Rotator Cuff Injuries

Rotator Cuff Injuries

Rotator Cuff Injuries

We’ve all heard of our rotator cuff, but what role does it play in our everyday movement and how does an injury affect us? 

The rotator cuff plays a crucial role in moving and stabilizing the shoulder, allowing for a wide range of movements. It is vital for maintaining shoulder stability and enabling proper shoulder function. It helps keep the upper arm bone dynamically centred within the shoulder socket, allowing for smooth and coordinated movements. So, how do we injure it?

A rotator cuff injury refers to damage or tears in the group of muscles and tendons that surround the shoulder joint. Common causes of rotator cuff injuries include repetitive overhead motions, trauma or injury, and age-related degeneration. Whether it’s due to a sudden injury or gradual wear and tear, a rotator cuff injury can significantly impact a person’s quality of life, limiting their ability to perform tasks such as lifting, reaching, or throwing. It is often painful and can lead to weakness, limited range of motion, and difficulty performing everyday activities. 

It is important to promptly seek appropriate treatment to alleviate pain, restore strength, and improve overall shoulder function.

Physiotherapy is an effective treatment option for rotator cuff injuries. A physiotherapist will evaluate the severity of the injury, assess the range of motion and strength of the shoulder, and develop a customized treatment plan. 

Initially, treatment may focus on reducing pain and inflammation through techniques like ice therapy, electrotherapeutic modalities, and gentle exercises. As the healing progresses, physiotherapy will involve a combination of strengthening exercises to target the muscles of the rotator cuff, as well as stretches to improve flexibility. Manual therapy techniques such as joint mobilization and soft tissue massage may also be employed to enhance shoulder mobility and reduce muscle tension. 

Through a progressive rehabilitation program, physiotherapy aims to restore strength, stability, and function to the shoulder, enabling individuals to regain their normal activities and prevent future injuries. 

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info

Making Sense of ‘Persistent’ Pain

Making Sense of ‘Persistent’ Pain

It seems self evident that pain is caused by tissue damage and is
therefore resolved by tissue healing. But what about when the initial
injury should have resolved long ago and yet our pain continues into
many months and possibly even years? This is known as ‘persistent’ or ‘chronic’ pain and in order to understand how it can develop we need to explore where pain really comes from.

Tissue damage is not actually what causes us to feel pain per se, rather, it is our nervous system’s RESPONSE to PERCEIVED DAMAGE or even just the perception of POTENTIAL damage that leads to this. This mechanism can be described in terms of inputs and outputs.

An input is where the body picks up signs of potential tissue damage via ‘nociceptive’ nerves, which detect things such as increases in tissue pressure, shearing or tearing forces, extremes of hot or cold and so forth. This information is then sent to the central nervous system (CNS) for consideration.

If the CNS perceives these signals as a threat to your well-being, it will
effect an output response by modifying or activating the function of a
number of bodily systems. One good example is the sympathetic
nervous system, which helps to bring about the body’s stress response commonly know as ‘fight or flight’. These output responses can lead to symptoms such as:

• Muscle spasms/aches/tightness/weakness,
• Changes in your posture
• Increased rate of breathing• Increased pain and sensitivity to pain
• Increased heart muscle tone,
• Increased arousal, alertness and attention.

These responses are generally necessary to aid our recovery, but there are times when they can become excessive and counterproductive. For example, if tissue damage is allowed to go on for prolonged periods, it can lead the CNS to accelerate its response causing it to react to things that would not normally be painful. Also, because responses are based on the CNS’s PERCEIVED level of injury or threat, a person’s beliefs, past experiences and emotional state (anxiety/low mood) can be enough to lead the body to mount a pain response even in the absence of any actual tissue damage.

A counterproductive or prolonged response like this can also lead to:

• Slow healing of cuts and recovery from illness
• Difficulty in concentration and memory
• Changes in sleep patterns
• Fatigue
• Altered libido
• Digestive problems
• Widespread and spontaneous pain
• Increased muscle activity

In these situations, conventional treatments alone are not always
enough and a deeper knowledge of how to bring back true balance is
essential. Holistic physiotherapy treatment will help you to move away
from a persistent, painful and domineering ‘fight or flight’ state by
boosting areas such as your immune and parasympathetic nervous
systems (areas all too often ignored!).

Some examples of things that can help include:

• Relaxation and breathing exercises
• Having a good understanding of your condition
• Graded fitness training and exercises
• Doing away with unhelpful and damaging beliefs and worries
• Developing a healthy sleep pattern

Further articles to come! If you’re struggling in the meantime, book in today to see Doug to start your journey of understanding and lasting recovery.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
downtown@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
glenmore@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
winfield@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
lowermission@suncityphysiotherapy.com
more info