Rotator Cuff Tears | Physio4Life

Rotator cuff tears

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INJURY TITLE

Rotator cuff tears

 

INJURY OVERVIEW

Exactly as is sounds.  It is tearing of a portion of the rotator cuff away from the arm bone.  It is usually trauma related (in athletes) but can also be related to age and degeneration of the tendon over time.

 

INJURY IN-DEPTH INFORMATION

Nearly always associated with pain on movement.  There may or may not be previous history of shoulder injury.  The injury itself is usually seen in older athletes due to degeneration occurring  in the tendon.

 

COMMON SIGNS & SYMPTOMS

  • Sudden onset of pain and/or loss of function
  • Some limitation of function
  • Usually difficulty sleeping on the affected side.

 

HOW IS IT ASSESSED

  • Diagnosis is confirmed by Ultrasound scan or MRI.
  • Muscular testing of the shoulder coupled with what the patient reports during the subjective assessment.

 

 

 

GENERAL TREATMENT

If the tear is small then conservative measure are plenty to ensure a good return to function.  This would involve strengthening of the rotator cuff, and stretching major shoulder muscles (pecs and lats).

 

If the tear is large enough and loss of function is sufficient, then a surgical opinion could be required.

 

Exercise Videos: i.e.

  • Rotator cuff strengthening
  • Pec stretch
  • etc

 

WHICH HEALTH PROFESSIONAL TO CONSULT

PHYSIO     x

MEDIC     x

PODIATRY     

Put an ‘X’ next to each health professional that most commonly deals with this injury.

i.e. tennis elbow would be Physio and Medic as injections are common, whereas for muscular LBP it would be Physio and not Medic as they would just refer them to a Physio.

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