• Rotator Cuff Tear

    A rotator cuff tear is a common cause of pain and disability among adults. A torn rotator cuff will weaken your shoulder. This means that many daily activities, like combing your hair or getting dressed, may become painful and difficult to do. Physiotherapy Now

  • Loading the player...

    Dr. Grant Lum, MD, CCFP, Dip Sports Med, Sports Medicine Physician, discusses rotator cuff injuries, diagnosis and common treatment options.
    Dr. Grant Lum, MD, CCFP, Dip Sports Med, Sports Medicine Physician, discusses rotator cuff injuries, diagnosis and common treatment options.
  • Loading the player...

    Dr. Jordan Leith, MD, MHSc, FRCSC, Sport Med Orthopeadic Surgeon, discusses Rotator Cuff Tears of Shoulder
    Dr. Jordan Leith, MD, MHSc, FRCSC, Sport Med Orthopeadic Surgeon, discusses Rotator Cuff Tears of Shoulder
  • Loading the player...

    Dr. Patrick Chin, MD, MBA, FRCSC, Orthopedic Surgeon, discusses rotator cuff tendon pain and treatment.
    Dr. Patrick Chin, MD, MBA, FRCSC, Orthopedic Surgeon, discusses rotator cuff tendon pain and treatment.
  • What is a Rotator Cuff Injury and How Do You Treat It

    The shoulder joint is a ball and socket joint, but the ball is actually much larger than the socket. It’s a bit like a golf ball sitting on a tee.

    The reason it’s built like that is to give the shoulder a lot of mobility, so unlike a hip joint where the ball and socket fit very tightly together and are very stable where range of motion is not as important, you’ve got lots of range of motion in a shoulder, but as a consequence, it’s inherently unstable.

    There are two different structures that help to stabilize the shoulder. The main one would be the capsule, so this is the ligament that wraps around and holds the ball and socket together, and along with that you’ve got the rotator cuff muscles.

    So there are four different muscles. There’s one rotator cuff muscle in the front, and then three rotator cuff muscles on the back, and their job is to hold onto the ball and socket and stabilize it.

    You can think of them like a sleeve muscle that goes around to control that movement. The other structure that’s in the shoulder that stabilizes things is the capsule. So that wraps all the way around like a ligament and holds onto the ball and socket.

    It’s when that capsule’s been damaged that people can have dislocations of the shoulder. If you have a tear in a rotator cuff muscle, and it’s a relatively small tear, then those kinds of injuries are typically treated just like rotator cuff tendonitis with things like physiotherapy and muscle retraining.

    With very large rotator cuff tears, they sometimes may require surgery to repair. Tears of the capsule, so the ligament again that wraps around the ball and socket, would lead to subluxations or dislocations of the shoulder, so where the shoulder actually pops out of joint. If that happens frequently, then we can go in and repair the capsule surgically.

    Rotator cuff injuries typically happen as a consequence of repetitive movements, and the most common repetitive movement that would lead to it would be anything overhead. So in throwing sports like baseball or football, in overhead racket sports like tennis, squash, even in swimmers, so people doing freestyle bringing the hand over the top, that type of repetitive constant use of these muscles leads them to become fatigued, sometimes overstressed and that’s what leads to injuries.

    The best way to prevent these kinds of injuries is to consult with a health professional like a physiotherapist or a fitness professional who understands how these muscles work, and to be put on a proper rotator cuff strengthening program in association with the training you’re doing for your sport.

    If you think you have a rotator cuff injury, or you have more questions, you could consult a sports medicine physician or physiotherapist.

    Presenter: Dr. Grant Lum, Sports Medicine Physician, Toronto, ON

    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. Smart Food Now and exercise is also optominal for overall health.    

    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.

    Presenter: Mr. Carl Petersen, Physiotherapist, Vancouver, BC

    Now Health Network Local Practitioners: Physiotherapist

  • Rotator Cuff Strength Standing

    tanding rotator cuffs are a really good exercise to help loosen up the shoulder and to make that shoulder a stronger entity within its own right. We have a lot of troubles with our shoulders these days because we seem to be doing a lot in a forward motion. So, this is a good exercise for that. Make sure your chest is really nice and high. Get the shoulder and the elbow tucked into the body. Fire up your major lat muscle in the back, because that is the real stabilizer for the shoulder; from here just get it at a nice ninety-degree angle and go out and in as far as you can. Seeing a  local physiotherapist can help with rotator cuff injuries. 

    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

Physiotherapy Now

Physiotherapy Now

-->