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Physiotherapy for rotator cuff tear/tendinopathy

Rotator cuff tendinopathy and tears are common injuries relating to the shoulder. Up to 70% of painful shoulders are associated with some sort of problem relating to the rotator cuff. The physio team at Central Performance are highly experienced in treating rotator cuff injuries and working with clients to help them achieve their goals using the latest shoulder assessment and treatment techniques.

There are many causes of rotator cuff pathologies including;

  • Trauma
    • falling and landing on your shoulder
    • poor technique with a rugby tackle
  • Overuse
    • swimmers and overhead athletes like cricket bowlers, pitchers and throwers
    • repetitive workplace activities, including desk work with poor ergonomics
    • manual workers such as construction workers and cleaners
    • poor shoulder mechanics leading to inefficient activation of your rotator cuff muscles
  • Degenerative
    • our tendons tend to get weaker as we get older, especially if we have long-term poor shoulder mechanics or recurrent injuries

Steps to Physiotherapy Management of Rotator Cuff Tendinopathy and Tears

Your Initial Assessment And Diagnosisandandandandandandandandandandand

Your physiotherapy treatment begins with a thorough examination to determine the cause of your shoulder pain and confirm a diagnosis. This includes taking a full subjective history, using specific tests to identify rotator cuff pathology, screening your shoulder mechanics and assessing surrounding areas of your body that may be contributing to your pain. Your pain may be due to a rotator cuff pathology or tear, muscle tightness or joint stiffness leading to a restricted range of motion, or weakness of your rotator cuff and/or scapular (shoulder blade) stabiliser muscles. Your physio will thoroughly explore all the relevant factors to ensure we make an accurate diagnosis.

During your first session your physiotherapist will take time to clearly explain your diagnosis to you. They will educate you about relevant anatomy and factors that have caused your pain, plus guide you through your treatment plan and steps to recovery. Your individual goals are very important when planning your treatment, so your physio will discuss your goals with you and clarify how your treatment plan will ensure you achieve them. If there is any need for imaging like x-rays or an MRI your physio will discuss this with you and provide you with the appropriate referral.

Your Physiotherapy Treatment Programand

Although you treatment program will be personalised and unique just for you and your particular situation, as you recover you will usually progress through four primary phases;

  1. relieve your pain and restore your full range of movement
  2. specific strengthening exercises for your rotator cuff and scapular stabilisers
  3. Screening and correction of whole-body mechanics that are contributing to your injury, for example thoracic spine stiffness or pain that may be referred from your neck. This often includes a mix of mobility, strengthening and balance work.
  4. graded return to sport and activity. This includes strengthening and plyometric exercises specific to your chosen sport, exercise and lifestyle activities.

Strength exercises and restoring optimal shoulder mechanics become a real focus as your recovery continues. Regaining your full strength, as well as complete range of movement and efficient biomechanics, are essential to keep you active and injury0free into the future.and

Returning To Sport And Activity

The important last stage of your treatment program involves you transitioning back to your full range of activities, including sport and exercise. Every activity is different and therefore loads your shoulder differently, so this stage is highly individualised to target your personal goals and activities of choice. We focus on maximising your resilience and sports performance through functional strength and conditioning. Your physiotherapist may recommend that you complete an exercise physiology (link to EP please) or personal training (link to Personal training page please) andprogram to complete this stage.

To Make An Appointment Please Use Our Online Booking System Or Call Us On 9280 2322

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