Rehabilitation for Rotator Cuff Injury

The rotator cuff is the thick band of muscles and associated tendons that covers the top of the upper arm and holds it in place, providing support and stability to the shoulder joint. The rotator cuff also allows for a full range of motion while keeping the ball of the arm bone in the shoulder socket. These tendons can become partially or completely torn as a result of a rotator cuff tear or injury. A rotator cuff tear can occur as a result of overuse of the muscles over a long period of time with eventual degeneration of the tendon and then tearing. This condition is more common in individuals over the age of 40 as well as in athletes or those who practice repetitive lifting or arm movement in their occupation. A rotator cuff injury may also occur as a result of a traumatic injury such as a fall, or shoulder dislocation.

Treatment may include conservative treatments such as rest, ice, physical therapy, steroid injection, and activity modification, while severe cases may require surgery for repair. The goal of any treatment is to reduce pain, improve function, and restore strength.

Nonsurgical Rehabilitation for Rotator Cuff Injury

In some cases, rotator cuff tears can be treated through nonsurgical methods that focus on relieving pain and restoring function to the shoulder. These may include rest, use of a sling, anti-inflammatory medication, steroid injections and physical therapy. Physical therapy exercises focus on improving the strength and control of the rotator cuff muscles and the muscles around the shoulder blade. Treatment may include:

Muscle strengthening exercises
Gradual weight-bearing activities
Range of motion exercises

The physical therapist may also make suggestions and create exercises for improving posture and shoulder alignment.

Rehabilitation After Rotator Cuff Surgery

In most cases, surgery will be recommended for tears that cause severe pain or that do not respond to more conservative treatments. The type of surgery performed depends on the size and location of the tear, but often involves trimming torn edges or suturing the tendon back together. Physical therapy often begins shortly after surgery to help restore strength and movement and allow patients to gradually resume their regular activities. Initial physical therapy treatments may include ice, electrical stimulation, and massage, to help control pain and swelling. As the healing begins, muscle-strengthening exercises and range of motion exercises may be used to increase movement and mobility.

Rotator cuff repair surgery is usually successful in relieving shoulder pain, although full strength cannot always be restored. It is important for patients to commit to their physical therapy program in order to achieve the most effective surgical results. The size of the tear and quality of the tissue play a large role in the recovery process. Similarly, smoking has been found to have a detrimental effect on the outcome following rotator cuff surgery.

If you are a smoker, resources are available to help you quit:
https://smokefree.gov

You're Not Too Old to Get Fit!

Getting older comes with a unique set of challenges. Taking extra steps to care for your well-being is crucial to a high quality of life. Many seniors think their physical changes mean they have to stop being active. But, it’s more important than ever to stay in shape as you age.

With adjustments, there are ways for you to take care of your body and feel great.

Benefits of Staying in Shape

Exercise is an essential part of life. But, aging can make exercising a challenge. Staying active helps get the blood flowing through your body and carry oxygen to your organs.

Also, increased blood flow helps endorphins flood your brain. More endorphins help ease tension and stress. Lowering your stress levels helps your self-esteem as negative emotions have been released.

Staying active as you age can help you build and maintain your muscle structure. Our muscle tissue decreases as we age, but working out helps slow this down. Another benefit

of working out is it can help lower your blood pressure. Your blood pressure is crucial to your heart function. Staying fit ensures your heart performs at its best.

While you may think that you’re days of working out are over, you have plenty of reasons to keep going.

Exercises You Can Do

While you may not be able to lift 200 pounds over your head anymore, there are plenty of ways to keep your body strong.

As your body changes, you have to adapt how you work out. For example, jogging can be tough on the knees, back, and ankles. Instead, you can opt for low-impact activities like walking, which are easier to do. Low-impact movements put less strain on the joints but still do the job of keeping you moving.

Also, swimming is another way to ease the tension on your joints. The buoyancy of the water counters the effects of gravity on your body. Negating the pull of gravity allows for more range of motion and helps you complete more challenging movements.

Getting Help

Staying active is crucial to your health as you age.

But, it can be overwhelming to find a routine that works for you. But, you don’t have to do it alone.

Dr. Desio is ready to help you find what works for you. Schedule an appointment in the Worcester office today by calling 508-363-6363.