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  • Rotator Cuff Tear

    Physiotherapy can play a crucial role in the management of a torn rotator cuff. It aims to reduce pain, restore function, and improve the strength and flexibility of the shoulder.

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    <p>Sports Med, <a href="">Sports Medicine Physician</a>, discusses rotator cuff injuries, diagnosis and common treatment options.</p>

    Sports Med, Sports Medicine Physician, discusses rotator cuff injuries, diagnosis and common treatment options.

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    <p>&nbsp;<a href="">Orthopeadic Surgeon</a>, discusses Rotator Cuff Tears of Shoulder</p>

     Orthopeadic Surgeon, discusses Rotator Cuff Tears of Shoulder

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    <p><a href="">&nbsp;Orthopedic Surgeon,</a> discusses rotator cuff tendon pain and treatment.</p>

     Orthopedic Surgeon, discusses rotator cuff tendon pain and treatment.

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    <p>&nbsp;<a href="">Orthopedic Surgeon</a>, discusses What is Shoulder Arthritis - Orthopedic Surgery.</p>

     Orthopedic Surgeon, discusses What is Shoulder Arthritis - Orthopedic Surgery.

  • What is a Rotator Cuff Injury and How Do You Treat It

    The shoulder joint is indeed a ball and socket joint, but it differs from the hip joint in terms of the size and stability of the ball and socket. The ball in the shoulder joint, which is the rounded head of the upper arm bone (humerus), is larger than the socket, which is part of the shoulder blade (scapula). This anatomical arrangement allows for a wide range of motion in the shoulder.

    The increased mobility comes at the cost of stability, as the larger ball can easily move out of the socket. To counteract this inherent instability, the shoulder relies on two main structures for stabilization: the joint capsule and the rotator cuff muscles.

    The joint capsule is a ligamentous structure that surrounds the shoulder joint, enclosing and holding the ball and socket together. It provides passive stability to the joint by maintaining the position of the bones and limiting excessive movements.

    The rotator cuff muscles play a crucial role in shoulder stability as well. There are four rotator cuff muscles: the supraspinatus, infraspinatus, teres minor, and subscapularis. These muscles originate from the scapula and attach to the humerus, forming a cuff-like structure around the shoulder joint. The rotator cuff muscles work together to hold the ball in the socket during movements and provide dynamic stabilization. They also contribute to the fine control and coordination of shoulder movements.

    In summary, the shoulder joint's design, with a large ball on a small socket, provides a wide range of motion but sacrifices stability. The joint capsule and the rotator cuff muscles work in tandem to provide both passive and active stabilization to the shoulder joint, allowing for controlled movement and preventing excessive dislocation or injury.

    The rotator cuff muscles play a crucial role in stabilizing the shoulder joint and facilitating its movement. They consist of four muscles: the supraspinatus, infraspinatus, teres minor, and subscapularis.

    Injuries to the rotator cuff can range from small tears to larger tears that may require surgery. Small tears can often be managed with conservative treatments such as physiotherapy and muscle retraining. On the other hand, larger tears may necessitate surgical repair.

    The capsule, which surrounds the ball and socket of the shoulder joint, functions as a ligament and helps stabilize the joint. If the capsule is damaged, it can lead to subluxations (partial dislocations) or full dislocations of the shoulder. Frequent dislocations may require surgical repair of the capsule.

    Repetitive overhead movements, such as those involved in throwing sports like baseball or football, overhead racket sports like tennis or squash, and certain swimming techniques like freestyle, can contribute to rotator cuff injuries. These repetitive movements can fatigue and stress the muscles, leading to injuries over time.

    To prevent rotator cuff injuries, it is advisable to consult with healthcare professionals such as physiotherapists or fitness professionals who have knowledge of shoulder anatomy and function. They can design a suitable rotator cuff strengthening program to complement your training for your specific sport.

    If you suspect a rotator cuff injury or have further questions, it is recommended to seek medical advice from a sports medicine physician or a physiotherapist. They can assess your condition, provide a proper diagnosis, and recommend appropriate treatment options.

    Local Practitioners: Sports Medicine Physician

  • Rotator Cuff Injury - Badminton

    Shoulder rotator cuff injuries are extremely common in badminton due to the repetitive overhead nature of the sport.

    Well, rotator cuff injuries are often caused by overuse and trauma. The trauma is to the area of the rotator cuff attachment on the shoulder. It’s the area where the tendons attach from either the super spinatus or the infaspinatus.

    They’ll often feel pain on this lateral aspect of the shoulder, and it is due to the repetitive overhead nature and the overhead nature of any of the strokes. And it will be uncomfortable for them to raise their arms up overhead or to hit some of their strokes.

    Well once it’s been diagnosed as a rotator cuff injury and has settled down, you’re going to start on a variety of strengthening exercises to try and help improve not only your posture but to improve the strength of those muscles that are required to decelerate you shoulder when you’re hitting your overhead shots or hitting any forehand shots.

    One of the most important things to do if you suspect you have a rotator cuff injury is to get a proper diagnosis. So that means either seeing your physician or your physiotherapist. Often seeing a local family physician or a physiotherapist in conjunction with a registered dietitian and athletic therapist is a great option to take control of this condition.    

    You’ll be given a variety of stretching and strengthening exercises as well as a variety of other things to try and improve your recovery and get you back to playing.

    1. Pain management: Physiotherapists can use various techniques such as manual therapy, ultrasound, or electrical stimulation to reduce pain and inflammation in the shoulder joint.

    2. Range of motion exercises: Physiotherapists will guide you through specific exercises to improve the range of motion in your shoulder joint. These exercises help prevent stiffness and maintain mobility.

    3. Strengthening exercises: Strengthening the muscles around the shoulder joint is crucial for stabilizing the joint and supporting the torn rotator cuff. Physiotherapists will prescribe exercises targeting the rotator cuff muscles and other surrounding muscles to restore strength and function.

    4. Functional training: Physiotherapists will work with you to regain the ability to perform daily activities that may have become challenging due to the tear. They will develop a customized program focusing on activities like combing your hair, getting dressed, reaching overhead, and lifting objects.

    5. Posture and body mechanics: Improving posture and body mechanics is essential for reducing stress on the shoulder joint. Physiotherapists can educate you on proper ergonomics and body mechanics to prevent further strain on the rotator cuff.

    6. Manual therapy: Physiotherapists may use hands-on techniques such as joint mobilization, soft tissue mobilization, or massage to improve shoulder mobility and reduce muscle tension.

    7. Home exercise program: Physiotherapists will provide you with a personalized home exercise program to continue your rehabilitation outside of the clinic. Consistency with exercises is crucial for optimal recovery.

    It's important to note that the specific physiotherapy treatment plan may vary depending on the severity of the tear, individual factors, and the physiotherapist's assessment. It's always recommended to consult with a qualified physiotherapist who can assess your condition and provide appropriate guidance and treatment.

  • Rotator Cuff Strength Standing

    Standing rotator cuff exercises can indeed be beneficial for shoulder mobility and strength. They specifically target the muscles of the rotator cuff, which play a crucial role in stabilizing the shoulder joint. By performing these exercises, you can help improve shoulder function and reduce the risk of injuries.

    The instructions you provided are generally correct. Here's a step-by-step breakdown of the exercise:

    1. Stand up straight with your chest held high and your feet shoulder-width apart.
    2. Keep your shoulder and elbow tucked into your body.
    3. Engage your major lat muscle in the back, as it helps stabilize the shoulder.
    4. Bend your elbow to a 90-degree angle, with your forearm parallel to the ground.
    5. Begin the exercise by externally rotating your shoulder, which means moving your forearm away from your body.
    6. Continue rotating until you reach your comfortable range of motion or until you feel a gentle stretch.
    7. Slowly return to the starting position, bringing your forearm back to the parallel position.
    8. Repeat the movement for the desired number of repetitions.

    It's important to perform this exercise in a controlled manner, avoiding any jerky or sudden movements. Start with light weights or resistance bands and gradually increase the intensity as your shoulder strength improves.

    While standing rotator cuff exercises can be helpful, it's worth noting that if you're experiencing shoulder pain or have a rotator cuff injury, it's advisable to consult with a qualified healthcare professional, such as a physiotherapist. They can provide a proper assessment, diagnose any issues, and guide you through a tailored rehabilitation program to address your specific needs.

    You are going to find that over time, your range of motion will get much better. But, you want to be thinking about keeping contact with these two points. Like, don’t let it get caught going in and out there, make sure it’s tucked nice and tight and just work it in and out. That is going to strengthen up in that rotator cuff really well.  
    Repetitions are anywhere between ten to twenty reps and pick a weight that you are very comfortable with and over time that weight can go up.       

    Local Practitioners: Kinesiologist

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