Rotator Cuff Tendinitis or Bursitis Therapy & Treatment Coventry, Warwickshire

The tendons of the Rotator Cuff rotate the upper shoulder bone (humerus) and help raise the arm by pulling the Humeral head down as the Deltoid muscle pulls the arm up. These tendons may be irritated by pressure from the Acromion process of the Scapula (the upper part of the shoulder blade) and the Coraco-Acromial Ligament. This irritation of the tendons or the lubricating Bursa (connective tissue sack) is referred to as "Tendinitis" or "Bursitis”. This is known collectively as the "Impingement syndrome.

The symptoms of Impingement syndrome present not only as pain on movement, but also as constant pain. This can be accompanied by snapping or cracking sensations on movement. Symptoms may start after an injury which may result in a weakening of the shoulder muscles caused by the pain from the injury.

A clinical diagnosis of Impingement Syndrome is made by physical examination, and X-rays. Sometimes an M.R.I.scan is necessary to exclude rotator cuff tears.

Tendonitis

Tendon problems what are they?

Two main problems associated with tendons include Tendonitis and Tenosynovitis. Tendonitis is an inflammation of a tendon -the tough cords of tissue that connect muscles to bones. This inflammation can affect any tendon, but is most commonly seen in the wrist and fingers. As the tendons become irritated, pain and swelling will occur.

Tenosynovitis is the inflammation of the lining of the tendon sheaths which enclose the tendons. Sometimes both the sheath and the tendon may become inflamed. The cause of Tenosynovitis is usually strain, excessive use, or injury. Tendonitis may also be related to diseases such as Rheumatoid Arthritis or Diabetes can be implicated in this condition.

Common tendon disorders include:

Lateral Epicondylitis. (known as tennis elbow)
This condition is characterised by pain in the back of the elbow and forearm, and along the thumb side of the forearm when the arm is alongside the body when the thumb is turned out. The cause of pain is the damage to the tendons that bend the wrist backwards away from the palm (wrist extensors).

Medical Epicondylitis. (Known as Golfer's Elbow).
This is a condition characterised by pain from the elbow to the wrist on the palm side of the forearm the pain is caused by damage to the tendons that bend the wrist toward the palm (wrist flexors).

DeQuervain's Tenosynovitis.
This is far the most common type of Tenosynovitis disorder, when the sheath of the tendons of the thumb gets swollen.

Trigger Finger.
A Tenosynovitis condition in which the tendon sheath of one of the finger flexors becomes inflamed and thickens, preventing the smooth extension or flexion of the finger. The finger may lock or suddenly hence the name “Trigger Finger”.

What are the Symptoms of Tendonitis?

The most common symptoms of Tendonitis are:

• Pain in the tendon with movement
• Fluid accumulation, swelling and inflammation
• there may be grating sensation in absence of swelling

Tendonitis Diagnosed?

Tendonitis is usually diagnosed after careful medical history and physical examination. The diagnosis is established after diagnostic tests have been completed to rule out other conditions or diseases. Joint aspirations may help to rule out gout or an infection, while X-rays may help to rule out arthritis.

Treatment for Tendonitis:

• Modification of your activity
• Splinting or immobilization
• Steroid injections
• Anti-inflammatory medications
• Surgery
• Cold Laser Therapy (See our Cold Laser Therapy section under conditions treated)

At Central Chiropractic we aim to be available when you need help most.

When possible we will prioritise emergencies. For more information, please call us today to arrange an appointment.

Maria Kibkalo DC.MSc (Chiro) CCEP & Associates BCA & GCC registered.

BUPA, AXA, PPP & all major health insurers.

All physiotherapists chartered and registered with the health professionals council.

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