Understanding Rotator Cuff Tendinitis
Rotator cuff tendinitis is a common issue that affects many people, particularly those who engage in repetitive shoulder activities. This condition occurs when the tendons of the rotator cuff—the group of four muscles that stabilize and move the shoulder—become inflamed or irritated. Tendinitis can result from acute injuries or, more often, from chronic overuse, leading to pain, limited movement, and difficulty in everyday tasks.
What Happens in the Shoulder
The rotator cuff includes the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. Each plays a vital role in keeping the shoulder stable and allowing a wide range of arm movements. Tendinitis usually develops when these tendons are repeatedly stressed, especially during overhead activities common in sports, manual labor, or certain jobs. When the tendons become inflamed, it can result in pain, swelling, and decreased range of motion. If left untreated, tendinitis can sometimes progress to tears in the rotator cuff, complicating recovery.
Who Is at Risk?
Several factors can increase the likelihood of developing rotator cuff tendinitis. Age is a major one; people over 40 are generally more susceptible due to natural wear and tear on the tendons. Additionally, those who perform repetitive shoulder movements—like swimmers, baseball players, and construction workers—are at greater risk. Anatomical factors, such as bone spurs or variations in shoulder structure, can also make tendinitis more likely.
Recognizing the Symptoms
The most noticeable symptom of rotator cuff tendinitis is shoulder pain, often described as a dull ache. Individuals may notice increased discomfort during activities that require lifting the arm or reaching overhead. Other symptoms include tenderness in the shoulder, stiffness, and a feeling of weakness. In some cases, pain might radiate down the arm or worsen at night, disrupting sleep.
How Is It Diagnosed?
Diagnosing rotator cuff tendinitis typically begins with a detailed medical history and a physical exam. Healthcare providers assess the patient’s range of motion, strength, and pain levels during specific movements. Imaging tests, like X-rays or MRIs, can help visualize the rotator cuff tendons and rule out other issues, such as tears or bursitis.
Treatment Options
Managing rotator cuff tendinitis usually involves a combination of approaches. Initial treatment focuses on conservative methods, such as rest, applying ice, and using non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation. Physical therapy is also key, focusing on exercises that strengthen the rotator cuff and improve shoulder mechanics. For those who don’t see improvement, corticosteroid injections may be recommended.
If conservative treatments fail, surgery might be necessary. Surgical options can include arthroscopic procedures to remove bone spurs, repair torn tendons, or relieve pressure in the shoulder joint.
Conclusion
Rotator cuff tendinitis is a common condition that can significantly affect daily life. Early diagnosis and effective management are crucial for recovery. Individuals experiencing persistent shoulder pain should seek medical advice to receive a proper diagnosis and treatment plan. With the right care, most patients can regain full shoulder function and return to their favorite activities.
If you think your shoulders need some attention, please call us at (02) 8411 2050. At Thornleigh Performance Physiotherapy, we can give you an accurate diagnosis and treatment, to help you get back in action as soon as possible. We are conveniently located near Beecroft, Cherrybrook, Hornsby, Normanhurst, Pennant Hills, Waitara, Wahroonga, Westleigh, West Pennant Hills, and West Pymble.