Rotator Cuff Treatment Brampton

What Is A Rotator Cuff?

Rotator cuff injuries are one of the most common reasons for shoulder pain. The rotator cuff is a group of four muscles that surround the shoulder joint to help provide maximal stability. These muscles include supraspinatus, infraspinatus, teres minor and subscapularis. Depending on if the tendons are being pinched, or if there is a tear in one or more of the muscles, your presentation and symptoms can vary.

How Do You Injury the Rotator Cuff?

They are many ways one can injure the rotator cuff. This can be due to repetitive overhead work, impaired posture, lifting weights with incorrect posture/form, or any direct trauma to the shoulder/arm; such as a fall or direct blow to the shoulder.

What are the Common Symptoms?

  • Pain in the neck
  • Restricted movement of the shoulder joint
  • Pain in the shoulder joint at rest and or with movements
  • Pain travelling from the shoulder down to the elbow
  • Pain, weakness and discomfort with overhead movements
  • Pain in the shoulder while sleeping

How Is A Rotator Cuff Injury Treated?

Physiotherapy and Chiropractic treatment can help treat individuals who have a rotator cuff injury. Our Chiropractor and Physiotherapist will work closely to determine the best treatment options for you. Treatment sessions can vary from person to person; however, your treatment may include soft tissue mobilization, therapeutic ultrasound, dry needling, strengthening and stabilization exercises, and mobilizations of the shoulder joint and spine.

Depending on the location of your rotator cuff injury, the physiotherapist and/or chiropractor may refer you to see a massage therapist. Massage Therapy has also been shown as an effective treatment measure for those who have rotator cuff injuries. Registered Massage Therapists can help increase circulation and soft tissue flexibility of the related fascia.

Best Exercises for a Rotator Cuff Injury

Here are some exercises that have been most effective to help with rotator cuff injuries. Please be advised that it is always best to speak with your chiropractor and or physiotherapist to determine which exercises are most suitable for you.

Caution: Please avoid performing any exercise that cause pain

Upper Trap Stretch

You want to begin this exercise by standing in front of a mirror with good posture. Make sure that your ears are lining up with your shoulders! Then, place one hand behind your back and place your other hand on your head. Gently tilt your head to the shoulder that your holding your head with. You should start to feel a stretch on the opposite side of the neck.

  • Hold: 20-30 seconds
  • Perform: 2-3 sets, time per a day

Levator scapulae stretch

You want to begin this exercise by standing in front of a mirror with good posture. Make sure that your ears are lining up with your shoulders! Then, place one hand behind your back and place your other hand on your head. Gently draw your chin towards the shoulder/ arm pit that you are holding your head with. You should start to feel a stretch on the opposite side of the neck.

  • Hold: 20-30 seconds
  • Perform: 2-3 sets, time per a day

External Rotation

Start by tying a resistance band to a stable pole or doorknob. Next, standing a few meters away from the door/pole, position yourself accordingly; stand with your feet shoulder with apart, retract your shoulder blades together, and make sure your ears are aligned with your shoulder. You then want to hold the band in the hand that is furthest away from the pole/door and bend your elbow at ˜90 degrees. You want to ensure that your elbow remains tucked in by your body during the exercise. You can also place a folded towel between your arm and torso and ensure it does not fall during the exercise.

You then want to slowly bring your forearm out to side. Make sure you are using your shoulder joint for this movement rather that your wrist joint (keep your wrist in neutral!). Slowly return back to the starting position. Repeat this exercise 10 times on each side.

Serratus Wall slide

The serratus anterior is a very important muscle as it helps to stabilize your shoulder blade. It helps to pull your shoulder blades away from each other/around your rib cage.

  • Start by standing a few meters away from a wall.
  • Standing with your feet shoulder with apart, place your forearms flat against the wall
  • Take a deep breath in and slowly glide your forearms up against the wall while you exhale – try to do this for a count of 6-8 seconds.
  • Once you reach the top, slowly glide your forearm back down to the starting position while you inhale. Repeat step 3.

In Other Words, How Can You Prevent a Rotator Cuff Injury?

It is important to understand that anyone can prevent a rotator cuff injury from occurring. Below is a list of things you can do to prevent a rotator cuff injury:

  • Visit a massage therapist often to help reduce any muscle tension that builds up over time
  • Visit a physiotherapist as soon as you can if you are experiencing any pain in your shoulder
  • Taking frequent rest breaks between tasks that require you to perform repetitive movements with the shoulder
  • Ensure you are always utilizing correct form and posture while participating in your daily activities, occupation and while doing exercises
  • Regular and frequent postural stretches/strengthening exercises with the correct form: This will help promote and increase flexibility within your shoulder joint and prevent injuries to the rotator cuff from occurring

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