top of page

Rotator cuff tendinopathy



Rotator cuff tendinopathy, often referred to as rotator cuff tendinitis or tendinosis, is a condition that affects the tendons and muscles that surround the shoulder joint. The rotator cuff is comprised of four tendons and muscles that work together to stabilise and move the shoulder. Tendinopathy occurs when these tendons become irritated, inflamed, or degenerate over time.


Causes


# Overuse: Repetitive overhead arm movements, common in activities such as baseball, swimming, and weightlifting, can strain the rotator cuff tendons over time.

# Aging: As people age, the tendons in the rotator cuff may degenerate, becoming less flexible and more prone to injury.

# Poor Posture: Slouching or poor posture can affect the alignment of the shoulder joint, increasing the risk of tendinopathy.

# Trauma: An acute injury, such as a fall or sudden force to the shoulder, can lead to damage to the rotator cuff tendons.

# Occupational Factors: Certain professions that require repetitive shoulder movements, such as construction or painting, may increase the risk of developing tendinopathy.


Symptoms


# Pain: The most prevalent symptom is pain in the shoulder, particularly when lifting the arm overhead or during specific movements. The pain may be gradual or sudden in onset.

# Weakness: As the condition progresses, weakness in the affected arm can occur, making it difficult to perform everyday tasks or engage in sports.

# Stiffness: A sensation of shoulder stiffness, especially in the morning, is common.

# Difficulty Sleeping: Pain and discomfort may make it challenging to sleep on the affected side.

# Crackling Sensation: Some individuals with rotator cuff tendinopathy may experience a crackling or popping sensation when moving their shoulder.


Treatment Options


# Rest and Activity Modification: Reducing or modifying activities that exacerbate symptoms can provide relief. Resting the affected shoulder allows the tendons to heal.

# Physical Therapy: A physical therapist can design a tailored exercise programme to strengthen the rotator cuff muscles and improve shoulder function.

# Lifestyle Modifications: Adjusting posture and adopting ergonomic practices in daily activities can help prevent further irritation of the rotator cuff tendons.

# Heat and Cold Therapy: Applying heat or cold packs can help alleviate pain and reduce muscle spasms.

# Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) or pain-relieving medications may be prescribed to manage pain and inflammation.

# Corticosteroid Injections: In some cases, a doctor may administer corticosteroid injections directly into the shoulder joint to reduce inflammation.

# Surgery: When conservative treatments fail to provide relief, surgical intervention may be considered. This can involve repairing or removing damaged tissue, or even a full rotator cuff repair.



Rotator cuff tendinopathy is a common shoulder condition that can cause pain, weakness, and reduced range of motion. While it can be uncomfortable, timely diagnosis and appropriate treatment can lead to successful outcomes. If you suspect you have rotator cuff tendinopathy or are experiencing persistent shoulder pain, it's essential to consult a healthcare professional for a proper evaluation and treatment plan. With the right approach, you can regain shoulder function and alleviate discomfort, allowing you to return to your normal activities.

bottom of page