Rotator Cuff Tendinopathy

What Is Rotator Cuff Tendinopathy?

Definition:
Rotator cuff tendinopathy refers to inflammation, degeneration, or tears in the tendons of the rotator cuff, a group of muscles and tendons that stabilize the shoulder.

Key Fact: It is one of the most common causes of shoulder pain, particularly in people who engage in repetitive overhead activities.

Causes & Risk Factors

Causes:

• Repetitive overhead movements (e.g., throwing, swimming, painting).
• Poor shoulder mechanics or posture.
• Sudden trauma or strain.

Risk Factors:

• Age (most common in 40+ years).
• Certain sports (e.g., tennis, baseball).
• Occupations requiring repetitive arm movements.

Symptoms

• Persistent shoulder pain, especially when lifting or reaching.
• Weakness in the shoulder.
• Pain worsening at night.
• Limited range of motion.

Diagnosis

• Physical Examination: Checking mobility, strength, and pain points.
• Imaging Tests: Ultrasound or MRI for detailed views of tendons.

Treatment Options

Non-Surgical:

• Physical Therapy: Focused exercises to improve strength and flexibility.
• Rest & Activity Modification: Avoid activities that aggravate symptoms.
• Medications: Anti-inflammatory drugs to reduce pain and swelling.
• Injections: Corticosteroids or platelet-rich plasma (PRP) injections.

Surgical (if necessary):

• Arthroscopic repair for severe tears.

Prevention Tips

• Warm up before activities.
• Strengthen rotator cuff muscles with specific exercises.
• Maintain good posture.
• Avoid repetitive overhead movements when possible.