Management of Rotator cuff tendonitis

Treating rotator cuff tendonitis may include
Modified rest
Ice application
Immobilization if required
Pain medication
Physiotherapy
it might recommend surgery to correct a severely torn tendon. After your surgery, your physician may recommend that you undergo physiotherapy that will help you improve your muscle strength and help return you to definitely your original work or game as fast and safely possible.

Allies to the development of rotator cuff tendonitis

There are many factors which can predispose patients to developing this problem. These need to be assessed and corrected with direction from the physiotherapist. Some of these factors include:
• shoulder instability
• muscle weakness (particularly the scapular stabilizers and rotator cuff muscles)
• muscle tightness
• joint stiffness (shoulder, AC joint, neck or shoulders)
• muscle imbalances
• poor posture
• excessive or inappropriate training or activity
• inadequate recovery periods from sport or activity
• abnormal biomechanics (eg. poor throwing technique or stroke technique with swimming)
• inadequate warm-up
• past good reputation for shoulder injury
• certain bone anatomy, or degenerative bony spurring, around the acromion

Physiotherapy for rotator cuff tendonitis

Physiotherapy strategy to patients with this condition is essential to hasten the recovery process, ensure an optimal outcome and lower the likelihood of injury recurrence. Treatment may comprise:
• soft tissue massage
• electrotherapy (e.g. ultrasound)
• joint mobilization (shoulder, AC joint, neck and shoulders)
• dry needling
• ice or heat treatment
• the utilization of a sling
• progressive exercises to enhance flexibility and strength (specially the scapular stabilizers and rotator cuff muscles)
• education
• training and activity modification advice
• technique correction
• postural correction
• anti-inflammatory advice
• devising and monitoring coming back to sport or activity plan

Exercises for rotator cuff tendonitis

The next exercises are commonly prescribed to patients with this particular condition. You should discuss the suitability of those exercises with your physiotherapist just before beginning them. Generally, they must be performed 2 - 3 times a day and only provided they don't cause or increase symptoms.
Your physiotherapist can advise when it's appropriate to begin the first exercises and eventually progress towards the intermediate, advanced along with other exercises. As a general rule, addition of exercises or progression to more complex exercises should take place provided there isn't any increase in symptoms.

Initial Exercis :

Shoulder Blade Squeezes
Begin this exercise sitting or standing with your back straight. Your chin ought to be tucked in slightly as well as your shoulders should be back slightly. Slowly squeeze your neck together as hard and as possible provided it doesn't cause or increase symptoms. Hold for five seconds and repeat Ten times.

Pendular Exercises
Begin leaning forwards together with your uninjured forearm supported on the table or bench. Keeping your back straight as well as your shoulder relaxed, gently swing your injured arm forwards and backwards so far as you can go pain free and provided you are feeling either nothing, or, a maximum of a mild to moderate stretch. Repeat Ten times provided the exercise doesn't cause or increase symptoms. Repeat the exercise swinging your arm sideways provided it is painless.

Pendular Circles
Begin leaning forwards together with your uninjured forearm supported on the table or bench. Keeping your back straight as well as your shoulder relaxed, gently swing your arm in circles clockwise so far as you can go pain free and provided you are feeling either nothing, or, a maximum of a mild to moderate stretch. Repeat the exercise swinging your arm counter clockwise. Repeat Ten times in each direction provided the exercise doesn't cause or increase symptoms.

Foam Roller Stretch
Place a foam roller beneath your upper back as demonstrated. Breathe normally keeping your neck and back relaxed. Hold it for 15 - 90 seconds provided it's comfortable and does not hurt.

Physiotherapy products for rotator cuff tendonitis

Probably the most commonly recommended products by physiotherapists to hasten healing and speed recovery in patients with this particular condition include:
1. Slings
2. Shoulder Supports
3. Ice Packs or Heat Packs
4. Sports Tape (for protective taping)
5. Resistance Band (for strengthening exercises)
6. Foam Rollers
7. Spikey Massage Balls (for self massage)
8. TENS Machines (to decrease your pain)
9. Therapeutic Pillows