What is a rotator cuff tear? (Also known as a supraspinatous tendinopathy)?
This is a group of tendons collectively called the SITS (suprasinatous, infraspinatous, teres minor and subscapularis).
These muscles are small and allow the arm bone to lift and rotate. As we hang our arms by our sides for up to 18 hours every day micro-tearing can oftentimes be observed at this group especially at the supraspinatous.
This is because this muscle (supraspinatous) runs under the acromion (part of the shoulder blade) and has a very narrow space to pass through once the arm bone is lifted.
As people age it is normal for the rotator cuff tendons to wear and degrade. Risk factors include sustaining a fall or wrenching injury.
Symptoms of this condition
- Pain and weakness not settling after 3 weeks
- An inability to lift the arm full range overhead without pain
- An inability to lift the arm fully (often associated with impingement)
- Pain that radiates down the length of the arm bone past the elbow
- Where tears are observed a weak painful shoulder follows and the patient complains of an inability to lift the arm overhead
Treatments we provide for frozen shoulder
- Rehabilitative exercises
- Ultra sound
- Dry Needling
- Gentle Articulation
- Cortico-steroid injection