04/06/2022
💥 SHOULDER JOINT SERIES 💥
👉ROTATOR CUFF TEAR (Part2)
🔘 DIAGNOSIS:
◽HISTORY and PHYSICAL EXAMINATION of the shoulder.
◽MRI
◽ X-RAYS
◽ ULTRASOUND
🔘 COMPLICATIONS:
◽Weakness
◽lose of shoulder mobility permanently
◽Shoulder joint may deteriorate
🔘 TREATMENT:
🔷PHYSICAL THERAPY:
PT is a way to get back strength and movement after an injury. It includes things like exercise, ice, heat, massage, and equipment to help return shoulder back to its normal range of motion.
👉 GOALS to be achieved with physical therapy:
◽Reducing pain and muscle tension in the scapular and neck area.
◽Improving the wrong humeral head position
◽Strengthen the muscles
◽Regain proprioception and movement automatism
◽Both NON-OPERATIVELY REHABILITATION and POSTOPERATIVE REHABILITATION of the rotator cuff involves the following principles.
➡️ Reduction of overload and total arm rehabilitation
◽It is advised to quickly use the elbow, forearm, and wrist in order to strengthen them, especially during long immobilization.
◽Scapular protraction and retraction resistance exercise.
◽Restoration of normal joint arthrokinematics
◽Posterior capsular mobilization and stretching techniques are often indicated and applied to improve internal rotation ROM.
◽Promotion of muscular strength balance and local muscular endurance
🔷MEDICATIONS: like acetaminophen and anti-inflammatory drugs
🔷 REST: to allow rotator cuff to heal
🔷 STEROID INJECTIONS: into shoulder joint, which can provide temporary pain relief
🔷 SURGERY: In some cases, they might need to take out small pieces of tendon or bone that are stuck in shoulder joint, or remove small areas of bone or tissue to give tendon more room to move.
👉PT can also help to recover after rotator cuff surgery. It’s the same idea -- to improve strength and movement and get back to regular life. The therapist will show, how not to injure shoulder again after surgery.
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