The rotator cuff is a group of muscles and tendons in the shoulder that connects the upper arm (humerus) to the shoulder blade (scapula). The rotator cuff tendons provide stability to the shoulder while the muscles allow the shoulder to rotate. The muscles in rotator cuff are Teres minor, Infraspinatus, Supraspinatus, and Subscapularis. The muscles in the rotator cuff inserts at the scapula and has a tendon that attaches to the humerus.
The rotator cuff is often a subject to athletic injuries. These injuries include:
Rotator cuff tear: An injury tears a rotator cuff tendon that’s been weakened by age or wear and tear. Weakness in the arm (and usually pain) are the symptoms.
Rotator cuff tendinitis (tendonitis): Repetitive overhead use of the arms (such as painting
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Any change in motion increases the risk of impingement.
The symptoms of impingement syndrome are as follows:
• Pain: Impingement syndrome begets an aching pain in both the front of the shoulder and also the outer side of the upper arm. The pain will increase on contact as it is tender to the touch, and also certain movements will result in sharp searing pain.
• Weakness: Due to imbalance, and improper shoulder movement, the shoulder will become weak.
• Lack of Mobility: Some movements may pinch the tendon in such a way that the shoulder will not be able to rotate sufficiently to allow the arm to complete the action. Other motions may simply be too painful.
Impingement syndrome breaks down the supraspinatus tendon near the attachment to the humerus bone. In most severe cases, the tendon may pull away from the bone completely.
Prevention
The long-term changes that occur in and around the shoulder joint because of everyday wear and tear cannot be totally prevented. But you may be able to prevent some rotator cuff problems if
Many factors like patients age, symptoms, size of the tear, and nature of onset (traumatic or degenerative) are responsible for determining the prognosis of the physical therapy treatment 9. Since it’s a partial thickness tear of the rotator cuff, the non-operative treatment is reasonable unlike, a full thickness tear where surgery will be required to treat the patient 9. The patient shows symptoms of moderate irritability without significant functional deficit which makes him a good candidate for conservative treatment 10. The pain reported by the patient is 6/10 so the patient participates well in physical therapy exercise to increase shoulder strength, and flexibility. There was a study done from Finland which asserted that physical therapy alone can produce results which are equal to those produced by arthroscopic surgery and open surgical repair in cases of rotator cuff tears 11. In this case, with three weeks of physical therapy the patient has showed a decrease in pain and reported it as 4/10 on pain rating scale and showed improvements in abduction (140̊) and external rotation (65̊). The MMT for shoulder abduction was 4-/5 and external rotation is still same as
The elbow is a hinge joint, moving in only one dimension (flex or extend), making it relatively simple from an architectural and functional standpoint. The humerus bone in the upper arm connects to the two bones of the forearm by means of various connective tissues. For a pitcher, one of the most important of these connections is the unlar collaterial ligament (UCL). The UCL offers much of the stability that is necessary for the elbow to withstand the extreme stresses created by throwing a baseball at high velocity. Its function is to stabilize against lateral forces and to keep the arm connected across the joint space.
A rotator cuff is simply a group of four tendons and muscles that are located right on the shoulder and on top of the humerus bone. (Source 1) The rotator cuff is what controls the shoulder and allows it to move and be mobile. The four main muscles that consist of the tendons are the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. (Source 2). Too much wear and tear on these muscles (such as too many thrown fastballs) is precisely what causes the rotator cuff to begin to tear, as well as swelling in the tendons.
The four progressive resistive exercises I chose are, Thera-band tubing shoulder flexion, Thera-band shoulder diagonal, Thera-band shoulder Extension, and Thera-band shoulder external rotation at 90 degrees.
Shoulder and neck pain are the most common musculoskeletal disorders one can get. Right sided neck and shoulder pain is one that the assistant is highly prone to developing, and is difficult to avoid. Reason being is frequent reaching across the assistant’s mid-line with the right arm. Neck pain can also be caused by leaning forward with your head bent down for a long period of time.
An Achilles tendon rupture can be a partial or complete tear of the Achilles tendon hence when an athlete suffers from the injury it can come suddenly with a snapping or popping sound of the Achilles tendon separating into two pieces. The tendon rupture basically tears the fibres therefore meaning the tendon can no longer perform its normal func...
The surfaces of the joint are organised to allow only back and forth motion such as bending and straightening. This type of joint can be found between your upper arm and your lower arm, in the elbow. This type of joint is incredibly important as it allows an up and down movement, without this type of joint, we wouldn’t be able to move our arm up and down. Muscles are attached to this type of joint by tendons to allow it to contract and relax and be able to move the bone within this joint. Ligaments attach the bones in a hinge joint together, for example, the humerus and the tibia are joined by ligaments but they also have antagonist muscle pairs attached to them by tendons which allow the bone to move by contraction and relaxation of the muscles.
Imagine going up for the perfect lay-up, you make the shot but when you land you twist awkwardly and land on your knee. Laying on the ground, you feel the pain surging through your knee, the first line of defense is an athletic trainer, however if this accident happened when you fell on a wet kitchen floor you could expect much the same care from a physical therapist Athletic Trainers are the first to respond to sport related in game injuries, and provide care after injuries. In contrast physical therapist are not only there to fix accidental injuries, and treat chronic bone and joint they help with plans of care and rehabilitation for athletes and non-athletes after injuries. Physical Therapy play a important role in todays healthcare. Physical Therapy are experts of improving and storing motion , they contribute to their patients ‘ quality of life by keeping them healthy , fit , active and in medications . The first school of Modern Physical Therapy opened in Boston, MA , So Physical Therapy have been around for a long time. The Physical Therapy Association Organized by Mary McMillan. It later became the American Physical Therapy Association.World War ll brings changes to Physical Therapy was done at hospitals as patients recovered from injuries , surgeries or other ailments.
The most common way to tear the A.C.L is by violently twisting the knee. This can happen with or without contact. Most people say they hear “a pop“. It can occur when you‘re slowing down from running, planting and suddenly changing direction, or hyperextending the knee. “When this happens immediate pain results, the knee will fully swell, tenderness occurs around the knee, and the range of motion will be greatly affected.” ( Micheli, Dr. Lyle J. ) The first thing to do if an injury occurs is to use R.I.C.E., which stands for rest, ice, compression, and elevation.
Have you ever been injured? By sports? If so, what injury did you have? Did you do active rehabilitation? Do you try to prevent injury when exercising? These are some questions that you might need to ask yourself when exercising or participating in sports. You also must know that there are many sports injuries as well as many ways to prevent them.
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Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
Understanding Sciatica: symptoms & diagnosis. What is a sciatica? Sciatica is the name given to any case of pain that is caused by irritation or compression of the sciatic nerve. The sciatic nerve is the longest nerve in the body, running from the lower back down the back of each leg.
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
Football is one of the most popular and most viewed sports in the nation; people of every race and ethnicity love to watch the game of football, but when playing this sport, participants must always account for injuries that occur such as ligament tears and brain, neck, and spinal injuries, all of which can produce short and long term effects on a player’s life.