ROTATOR CUFF INJURY NEWCASTLE

The rotator cuff is a grouping of four muscles that together as tendons create a “cuff,” over the head of the upper arm bone known as the humerus. The four muscles, supraspinatus, infraspinatus, subscapularis and teres minor, originate from the shoulder blade (scapula).
The rotator cuff enables you to lift and rotate the arm and hold the ball of the shoulder within the joint.
Rotator cuff injuries are common and often arise in people who have jobs that require frequently performing overhead movements, such as bricklayers, decorators and carpenters, a tear or pull of these groups of muscles can come from lifting heavy objects, repetitive above-head lifting or a fall.
Physical therapy exercises can improve the strength of the muscles surrounding the shoulder joint, helping with flexibility. For many with rotator cuff concerns, physical exercise is all that’s needed to manage their symptoms.
Occasionally, rotator cuff tears occur from a single injury. In circumstances like this, people should seek medical advice quickly because they could need surgery.

Rotator cuff injuries are common and often result from an acute injury, such as a fall, or be caused by heavy lifting. It’s also normal ageing-related wear and tear concern from degeneration of the tendon in people who have jobs that require frequently performing overhead movements, such as bricklayers, decorators and carpenters. With a rotator cuff injury, generally, you feel pain in the front of your shoulder that radiates down the side of your arm. You may feel weakness and stiffness in your arm, you may feel pain when you try to sleep on the affected side and if the tear occurs with injury, you may experience acute pain, a snapping sensation, with immediate weakness of the arm.

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Conventional treatments, such as rest, ice and physical therapy are often all that is needed to recover from a rotator cuff injury. 

Physical therapy is usually one of the first treatments offered. Exercises tailored to the specific location of your rotator cuff injury can help restore strength to your shoulder and the shoulder’s flexibility. Physical therapy is essential for recovery. 

A steroid injection into the shoulder joint can be beneficial, especially if the pain is interfering with sleep, daily activities or physical therapy. 

Many different types of surgeries are available for rotator cuff injuries:

• Arthroscopic tendon repair. Surgeons insert a tiny camera (arthroscope) and tools through small incisions to reattach the torn tendon to the bone.
• Open tendon repair. The surgeon works via a larger incision to reattach the damaged tendon to the bone.
• Tendon transfer. Surgeons may decide to use a nearby tendon as a replacement when a torn tendon is too damaged to be reattached to the arm bone.
• Shoulder replacement. Massive rotator cuff injuries may require shoulder replacement surgery.

Try and stop what caused the pain, try to avoid painful movements, and avoid heavy lifting and overhead activity until the shoulder recovers. Icing the shoulder may help it feel better, Over-the-counter pain relievers such as ibuprofen and rest will also aid recovery.

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A rotator cuff tear can extend or get larger over time with continued repetitive use or a re-injury. If you know you have a rotator cuff tear, worsening pain and reduced strength can mean the tear is getting larger.

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Rotary Cuff Injury can be experienced by any age group, occupation or sport.
Occupations involve repetitive movements, such as overhead activities, lifting, pulling, and pushing, also gym-related injuries such as weight training and sports injuries.

An older age bracket is usually more prone to rotator cuff injuries and traumatic rotator cuff tears, from a fall or while lifting a heavy object. Following either an injury or a tear, you would experience pain and stiffness and a dull ache. The diagnostic ultrasound scan can differentiate between the two and treat your problem appropriately in the same visit.

• Pain in the front of your shoulder that radiates down the side of your arm. It may be present with overhead activities such as lifting or reaching.
• Restrictions when using your shoulder and turning your head, lifting your arms or reaching behind your back.
• Disturbed sleep with a dull constant ache.
• Arm weakness.
• The feeling of tendons “snap” with a tear.
• Stiffness and crackling sensation when rotating the shoulder.

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On average, with appropriate treatment for a torn rotator cuff, it may take around four to six months to heal. However, it depends on the severity of the injury, type of treatment and rehabilitation.