By Laurie Melrose-Doering, Osteopath & Applied Kinesiologist
Dealing with a rotator cuff injury can be daunting, but with the right approach and support, full recovery is attainable. Ensuring sufficient rest is crucial when managing rotator cuff injuries; thus, taking breaks from activities that may worsen the condition is essential. Osteopathic treatment can be particularly advantageous as it aligns the body and alleviates tension around the rotator cuff and spine. Additionally, rehabilitation exercises play a vital role in strengthening shoulder muscles, enhancing range of motion and flexibility, and reducing pain. With a comprehensive treatment plan and commitment to rehabilitation, complete recovery from a rotator cuff injury is possible.
Shoulder pain, which is frequently reported, most commonly arises from bursitis, frozen shoulder, trauma, or strain or tear of the rotator cuff muscles. The rotator cuff, consisting of four muscles and tendons within the shoulder joint, is crucial for providing strength and stability. These muscles are particularly susceptible to injury from overstretching or repetitive strain.
Osteopathy can significantly reduce pain and aid healing in rotator cuff injuries. Osteopaths utilise joint manipulation, soft tissue massage, and stretching techniques to ease discomfort and promote recovery. They also collaborate with patients to identify underlying issues or movement patterns contributing to the injury. By addressing the body as a whole, osteopaths work to restore balance and health to the shoulder’s muscles, tendons, and other structures. Additionally, they provide guidance on posture, ergonomics, activities to avoid or modify, and exercises to strengthen shoulder muscles.
The rotator cuff comprises four muscles: supraspinatus, infraspinatus, teres minor, and subscapularis. These muscles form a network of tendons that support and stabilise the shoulder joint, allowing for multi-directional movement. Injury to these muscles can result in pain and restricted range of motion.
Symptoms of a rotator cuff injury can vary based on the injury’s nature and severity. Common symptoms include:
Rotator cuff injuries can stem from various factors, including repetitive motions like throwing or lifting heavy objects, acute trauma, or aging. Conditions such as osteoarthritis or bursitis can also lead to these injuries. Poor technique during weightlifting is another common cause.
Rotator cuff tears can range from minor partial tears to significant ruptures, often causing shoulder or upper arm pain. Notably, 20-30% of adults over 60 have at least one full-thickness rotator cuff tear, with the supraspinatus muscle being the most commonly affected.
The primary treatment for rotator cuff injuries involves rest, followed by physical therapy, including osteopathic treatment and rehabilitation. Other treatments, such as anti-inflammatory medications, hot/cold compresses, and corticosteroid injections, can help reduce inflammation and pain. In rare cases, surgery may be necessary.
If you have injured your shoulder, it is advisable to consult an osteopath to accelerate healing and prevent progression to frozen shoulder, a complex condition that can last approximately 18 months and is common in middle-aged individuals aged 40 and above.
Osteopathy employs gentle manipulation to address musculoskeletal issues like rotator cuff injuries. Osteopaths diagnose and treat the underlying causes of pain, restore mobility, reduce inflammation, and improve blood flow in the affected area. This approach can relieve pain associated with rotator cuff injuries. Rehabilitation exercises are then prescribed to strengthen the shoulder’s rotator cuff muscles, effectively managing the injury and promoting swift recovery.
The healing duration for a rotator cuff injury varies based on the severity and the treatment pursued. Generally, minor injuries may heal within six weeks, while more severe injuries could take up to three months or longer.
If you have a rotator cuff injury, consider these five tips for better management:
Rotator cuff injuries can be painful and debilitating, but effective management, including rest, osteopathic treatment, and rehabilitation exercises, can lead to a swift recovery. Additionally, following the five simple at-home care tips can help manage the condition more effectively and promote faster healing.
At Aston London Clinic, our osteopaths are dedicated to providing personalised and comprehensive care for rotator cuff injuries. Utilising a combination of joint manipulation, soft tissue massage, and rehabilitation exercises, our practitioners work to reduce pain, improve mobility, and support overall healing.
To book an osteopathy session with one of our practitioners, click here. Alternatively, you can contact us at020 8942 3148 to learn how our treatments can benefit you.
Aston Clinic London is a third-generation complementary health clinic located in New Malden, serving Kingston, Norbiton, Wimbledon, Raynes Park, Surbiton, Chessington, Worcester Park, Sutton, Richmond, and other areas of southwest London and Surrey.
By Laurie Melrose-Doering, Osteopath & Applied Kinesiologist
