Rotator Cuff Injuries
The rotator cuff is comprised of 4 tendons that are located deep to the bigger deltoid muscle. The tendons of the rotator cuff provide dynamic stability to the shoulder joint with various movement. Due to their location, these tendons are susceptible to both (1) overuse injury and (2) acute/sudden injury. Overuse injury typically presents months, or even years, after repetitive shoulder use, specifically involving overhead movement. An acute, or sudden, injury to the rotator cuff can result from a fall on an outstretched arm or even when lifting something heavy. If the rotator cuff is injured in either of these scenarios, it oftentimes refers to some degree of a tear in the tendon – either microtears within the tendon or more severe tears that result in discontinuity of tendon fibers.
An accurate diagnosis for these injuries is crucial for designing an appropriate treatment plan. Diagnosis of rotator cuff injuries is based largely on a thorough history and physical examination. For further evaluation of the rotator cuff, diagnostic ultrasound can be performed in the clinic. In many cases, ultrasound can help identify the exact location and extent of the injury without having to undergo an MRI.
Treatment for rotator cuff injuries is dictated by the severity of the injury and the symptoms. In most cases, rotator cuff injuries can be managed non-surgically by focusing on shoulder mechanics and developing strength at the rotator cuff muscles. Depending on someone’s progress, regenerative medicine options can also be considered, to help promote and stimulate healing within the tendon.
If you are experiencing shoulder pain, or are concerned about injury to the rotator cuff, give us a call to schedule a consultation with one of our sports medicine specialists.
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