Rotator Cuff Repair
The rotator cuff is comprised of four muscles attached to tendons that attach to bone. Each pair of muscle tendon units comprise a force couple that balance the shoulder. A balances C, B balances D. These balanced muscles create the force to position your hand to perform daily tasks like lifting a cup of coffee or reaching into the pantry for the ketchup. However, when A is torn, C pulls against no resistance and the shoulder is out of balance. This imbalance produces pain and dysfunction. It can inhibit daily activities and wake you up at night. For small tears or partial thickness tears, a cortisone shot to calm the inflammation and physical therapy to regain strength can be helpful to restore function. The cortisone shot is important to decrease the inflammation and pain so that the exercises can help you regain strength in your shoulder. You can’t “push through the pain. Your shoulder muscles will not get stronger and the purpose of the therapy is defeated. About half the people who have these partial tears do not require surgery. For the other half of patients with the partial thickness tears, the tears progress to full thickness tears and many of these require surgery for pain relief and restoration of function. For larger tears that produce greater pain and dysfunction, surgery can produce reliable results as long as you don’t wait too long.
The surgery is performed at an outpatient surgery center under a nerve block and a light general anesthesia called “twilight.” The surgery lasts one to two hours and you go home the same day. We prescribe pain medication for the first few days as the nerve block wears off. We also recommend CBD oil under the tongue to help with the discomfort. You are in a sling for 6 weeks, start therapy at week 3 and regain full function at 6 to 8 months.
Shoulder Pain Relief
Relieve Your Shoulder Pain Quickly and Easily with Physical Therapy
Shoulder pain can take many forms – it can show up when you’re reaching toward the top shelf to put dishes away or when you’re struggling to find a comfortable position to sleep in without feeling a dull aching pain in your shoulder and neck. It can show up as a result of an injury, making you feel as if your shoulder is immobile. There are numerous reasons why someone may experience shoulder pain, and the severity can range from the temporary discomfort of a pulled muscle to the agonizing bone-on-bone friction of arthritis. Whatever the case may be, PerformaX elite Physical Therapy is dedicated to helping you with shoulder pain relief. Request your appointment now!
How did my shoulder pain develop?
The complexities of the shoulder joint present many opportunities for pain-causing conditions. Some of the most common causes of shoulder pain include:
Tendinitis occurs when the shoulder joint is excessively overused typically due to the demands of a laborious job, overhead activity, or sport. Furthermore, poor posture is a major contributor, as this alters the normal forces on the tendons, and can set you up for tendon injury. This causes the tendons to undergo ongoing inflammation, resulting in swelling and painful impingement when raising your arm.
The two main forms of arthritis that affect the shoulder are osteoarthritis and rheumatoid arthritis. Osteoarthritis occurs when the cartilage in the shoulder joint experiences significant “wear and tear,” typically due to age or excessive overuse. Rheumatoid arthritis occurs when the immune system decides to attack the membranes surrounding the shoulder joint, resulting in pain and inflammation. Both of these result in a painful loss of motion, weakness to the shoulder muscles, and difficulty performing normal, daily tasks.
Impingement typically occurs because of abnormal movement and tracking of the humeral head as you lift your arm overhead. Pain typically occurs when lifting your arm at or above 90 degrees.
Rotator cuff tear.
The rotator cuff is comprised of 4 muscles, tendons, and soft tissue that surround the shoulder joint. The job of the rotator cuff is to correctly guide the movement of the shoulder joint. With injury, overuse, poor posture, or even age, the rotator cuff can be partially or completely torn. Depending on the severity and situation, sometimes surgery is needed, but often the correct physical therapy treatments can help reduce pain and restore strength to the rotator cuff to compensate for the partial tear. If surgery is needed, physical therapy is an integral part of the rehabilitation to a full recovery.
Also known as “adhesive capsulitis,” frozen shoulder can occur if your arm has been in a cast or sling for a while, or if you have been bedridden for an extended period of time. Furthermore, there are some ethnicities that are more predisposed, and women tend to have more instances than men. It is more common in women 40-60 years of age. Frozen shoulder results in a painful loss of motion in the shoulder with a tightening of the shoulder joint that severely limits motion.
Rotator cuff injuries – do you have one?
Your rotator cuff is comprised of the muscles and tendons surrounding your shoulder joint. Sometimes, the rotator cuff can become torn or injured, due to repetitive overhead motions performed in sports (such as tennis) or jobs (such as carpentry.) Those who experience rotator cuff injuries or “torn shoulders” generally report a dull ache deep in their shoulder, arm weakness, difficulty reaching behind their backs, and disturbed sleep due to pain. At PerformaX elite Physical Therapy, our natural and non-invasive methods can help relieve your shoulder pain and heal your rotator cuff injury.
While rotator cuff injuries sometimes require surgery if they are severe enough, there are several cases where physical therapy treatments can work just as well (if not better) than surgery. According to the American Physical Therapy Association, “A recent study from Finland asserts that when it comes to the treatment of nontraumatic rotator cuff tears, physical therapy alone
produces results equal to those produced by arthroscopic surgery and open surgical repair.” In this same study, a follow-up on 167 patients receiving physical therapy alone for their rotator cuff injuries, demonstrated that conservative treatment, such as physical therapy, should be considered as the primary treatment for this condition.
At PerformaX elite Physical Therapy, we will conduct a physical evaluation and diagnostic tests to determine if you do indeed have a rotator cuff tear, and our Burbank, CA physical therapist will design a personalized treatment plan based on the needs of your diagnosis.
So, how exactly does shoulder pain occur?
Your shoulder is capable of accomplishing many physical feats and has the greatest range of all the joints in your body. However, with its complexities also comes the possibilities of pain and discomfort. It is a “ball-and-socket” joint, meaning the head of the upper arm bone, or “humerus,” fits perfectly in the corresponding space within the shoulder blade or “scapula.” The ends of the bone are protected by a thick layer of cartilage, protecting the bones from rubbing together. Fluid-filled sacs called “bursae” also protect the tendons from rubbing against the bones. Tendons attach the bones in the shoulder to a set of bones, known as the rotator cuff. If something goes wrong with the intricacies that make up the mechanical interplay of the shoulder, pain can result.
The type of pain you feel in your shoulder can vary, depending on what is causing it. Pain from impingement, for example, typically occurs as you raise your arm up, and begins at a certain point in the range of motion. Pain resulting from a degenerated shoulder may create persistent aches every time you move your arm in certain directions. Acute injuries can result in sudden and intense pains that make it impossible for you to move your shoulder at all.
Relieve your shoulder pain with physical therapy:
Physical therapy is a natural, easy, and comfortable way to find shoulder pain relief, without the need for harmful drugs or invasive surgery. Our Burbank, CA physical therapists have treated a number of conditions that cause shoulder pain, with patients finding improvement and relief after just a few short sessions – and sometimes less!
Our physical therapists are movement experts, trained to pinpoint the cause of your pain through a variety of diagnostic techniques. During your evaluation, we will examine your range of motion, strength, coordination, medical history, joint mobility, and mechanics of your joint motion. Once we have established the cause of your shoulder pain, we can create a specialized combination of physical therapy methods to manage and relieve your pain.
Gentle manual therapy helps to restore normal joint movement, ease soft tissue restrictions, and promote circulation, while specific therapeutic exercises restore strength, and the correct sequence of muscle activation around the shoulder joint. Finally, we teach you techniques to enhance your strength and to prevent the recurrence of future shoulder problems.
Don’t let your shoulder pain limit your physical abilities any longer! Our Burbank, CA physical therapy practice will get you the help you need to start living your normal life once again. Contact PerformaX Elite Physical Therapy today to request your appointment and get started on your path toward full shoulder pain relief.
What is the best exercise for shoulder pain?
While there is no one-stop solution for shoulder pain, there are many exercises that can be done to help strengthen the rotator cuff region and ease the pain you are expereincing. Our physical therapists are highly trained to help improve the flexibility and range of motion in your shoulder, in addition to relieving your pain and discomfort. This will be done through an individualized treatment plan designed specifically for you, including therapeutic modalities and targeted pain-relief exercises. A couple common rotator cuff-strengthening exercises that physical therapists prescribe are wall push-ups and chair push-ups. Resistance bands can also be used to increase the strength in your shoulder and help relieve pain. However, it is important to note that if your pain is serious, these exercises should not be performed without the aid of a physical therapist.
How many types of shoulder pain exist?
When it comes to your upper extremities, injuries typically fall into two categories: acute or overuse. Acute injuries are caused by a single specific incident, such as a strain or tear. Overuse injuries are caused by excessive repetitive movements over time. Both acute and overuse injuries can range from mild to severe and can have a significant impact on daily life function. Shoulder pain can also be chronic, meaning it has persisted for 3 months or longer, despite efforts to relieve it. If you have been living with chronic shoulder pain, it is in your best interest to consult with a physical therapist as soon as possible, so they can get to the root of the problem and treat you accordingly.
Can physical therapy help shoulder pain?
Two of the biggest goals of physical therapy are 1) to alleviate your pain and 2) to improve your function. Your physical therapist will work with you to make sure that both of these are achieved throughout your physical therapy sessions. Physical therapy has been proven to manage the pain of several conditions, and in many cases, it has even been proven to eliminate shoulder pain altogether, thus making the need for harmful drugs or surgical intervention obsolete.
What are the causes of shoulder pain?
There are several underlying causes that could result in shoulder pain. For example, a sudden injury or trauma to the shoulders can cause them to become painful. Repetitive motions can also cause shoulder pain, as your muscles, joints, and tendons are working in overdrive. While there are multiple factors that could be causing your shoulder pain, some of the most common include sprains, strains, a torn cartilage, dislocation, frozen shoulder, tendinitis, and arthritis.