🤔Pain on outside of the shoulder /arm due to tendons and muscles around the shoulder is called rotator cuff related shoulder pain (RCRSP)
💪🏼Muscles that stabilise and move the shoulder joint and arm are called rotator cuff muscles / tendons. Comprises of Bursitis , tendonitis , tendinipathy, tears etc. symptoms.
👵Age - 35 to 75 years of age
❤️🩹Can take about 16-18 weeks or more.
🤔 Causes -
Overuse injuries - repetitive load
Trauma/tears
Degenerative (age related wear )
Overhead and reaching activities
Inactivity related weakness
😩 Symptoms -
Pain in overhead activities
Pain in 70-120 degrees arm movements
Pain lying on the affected side
Painful weakness in the affected arm
🧐Diagnosis -
Healthcare professionals do physical assessment to diagnose this condition
Pain in the arm with overhead activities and on resistance
X-ray or Ultrasound or MRI - not required unless sinister pathology is suspected
🩺Management -
Relative rest - in acute cases reduce the painful activities , spread them out throughout the day
Activity modification - Adapt the painful activities
Pain relief- gel , medications alongside exercises
Rehab - Loading the rotator cuff within limits and challenging it with improvement is the best way to improve movement and function
Injections- Occasionally injections are suggested for pain and function
Surgery - If the above fails then investigations and further open ion might be required
Lewis J. Rotator cuff related shoulder pain: Assessment, management and uncertainties. Man Ther. 2016 Jun;23:57-68. doi: 10.1016/j.math.2016.03.009. Epub 2016 Mar 26. PMID: 27083390.
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