What is it?
The rotator cuff is a collective term given to four muscles that operate around the shoulder joint. These four muscles include; supraspinatus, subscapularis, infraspinutus, and teres minor. They play a pivotal role in maintaining the stability of the shoulder joint by keeping the head of the arm bone in the centre of the socket during active movement
Why did I get it?
A rotator cuff tear can either be caused by a traumatic event, or from repeated microtrauma subsquently overloading the muscles.
How is it diagnosed?
A thorough clinical examination by a physiotherapist will most commonly diagnose the condition due to the clinical findings. Occasionally diagnostic imaging may be used to determine the site and extent of the pathology.
- Non-steroidal anti-inflammatory drugs
- Behaviour modification
- Addressing joint biomechanics
- Manual therapy from a physiotherapist
- Improving flexibility
- Steroid injections (in severe cases or if pain persists)
- Activity modification – avoid aggravating activities
- Active and passive range of motion exercises
- Shoulder blade stability exercises
- Gentle isometric muscle activation
- Progressive strengthening exercises targeting the rotator cuff and scapular stabilisers
- Addressing muscle restrictions
- Addressing thoracic spine mobility restrictions
- Proprioception exercises
- Sport-specific training
- Tx mobs
- Pec minor self TPR
- PROM exercises in severe cases
- Serratus wall push up
- Shoulder W exercise
- External rotation