Make your own free website on Tripod.com

 

ROTATOR CUFF INJURIES / IMPINGEMENT SYNDROME

The shoulder is the most highly mobile and flexible major joint in the body. Due to its enhanced flexibility and wide ranges of motion, it is more susceptible to injury. Its primary source of joint stability must be balanced muscle control. This control is dependent upon many muscles firing in a proper sequential fashion to assure its maximum function. Any dysfunction with this joint can be attributed to numerous muscular imbalances within the joint itself and its associated structures i.e. poor alignment of the shoulder blade (scapula) or collarbone (clavicle) can create a torque throughout any range of motion and create irritation or inflammation in the related muscles. This in turn can affect the firing sequence. In response, certain muscles will not carry their load effectively and force other muscles to overwork. This pre-disposes the joint to overuse injuries.

COMMON SIGNS

Difficulty lifting your arm to parallel
Can not fully raise your arm above your head
Pain in the front or middle of the deltoid muscle
Discomfort in the area where the collarbone meets the shoulder
Difficulty sleeping on the involved shoulder
Pain or discomfort putting on a jacket and/or with a throwing motion

FACTORS

Proper alignment of the collarbone, sternum, shoulder blade, neck vertebra, elbow and wrist
Muscle weakness and imbalances, especially with the rotator cuff muscles:
supraspinatus, infraspinatus, teres minor and subscapularus

Flexibility
Nutrition and hydration
Fatigue
Age

For those involved with regular exercise and training

Poor technique
Intensity/Duration/Frequency
Equipment

OFFICE EXAMINATION

History of injury, habits and exercise and training schedule, techniques if applicable.
Orthopedic evaluation: joint impairment, range of motion and flexibility
Applied Kinesiology examination-This involves manually testing all the specific
shoulder, neck and arm muscles possibly involved. This helps determine muscle

weaknesses, which muscles are forced to compensate and other contributing

factors stemming from the neck, wrist and elbow.

MRI, x-rays only if necessary
Nutritional evaluation

CORRECTIVE PROCEDURES

Muscle therapies: myofascial release, trigger point therapy, muscle re-balancing
Extremity and spinal adjustments
Muscle re-education and home care exercise program
Nutritional support for inflammation and tissue repair
Re-evaluation and regular monitoring with each visit