a week or two.

The side effects of rotator cuff surgery pain medications are slowness of breathing, drowsiness, bowel and bladder difficulties, vomiting, nausea, and allergic reactions. The amount of pain medication depends on the patient’s response to it.

Once the patient is recovered from surgery, physical therapy exercises have to be begun. Sometimes rotator cuff surgery pain recurs when the shoulder is moved again during the exercise. It takes close to a year for a patient to fully recover from a rotator cuff surgery.

Rotator Cuff Exercises

How to heal a rotator cuff tear naturally?

It is very possible to heal a rotator cuff through the natural process of the body. In fact, there are people who would prefer this route since it means that there would be no chemicals that would have to be involved. With healing the rotator cuff naturally, it would be appropriate to do sets of the fantastic rotator cuff exercises.

These movements are designs to enliven the shoulders so that they will be able to develop their muscles. The rotator cuff Read more…

Shoulder Pain

Rotator Cuff Injury Types

Today I want to write about rotator cuff injury types because, apparently, it’s very easy to injure one of the rotator cuff muscles or tendons, and a lot of people are not even aware of how easily it can happen.

Rotator Cuff Injury Can Be Classified As

Acute rotator cuff injury as a result of a sudden and powerful movement (this can include falling, paddling the kayak etc)

Chronic rotator cuff injury as a result of an activity that aggravates the muscle

The Different Rotator Cuff Injury Types Can Include

Rotator cuff tendonitis (also called shoulder bursitis or impingement syndrome) – A rotator cuff tendonitis is an inflammation of the tendons, and this can happen because of the muscles wearing out with age or because of a trauma caused by everyday movement of the muscle (for example weight lifting).

Rotator cuff tear – A rotator cuff tear can be complete or partial tear and can happen as a result of a trauma or due to use and wear over time.

Symptoms Of A Rotator Cuff Injury

  • Lose of shoulder range of motion
  • Keeping your shoulder inactive
  • Inability to sleep on the shoulder
  • A cracking sensation in the shoulder
  • Pain especially in the top and in the front of the shoulder
  • Weakness in the shoulder

Rotator Cuff Injury Treatment

  • Rest is important to help your shoulder recover
  • Ultrasound will also ease the pain and enhance the healing process
  • Non-steroidal anti-inflammatory drugs such as: ibuprofen to ease the pain and inflammation
  • Sometimes the doctor may decide a surgery is needed, depends on the size, depth and location of the tear
  • Rotator cuff physical therapy exercises to strengthen the rotator cuff muscles and restore shoulder movement

Many People Neglect the Exercises for Rotator Cuff Part

Exercises for rotator cuff strengthening are extremely important to help the rotator cuff muscles heal and develop, and also to prevent future shoulder injuries.

Without the exercises for rotator cuff strengthening you are putting your shoulder in danger of further damage in the future.

Learn from my mistake and don’t disregard your physiotherapist instructions like I did.


Rotator Cuff Tear MRI

Rotator Cuff Tear MRI

Causing an injury to the rotator cuff of the shoulder is a common occurrence for most people, especially athletes. A fair number of injuries are likely to occur in this area, the prominent being shoulder bursitis and tendinitis. Your doctor will need to find out the exact type of injury in order to prescribe the proper treatment for it. Your rotator cuff will likely be inflamed and this inflammation might hide possible underlying tears in the tendon tissue. That means an X-Ray won’t be able to give the right diagnosis.

For all these reasons, a rotator cuff tear MRI is used to get a clear picture of the actual injury. MRI stands for Magnetic Resonance Imaging techniques. Rotator cuff tear MRIs allow doctors to be more precise in their diagnosis. Rotator cuff tear MRIs provide a clear picture of the injury, displaying both the bone and soft tissue groups. MRIs also show fluid and this is extremely useful in the case of fluid-related issues as well, such as an infection.

A rotator cuff tear MRI sees all those things that an X-Ray is not able to, such as injured tendons, bursitis, and bone spurs, small and large tears in the tendons and so on. X-Rays tend to not see beyond swelling and fluid retentions.
With the rotator cuff tear MRIs MRI results, a doctor can precisely determine whether to opt for surgery or not. Also, it is possible for the doctor to arrive at the type of surgery to perform in a specific case, based on the MRI results. It’s been proven during arthroscopic procedures that the results of the MRI matched 100% to the images thrown up by the arthroscopic cameras.

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