Rotator cuff injuries and physical therapies.
A Dr Les Bailey orthotics article, Woodmansterne, Banstead, Surrey.
About Dr Les Bailey phd,DO, acopm.apta(int part)
Author of "the laymans guide to foot and heel pain
Direct phone number 07801418080
Dr Les Bailey,s career bagan in physical therapies in 1981,qualifying in remedial / therapeutic massage,and later going on to qualify as an osteopath.
He worked for his phd at OIUCM for a thesis on the treatment of plantar fasciitis / orthotics
He was awarded a teaching/lecturing diploma from the northern school of osteopaths in 1993 and was a regular lecturer there
He also holds a qualification in foot biomechanics .
Dr Les Bailey practice from his clinic in Woodmansterne / Banstead in surrey.
The rotator cuff is formed of a group of four muscles within the shoulder joint. The muscles are specifically
These rotator cuff muscles work in unison, synergistically.
. They stabilise the shoulder joint and together, make shoulder joint motion.
The four tendons of the shoulder joint muscles form into one large tendon called the rotator cuff tendon
. This tendon is attached to the humerus head.
There is a space under the acromion at the scapular, named the subacromial space.
The rotator cuff tendon passes through this space.
The 3 most common causes of rotator cuff inflammation and pain are
Rotator cuff inflammation tends toward having an acute onset.
Usually there is a specific injury that awakens the syndrome or it may happen due to overuse of the shoulder.
It may occur in athletes, who participate heavily in sports involving throwing or weight lifting.
In the case of non-athletes, there is generally a history of heavy lifting or repetitive movements of the shoulder.
There are cases where the rotator cuff tendons become calcified. In these cases calcium is deposited in and around the tendons, and this occurs with a long history of inflammation. This is termed calcific tendonitis.
Most of the early diagnosis is done by taking a history and examining the shoulder.
We start by taking a case history of onset and symptoms.
We then examine the pain points and movement of your shoulder.
This involves moving your shoulder at various angles.
One of the tests that diagnose rotator cuff tendonitis is termed the the" painful arc test". This is done beginning with your arm by the side and then we get you to lift your arm outwards from your side to form an arc.
with rotator cuff tendonitis, pain is generally elicited at an angle 70 and 120° in the arc.
There are cases where an x ray, scan or ultrasound scan are needed.
With rotator cuff injuries it is prudent to desist from the activities that were the causative factor, however it is important not to desist from movement altogether.
Osteopathic or physical therapy treatment is very helpful, but cortisone and anti inflammatories can be useful adjuncts to recovery if and when needed.
However, therapy is the better option as it will look at causes and possibly eliminate these.
Dr Les Bailey phd, DO. Acopm, Apta ( int part )
Dr Les Bailey, Banstead, Woodmansterne.
A Les Bailey orthotics article 2012