ROTATOR CUFF INJURY
The rotator cuff consists of a group of muscles and tendons surrounding the shoulder joint, which provides stability during shoulder movement. A rotator cuff injury may present as a dull aching pain inthe shoulder, and the pain may worsen when the arm is lifted away from the body. Rotator cuff injuries are common in people with occupations that require them to perform repetitive overhead movements, including athletes such as tennis or badminton players. The risk of developing a rotator cuff injury increases with age, and it often occurs in people aged 50 years or above.
Causes
- Trauma to the shoulder
- Progressive degeneration (wear and tear of tendon or soft tissue)
- Repetitive overhead activity
- Repetitive heavy lifting
Common Signs and Symptoms
- Deep, dull ache in the shoulder
- Weakness when lifting or rotating your arm
- Pain at rest and at night, particularly if lying on the affected shoulder
- Difficulty in tying up or combing hair
- Difficulty in reaching behind back
How can a Physiotherapist help?
- Our experienced physiotherapists can assess your condition for an accurate diagnosis, as well as check for injury to other structures around the shoulder joint.
- He or she will then manage your symptoms by tailoring a customized treatment plan, which typically involves a combination of the following:
- Restoration of range of movement and improve shoulder flexibility
- Improving muscle strength and joint proprioception to reinforce stability
- Reinforcement of muscle recruitment
- Ultrasound therapy
- Sports taping
- Rehabilitation can also be function-specific or sport-specific depending on your goals. Our physiotherapists will ensure a safe transition in your recovery to doing what you do best.
Shoulder rotator cuff injuries can be debilitating. It is best to seek help early. Feel free to send in your queries to our Ask a Physiotherapist Whatsapp Service at 9899 7967, or call us at 9126 8257 to arrange an appointment. Let our physiotherapists help with the management of your rotator cuff pain!
FROZEN SHOULDER
Also known as adhesive capsulitis, this is a condition where the tissues surrounding the shoulder joint become inflamed and tight, causing pain and restriction in movements of the shoulder.
Frozen Shoulder happens in 3 stages:
Freezing
- Pain is worst at this stage. The shoulder does not feel very stiff but it becomes too painful to move the shoulder.
- This stage usually lasts between 6-12 weeks.
Frozen
- Pain is reduced but the shoulder feels stiff and tight. Daily activities such as combing the hair or scratching the back may be difficult.
- This stage usually lasts between 4-6 months.
Thawing
- The shoulder starts to feel less stiff and gradual return of shoulder motion is expected.
- This stage can usually take anywhere between 6 months to 2 years.
Causes
- The primary cause is still unknown.
- Frozen shoulder usually affects those between 40-60 years of age. Women have an increased risk as compared to men.
- Previous shoulder injury or surgery puts you at risk of developing frozen shoulder.
- Several medical conditions increase the risk of developing a frozen shoulder, such as diabetes, hypothyroidism, hyperthyroidism, Parkinson’s Disease and obesity.
Common Signs and Symptoms
- Dull or achy pain and stiffness around the shoulder joint.
- Difficulty in daily activities such as reaching overhead, combing the hair, reaching for the back pocket or hooking bra.
- Most often, sleeping on the affected shoulder brings on discomfort.
How can a Physiotherapist help?
- Identifying the stage of the condition is important as different stages require different approaches to deal with the symptoms. Whilst an X-Ray/MRI/Ultrasound scan can help with the diagnosis, it is not an absolute necessity. Coupled with a good record of past symptoms, our physiotherapists can carry out a physical examination to accurately identify the stage that the patient is suffering from.
- Depending on the severity of condition, our physiotherapists can customize and guide you in managing the condition. If pain medications, injections and anti-inflammatory drugs are needed to manage the pain (especially in the Freezing Stage), we can refer you to a doctor to get the necessary treatment.
- Physiotherapy sessions comprise of stretching and manual therapy which can improve the range of motion, especially during the Frozen and Thawing Stages. In addition, the physiotherapist can advise on exercises to achieve good posture, and modification of activities to better manage the condition. Exercises will also be given to help you improve any further range or strength deficits you may have.
