Do you find everyday activities challenging because of shoulder pain? Have you ever felt a dull ache that won’t go away, impacting your ability to play sports or even lift your child? If so, you might be dealing with a rotator cuff injury, one of the most common afflictions affecting the shoulder.
The rotator cuff is a group of muscles and tendons that stabilise the shoulder joint, enabling a wide range of motion. Unfortunately, it’s also susceptible to injury, particularly among athletes, manual labourers, and those whose shoulders are frequently stressed by repetitive movements. With rotator cuff injuries notoriously difficult to recover from, understanding the right treatment options is crucial.
Physiotherapy has emerged as a pivotal component in the rehabilitation journey for those suffering from rotator cuff injuries. It not only aids in alleviating shoulder pain but also focuses on strengthening and restoring function to the shoulder.
What is the rotator cuff?
The rotator cuff is a group of four muscles and their tendons that surround the shoulder joint. The four rotator cuff muscles:
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
Key functions of the rotator cuff
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Stabilises the shoulder joint: The rotator cuff muscles help to keep the ball of the upper arm bone (humerus) securely in the shallow socket of the shoulder blade (scapula).
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Rotates the arm: These muscles allow you to rotate your arm inward and outward.
- Lifts and abducts the arm: The rotator cuff helps you lift your arm away from your body and raise it overhead.
Common rotator cuff injuries
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Tears: Rotator cuff tears are a common cause of shoulder pain. They can occur from a sudden injury or develop gradually over time due to wear and tear.
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Tendinitis: This is inflammation of the rotator cuff tendons, which can cause pain and stiffness in the shoulder.
- Impingement: This occurs when the rotator cuff tendons get pinched between the bones of the shoulder, causing pain and inflammation.
Common symptoms of rotator cuff injuries
- Pain in the shoulder, especially when reaching overhead or lifting.
- Weakness in the shoulder.
- Difficulty sleeping on the affected side.
- Grinding or clicking sensation in the shoulder when moving it.
What can a physio do for a rotator cuff injury?
Physiotherapy is a common and effective treatment for rotator cuff injuries. The goal of physiotherapy is to reduce pain, improve range of motion, and restore strength and function to the shoulder.
Here are some of the ways a physiotherapist may treat a rotator cuff injury:
1. Exercises
Your physiotherapist will teach you a variety of exercises to strengthen the muscles of the rotator cuff and improve range of motion of your shoulder joint. These exercises may include stretching, strengthening, and range of motion exercises.
Some of the exercises that your physiotherapist may recommend:
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Pendulum exercises: These exercises involve swinging your arm in a circle while leaning over.
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Doorway stretch: This stretch involves placing your forearms on a doorframe and leaning forward until you feel a stretch in your chest and shoulders.
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Side-lying external rotation: This exercise involves lying on your side with your injured arm bent at a 90-degree angle. You then slowly rotate your arm outwards, keeping your elbow against your side.
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High-to-low rows: This exercise involves pulling a resistance band or weight towards your chest, keeping your elbows close to your sides.
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Reverse fly: This exercise involves raising your arms out to the sides, keeping your elbows slightly bent.
- Lawnmower pull: This exercise involves pulling a resistance band or weight towards your hip as if you were starting a lawnmower.
2. Manual therapy
Your physiotherapist may use manual therapy techniques, such as massage and joint mobilisation, to reduce pain and improve joint mobility.
3. Modalities
Your physiotherapist may use modalities such as taping, or heat therapy to reduce pain and inflammation.
The specific treatment plan will vary depending on the severity of your injury and your individual needs. Your physiotherapist will work with you to develop a plan that is right for you.
Benefits of physiotherapy for rotator cuff injuries
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Reduced pain: Physiotherapy can help to reduce pain and inflammation in the shoulder.
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Improved range of motion: Physiotherapy can help improve range of motion in the shoulder.
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Increased strength: Physiotherapy can help strengthen the muscles of the rotator cuff.
- Restored function: Physiotherapy can help restore function of the shoulder.
If you have a rotator cuff injury, it is important to see a physiotherapist as soon as possible. Early treatment can help to prevent further damage and speed up recovery.
Final thoughts
Prioritising physiotherapy treatment for rotator cuff injuries can be a game-changer in your recovery journey. With the right exercises, expert guidance, and commitment to your rehabilitation, you can regain strength, mobility, and confidence in your shoulder.
Remember, healing is not just about overcoming pain; it’s about returning to the activities you love.
Book an appointment with one of our highly qualified physiotherapists at Enhance Physio before starting a rehabilitation program. We can advise you on the best course of action for your condition.
