About Shoulder Tendonitis

What Anatomical Structures are affected?

The rotator cuff is made up of four muscles and their attaching tendons. A tendon is a band of fibrous tissue which connects muscle to bone. The shoulder tendons of the rotator cuff, along with the biceps tendon help to keep the shoulder joint in place.

What is it?

Shoulder tendonitis is an inflammation of the tendons in the shoulder region and may lead to weakening and tearing of these tendons. This can result in pain, tenderness, and weakness in the shoulder.

What causes it?

-repetitive movements
-sports injury
-trauma
-repetitive overhead activity (i.e. from work activities or sports such as tennis, baseball, swimming)

What are the Risk Factors?

-Age (40+)
-Involvement in repetitive overhead work or sports
-Trauma to the shoulder (i.e. fall on an outstretched hand)
-Diseases which may weaken shoulder muscles – gout, psoriasis, or rheumatoid arthritis

What treatment is recommended?

Treatment may include the following
-Rest
-Ice
-Physiotherapy which may include the use of modalities, range of motion exercises, theraband strengthening exercises, stretching exercises, postural education, manual therapy, activity modification
-Medications – anti-inflammatory medications

PHYSICAL THERAPISTS CAN HELP RELIEVE PAIN

The following is provided by apta.org and is a great reminder for everyone to seriously consider physical therapy to help them relieve their pain:

ALEXANDRIA, VA, December 27, 2006 — In light of proposed sterner warning labels for acetaminophen, aspirin, and ibuprofen by federal health officials, patients may wish to consider the benefits of physical therapist intervention for pain relief from certain conditions, according to the American Physical Therapy Association (APTA).

"Many people are looking for alternatives to the sole use of medication to deal with painful conditions," said APTA President R Scott Ward, PT, PhD. "Pain medication may help you get through periods of severe pain, but it won't always help you eliminate the underlying cause of some kinds of pain. For many individuals, it is the underlying causes such as poor posture and alignment, weak and/or inflexible muscles, or tight joint structures that actually exacerbate the painful condition," Ward explained. "A physical therapist will perform a complete musculoskeletal examination and design an individualized treatment program to reduce pain and improve function."

There are many types of pain and inflammation that can be reduced by physical therapist intervention. For example, chronic pain in the back, shoulder, or knee, or pain associated with certain degenerative diseases such as osteoarthritis, can be reduced with the appropriate combination of medication and exercise. "The physical therapist, in collaboration with the patient and the patient's physician, can help the patient manage his or her health over the long term," explained Ward.

For pain of a "mechanical" origin such as back, shoulder, or knee pain, physical therapist intervention may include therapeutic exercise, manual therapy, and functional training. "The goal of the physical therapist is to reduce pain, improve the ability to perform daily activities, and help the patient return to doing the things he or she likes to do," said Ward. "It is also true that patients may unknowingly contribute to their own pain, such as by exercising improperly or with poor posture, and physical therapists can identify and help to correct those behaviors." Ward added, "Through the use of home programs designed to fit the patient's needs, the physical therapist can efficiently progress the patient's rehabilitation and teach the patient how to prevent a recurrence of the original condition."

For osteoarthritis, a degenerative disease of the cartilage and bone, physical therapist intervention may include exercises for strength, flexibility, range of motion, and the use of devices designed to rest or support the joint, such as orthotics or splints.

Physical therapists, who treat nearly 1 million people every day, work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. Many insurance policies also cover post-rehabilitation gym programs. "Most people who desire a fitness plan are not athletes," Ward explained. "They are ‘ordinary people' who exercise lightly to moderately. Many have a prior health condition, such as chronic low back pain, that can benefit greatly from physical therapist management focused on increasing muscle strength and endurance, restoring and improving range of motion in joints, increasing cardiovascular endurance, and decreasing muscle and joint pain." The physical therapist individualizes exercise programs based on functional limitations as a result of injury or illness.

For more information on physical therapy or to find a physical therapist near you, please visit www.apta.org/consumer.

The American Physical Therapy Association (www.apta.org) is a national professional organization representing more than 70,000 physical therapists, physical therapist assistants, and students. Its goal is to foster advancements in physical therapy practice, research, and education.