Sports & Spinal Solutions Clinic

Physiotherapy . Chiropractic . Massage Therapy . Health Solutions

08:30AM - 06PM

Monday – Saturday

+1-905-235-2500

Call Us

Rotator Cuff Injury or Muscle Spasm Around the Shoulder

Rotator Cuff Injury

Rotator cuff injury causes shoulder pain in middle-aged and elderly people. It is difficult for people to raise their arms above their heads to do activities such as removing items from cabinets or closets, showering , or changing. In addition, the disorder is common in people who always keep their arms above their heads in daily activities, such as building painters or housewives (who are constantly picking up and putting things on the shelves above the cabinet) as well as athletes who have to keep their arms up while exercising, such as tennis, baseball, and badminton players.
The main cause of this disease is that a group of muscles called the rotator cuff (especially a muscle called the supraspinatus) are pressed between two bones in the shoulder area. The rotator cuff refers to four of the muscles that attach to the arm through the scapula. One of these four muscles, called the supraspinatus, passes through the upper arm bone and a scapular appendage called the acromion. Narrowing of this bony duct means that the muscle is pressed and damaged.

Rotator Cuff Injury

As a result of the pressure applied to these muscles between these bony canals, the area that bears the most pressure becomes inflamed. Over time, calcium deposits accumulate in these areas. As pressure and injury continue, the rotator cuff muscles wear and tear. This rupture is more common in the supraspinatus muscle and affects other rotator cuff muscles.

Causes of Rotator Cuff Syndrome and Impingement syndrome

Two groups of factors cause this disease. The most common type of disease usually occurs due to erosion of the structures around the shoulder. Distance between the acromion appendage and the humerus decreases, causing the rotator cuff muscles to become trapped and eventually rupture. Therefore, these injuries and lesions increase with age and over time, so most patients have had shoulder issues for more than forty years.
The less common type of lesion is a ruptured rotator cuff muscle due to injury from strenuous activity such as sports injuries. As a result, this type of disease is also seen in young and active people, such as athletes or workers who are very physically active.

Clinical Signs of Rotator cuff

Symptoms of rotator cuff disease depend on its extent, type, and location. Typically, early in the process, rotator cuff injury begins with constant pressure on the supraspinatus muscle, which causes inflammation in this muscle and surrounding soft tissue (called bursitis). As the inflammation continues right where the tendon in this muscle is most affected by the pressure, some calcium builds up in the tendon (tendonitis). Patients will complain of debilitating pain and weakness that may even wake them up at night. Since when a person lies on an injured shoulder while sleeping, he feels severe pain. This shoulder pain may also occur when changing clothes. In the more advanced stages of the disease, the rotator cuff fibres at the site of calcium deposition begin to disintegrate, which in this stage is called rotator cuff rupture. With a muscle tear, the pain gradually subsides, although it does not completely disappear. On the other hand, weakness of arm movements is exacerbated in some directions due to muscle tears.

Get better results by upgrading today!

Risk Factors Of Rotator Cuff

The following factors increase the risk of rotator cuff damage:

  • Age

    As you get older, it is more likely to get a rotator cuff injury. Rotator cuff rupture is most common in people over 40 years of age.

  • Some sports

    Athletes who have to move their arms frequently – such as baseball throwers, archers, and tennis players – are more likely to have rotator cuff injuries.

  • Construction work

    
In occupations such as carpentry or painters, one has to move one’s arm frequently and often above the head. These movements over time may damage the rotator cuff.

  • Genetic

This damage is more common in some families, so it seems that genetic components also play a role in causing this damage.

  • Complications

    If left untreated, damage to the rotator cuff can lead to permanent loss of movement or weakness of the shoulder, eventually leading to the gradual destruction of the shoulder joint. Although resting the shoulders is essential for good health, keeping the shoulders steady for a long time may cause the surrounding connective tissue to thicken and shorten (frozen shoulder).

  • Prevention

    If you have had a rotator cuff injury in the past, doing daily stretching and strengthening exercises will prevent future injury.
Most people strengthen the muscles in the front of the chest, shoulders, and arms, but to optimize the balance of the muscles in the shoulder area, strengthening the muscles behind the shoulders and around the shoulders is equally important. Your doctor or physiotherapist will help you plan a daily exercise program.   

Rotator cuff treatment

Suppose you have any of these diseases involving the rotator cuff (bursitis, tendonitis, or incomplete ruptures), and you do not have enough education and information about this. In that case, you may intensify your injury and make the lesion worse. Treatment primarily involves resting and avoiding movements that aggravate shoulder pain, as these movements increase the pressure on the rotator cuff muscles and increase the risk of inflammation and rupture. Next, several anti-inflammatory drugs should be prescribed to reduce pain and treat local inflammation of the muscle tendons. While resting and avoiding certain movements increase the healing process, there are several specific exercises that increase the range of motion of the muscles and strengthen the shoulder muscles, which ultimately lead to the healing of these muscles. These exercises, along with the use of physiotherapy equipment, reduce pain. Despite these treatments, a group of patients will need to inject anti-inflammatory drugs into the position of the injured rotator cuff muscles. There are cases of shoulder muscle stiffness and rotator cuff syndrome that require surgery.

Leave a Reply

Covid-19 Protocol

Covid 19 pandemic has changed the way the world looks for all of us. Health centers are no exception well one thing that hasn’t changed is making sure you have access to world-class care where you need it when you need it safely and conveniently.

We have taken many steps to ensure that our clinic is safe. Everyone at our location is asked to wear a mask at all times. Each person is asked to clean their hands when they arrive and frequently while they’re here. Changes have been made to support social distancing, and we’ve designed special processes to assure care for Kovach patients while protecting other patients.

Every single person that works at Sports & Spinal Solutions Clinic is committed to keeping you safe.

All of our personnel Wash and sanitize their hands before and after each physical contact.

We clean and disinfect the clinic after each shift of operation.

We clean and sanitize the waiting area/front desk/chairs/switches/door knobs/ periodically during the operation.

We clean and sanitize all the equipment/beds after each use.
We wash and disinfect sheets, towels and gowns after each use when is in contact with the client.