Repetitive stress – activities which stress the same part of the body Lack of blood supply – the blood supply in the rotator cuff tendons lessen and the tendons get damaged Bone spurs – the bone may develop a growth and rub on the rotator cuff tendon causing pain Acute tear – occurs when you jerk the arm or lift something heavy and the tendon gets partially torn Degenerative tear – result of wearing down of the tendon over time
• Partial tear – damages the tendon but doesn’t sever it • Full-thickness tear – The tendon is completely torn
1. Pain at night when lying on affected shoulder 2. Pain when lifting and lowering arm 3. Weakness in arm and shoulder 4. Crackling when moving shoulder 5. Sudden tears can cause shooting pain up the arm 6. Degenerative tears develop over time and pain increases slowly
• Physical examination – To rule out arthritis or a pinched nerve • X-Ray – To check for bone spurs • MRI – To check for tissue and tendon damage/pinpoint area of the tear
• Rest. • Avoid activities that cause shoulder pain. • Nonsteroidal anti-inflammatory medication • Strengthening exercises and physical therapy • Steroid injection for severe pain
If your pain doesn’t get better with non surgical treatment, you may have to opt for surgical options. Your doctor will recommend surgical options in case: • Pain doesn’t reduce in 6 to 12 months • Tear becomes larger • Significant weakness in arm • Loss of function in your shoulder • An acute injury
This will include: • Pain medication • Rest • Physiotherapy
Kauvery Hospital is globally known for its multidisciplinary services at all its Centers of Excellence, and for its comprehensive, Avant-Grade technology, especially in diagnostics and remedial care in heart diseases, transplantation, vascular and neurosciences medicine. Located in the heart of Trichy (Tennur, Royal Road and Alexandria Road (Cantonment), Chennai, Hosur, Salem, Tirunelveli and Bengaluru, the hospital also renders adult and pediatric trauma care.
Chennai – 044 4000 6000 • Trichy – Cantonment – 0431 4077777 • Trichy – Heartcity – 0431 4003500 • Trichy – Tennur – 0431 4022555 • Hosur – 04344 272727 • Salem – 0427 2677777 • Tirunelveli – 0462 4006000 • Bengaluru – 080 6801 6801
Well explained article! Thanks Kauvery!
thanks awaiting correct advise
I often hear cracking sounds when I rotate my arms. Maybe I should consult a doctor.
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