Rotator cuff tendinopathy is a common shoulder condition affecting many people, especially those engaging in repetitive arm movements or overhead activities. The rotator cuff consists of four muscles and their tendons, providing stability and facilitating shoulder movement. Tendinopathy refers to the degeneration of these tendons, leading to pain and reduced function.
Causes
The primary cause of rotator cuff tendinopathy is overuse. Repetitive shoulder movements, especially those involving lifting or reaching overhead, can strain the tendons. Athletes, particularly those in sports like baseball, tennis, or swimming, are at higher risk. Additionally, occupations that require repetitive shoulder movements, such as painting or carpentry, can also contribute to the development of this condition.
Age is another factor, as tendons naturally weaken and lose elasticity over time. Poor posture, shoulder impingement and previous shoulder injuries can also predispose individuals to tendinopathy.
Symptoms
The most common symptom of rotator cuff tendinopathy is shoulder pain, which can range from a dull ache to sharp discomfort. The pain is often worse with overhead activities and can disturb sleep, particularly when lying on the affected side. Other symptoms include shoulder weakness, reduced range of motion, and a clicking or popping sensation during movement.
Diagnosis
Diagnosing rotator cuff tendinopathy typically involves a physical examination by a healthcare professional. The examination includes assessing shoulder strength, range of motion, and pain response to certain movements. Imaging tests like ultrasound or MRI may be used to confirm the diagnosis and rule out other conditions.
Treatment
Conservative treatment is often effective for managing rotator cuff tendinopathy. Physiotherapy plays a crucial role, focusing on exercises to strengthen the shoulder muscles, improve flexibility, and correct posture.
Nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. In some cases, corticosteroid injections may be recommended for more severe pain or when bursitis is present.
Prevention
Preventing rotator cuff tendinopathy involves maintaining good shoulder strength and flexibility. Regular exercise, focusing on shoulder and upper body conditioning, can help. It’s also important to use proper techniques during sports and work activities to avoid overloading the shoulder. Incorporating rest periods and avoiding repetitive overhead movements can further reduce the risk.
Rotator cuff tendinopathy is a manageable condition with appropriate treatment and preventive measures. Early intervention with physiotherapy can significantly improve outcomes, allowing individuals to return to their regular activities pain-free. If you experience persistent shoulder pain, book an appointment with our physiotherapists today.