Rotator Cuff Tendonitis
What is Rotator Cuff Tendinitis?
Rotator Cuff tendinitis is inflammation of one or more of the tendons that form the rotator cuff (RTC). The RTC is a group of four muscles and tendons that hold the ball of the shoulder joint (head of the humerus) lightly against the socket.
What are the symptoms of Rotator Cuff Tendinitis?
Onset of symptoms is usually gradual. You may have pain in the front and upper part of the shoulder along with weakness, when moving the arm. This occurs more often when the arm is extended straight, then raised or lowered from about shoulder height and above. Pain may be worse at night, or when lying on the affected side.
What are the causes?
Usually repetitive overhead movements such as painting a wall or ceiling, or throwing type motions. A sudden increase in the intensity of RTC muscle contraction can also cause symptoms. This may happen when catching or lifting a heavy load overhead, or with heaver training and/or duration of overhead sports.
What do I do if I have sypmptoms?
It is important to treat a RTC problem. Without treatment the shoulder may get weaker, or stiffer, which can lead to a frozen shoulder. The first step is to limit the provoking activities. Ice for 20 minutes, three times a day to the shoulder may also help. NSAID's (ibuprofen or aleve) may also help in reducing inflammation. Check with your doctor for dosage, and if it is safe for you to take NSAID's.
Physical Therapy is often prescribed to treat RTC problems. You will be instructed in range of motion exercises to keep the shoulder moving freely. Stretching and strengthening of the RTC muscles, and strengthening of the muscles which stabilize the scapula or shoulder blade will return the altered mechanics of the shoulder joint complex back to normal. If caught early, 1-3 weeks of physical therapy and modified activity will resolve the condition. If the tendinitis is more severe, it may take 6-8 weeks of rest and rehabilitation.
...this article first appeared in the July, 2008 Health & Wellness section of the "Canyon Courier."
