DEFINITION
It is a functional deficit of the shoulder called omalgia,
painful shoulder and scapular humeral periarthritis. Tendonitis of the
rotator cuff is a pathology due to overuse (repetitive movement) that causes
pain and disability in the shoulder and upper arm. It is often called
"impingement" or bursitis.
ORIGIN
The vast majority of the time, the painful shoulder can be
framed in:
- Pain
due to irradiation, of neurological, vascular, cardiological or intestinal
origin.
- Pains
of articular and periarticular origin, including bursitis, tendinous
pathologies (tendonitis and ruptures) and capsulitis.
CAUSES AND SYMPTOMS
Causes of this ailment can be jobs that require constant
movements over the shoulder (signer, vinyler, painter, glazier, ...) or racquet
sports (paddle, tennis), lifting weights, ...
Long sports workouts or repeated physical movements
muscle-tendon groups can become inflamed. The result is: acute or chronic
pain, local sensitivity and inability to
perform movements with the affected shoulder (dressing,
driving, lifting things over the shoulder, ...).
TREATMENT
What we are looking for with the treatment is to reduce the
inflammation and later to distend and strengthen the muscles that make up the
rotator cuff. Inflammation is usually controlled with rest, ice and oral
medication (anti-inflammatories).
It is essential to reduce, avoid or modify the activity that
has generated the ailment (decrease physical activity, avoid the type of
movements that cause us pain, swim less distances or avoid service on the head
in tennis).
Once the inflammation has been controlled, your physiotherapy doctor in
Dwarka will probably prescribe a stretching and strengthening
program. At the beginning of the strengthening program, the application of
ice on the shoulder after the exercises may be helpful. Stretching
exercises are performed before strength exercises to warm and distend the cuff
muscles.
Physiotherapist in Dwarka
advises to moderate the training sessions and schedule adequate rest periods
between them to prevent tendonitis.
The preheating and stretching exercises and strength
exercises are also components of prevention. Paying immediate attention to
pain in the shoulder and upper arm during training or after a session can
prevent a chronic problem. The treatment of symptoms in the shoulder
should be started as soon as they start.
STRETCHING EXERCISES
Stretching 1
Bring the affected member's hand to the opposite
shoulder. Advance the shoulder slightly. You will experience a slight
stretch in the affected shoulder.
Exercise 1
With your hand holding a dumbbell (thumb down), raise the
extended arm to a 45ยบ angle or as far as pain allows.
Stretch 2
Place the affected arm on the head, with the elbow facing
upwards, with the hand extended toward the back of the opposite
shoulder. Slowly bring your elbow bent back.
Exercise 2
This exercise can be done standing with a rubber band, or
lying on the painful side with weights (see the drawing below). Begin with
several repetitions of slow movements and progress with more weight or tension
of the rubber.
Stretch 3
Bring the hand of the affected arm to the opposite
shoulder. Advance the shoulder slightly. You should experience a
certain stretch in the affected shoulder.
Exercise 3
Lie on a table with your elbow on the edge and your hand
hanging, with a weight in your hand. Raise the weight parallel to the
floor to the level of the table or head (keeping the back flat, without arching
it). Raise the elbow towards the ceiling so that the shoulder blades are
approached. Start with a small weight and increase
progressively. Remember: the exercise must be slow and controlled.
