Shoulder Pain (Rotator Cuff)

If you’re one of the lucky ones who suffer from a shoulder injury, you’ll know all too well how painful it can be – especially in the evening.

Let’s talk anatomy.

The Shoulder Joint (or Glenohumeral Joint) is the ball and socket joint sitting between the Scapula and Humerus.

Many injuries occur with such a mobile joint and we find the most treated conditions we undertake at Health Place are:
• Rotator cuff
• Frozen shoulder

Applying ice or cold therapy can help with the inflammation and pain in the acute stages, while a heat pack and trigger point therapy will help relax the muscle, increase the range of movement and reduce a sizeable amount of the pain.

While we successfully treat most of those conditions with ART (Active Release Technique), Remedial Massage and Musculoskeletal therapy, we can’t be with you 24/7 (although we have some plans in the works, stay tuned).

Rotator Cuff

Let’s start from the beginning.

The Rotator Cuff is a group of four muscles that help stabilise the shoulder joint. It often takes a beating and is the result of many sporting injuries.
The muscles the Rotator Cuff comprise of are the Teres Minor, Subscapularis, Infraspinatus and Supra.

With injury or weakness, the pain will increase and range of movement will generally decrease. This is more so apparent when caused by the swelling due to a strain. It’s important to keep in mind that injury may not always be sporting related.

At Health Place, we aim to pin-point the cause of the issue with an accurate assessment where it entitles us to understand a client’s history, previous and current status and also a physical examination with range of the movement.

These involve special and specific tests, in where identification and isolation of the problem can be undertaken and best course of action can be implemented.

Some common Rotator Cuff related issues include:
• Tendinitis
• Acute Tear
• Chronic rotator cuff tear.

1. Tendinitis
When talking about tendinitis, it’s important to understand pain doesn’t happen suddenly and out of nowhere. It has more of gradual nature, slowly increasing. It becomes more apparent when lifting the arm, or when some internal rotation is performed.
Tendinitis is very common in women 30 – 50 years old. We highly recommend using a trigger point ball or our favourite pocket physio to help with the scar tissue. Increasing your range of moment is a must, even with the deep ache you’re feeling over the deltoid muscle.

2. Acute Tear
An acute tear will decrease the range of movement because of the pain, and most likely cause muscle spasms.

Some symptoms can include:
A sudden tearing sensation and severe sharp pain from the shoulder, both in front and back, down the arm and maybe even in the elbow. In some cases, where the tear is large, it will effect abduction of the arm.

3. Chronic Rotator Cuff Tear
A common symptom is pain that becomes worse at night, and a gradual muscle weakness will decrease the shoulder motion as the pain worsens.
The ability to abduct the arm, moving it out to the side will still be poor.

If you think you may suffer from a rotator cuff injury, click here to claim your 15-Minute Free Assessment at Health Place. We will perform a full assessment to give you a better idea as to progression and severity of the injury, as well as steps moving forward to give you the best treatment and recovery plan.

Alternatively, send us a private message if you have any questions or would like more information.