Rotator Cuff And How To Cope With Tearing The Rotator Cuff
Rotator Cuff
Never experience pain when moving the shoulders? beware, this may be symptom of a tear in the rotater cuff, which is one of the complaints that are normally experienced by atilt and teacher. in the United State in 2008 went to doctor because having problems on a rotator cuff.
this will result in a ripping pain, so it's hard shoulder in moving, usually feels when performing daily activities, such as combing hair or other events which require the activity of shoulder.
it is a collection of rotator cuff muscles that attach to the shoulder joint, which acts on the movement of the shoulder joint, such as lifting, rotating or moving the arm and shoulder to the back.
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The Arrangement Of The Anatomy Of The Shoulder Joint.
shoulder arm consists of three bones, the humerus, scapula and clavicle, shoulder joint is a ball joint with Holster (ball socket joint), humeral head that resembles a ball goes into the pouch of the shoulder joint is known as the shoulder girdle.
position the arm is maintained with the arrangement of muscles known as the rotator cuff, the arrangement of the muscle is composed of four muscles that converge to form the tendon and covering the head of the humerus bone, attach the humeral role into the sac, furthermore plays a role in the various movements of the shoulders joint.
The Disease Process
if one or more of the muscles of the rotator cuff damage, as result of its function is impaired, the sufferer will feel the pain, most of the tear occurs in the muscles of supraspinatus tests, but may also occur in other places, in many cases, ripping tendons started as a fraying, if occurs continuously, can break up the total.
this sometimes occurs when lifting something heavy, there are two common types of tear rotator cuff tear, experienced first occur only partially (partial) , damage on the network but not the entire thickness of tendon damage, rips the second type are total, also known as the RIP complete, so that separate parts of your muscles and tendons.
Causes A Tear Rotator Cuff Tears
Acute Rips
results from a fall on the shoulder arms position play out, or lifting too heavy stuff, with a sudden movement, this injury sometimes occurs in conjunction with other injuries, such as broken collarbone (clavicle), or shoulder joint dislocations that occur in people who are old age.
Rips Because Of The Ageing Process
most of the rips that occurs is the result of a process that lasts a long time, there was a degenerative process, according to the travel of the age, was originally the part of experiencing brittleness.
usually occurs on the side of the dominant arm, one that has the problem of degeneration in the shoulder, suffered a tear in the vulnerable side of the opposite, because that side is more often used.
Cause Of Rotator Cuff Tearing Factors
some of the factors the causes of which are :
1. repetitive motion which resulted in pressure on the shoulders, for example : playing tennis, lifting weights or rotate the arm, in addition work is often raised, clean the glass, or other jobs that use the shoulder for a long time and with strong intensity.
2. intake of blood to the shoulder area, due to the ageing process, as a result the body's natural abilities in repairing a damaged tendon condition compromised, ultimately resulting in tearing the tendons.
3. the presence of bony (bony spurs), usually appear due to the ageing process, this bone protrusions which could swipe rotator cuff muscles, known as shoulder impingement, over the course of time, resulting in a thinning of the tendons until the end resulting in a tear.
Risk Factors
this disorder can occur because ageing process, the risk is increased by the age above 40 years of age, people who often perform the lifting of goods up to the top of the head, athletes or workers with activity raise your hands frequently, susceptible this disease, especially badminton athletes, tennis, players, pitcher for the base ball, carpenter, and teachers.
Symptoms Of Rotator Cuff Tearing
the main symptoms is the presence of a tear in rotator cuff is :
1. pain at rest and during nighttime, especially when lying on the side of the shoulder injury.
2. pain when rising or lowering the shoulder, arm or at the time of a certain movement in the shoulder.
3. pain that results from sudden movement or because it happens normally very good, sometimes the shoulder feel faint, due to pain or felt snapping.
4. a tear happens slowly can also lead to pain and or weakness in shoulders, or pain upon movement raise arms, presence of pain at night (night pain).
over time, the pain gets worse feels, and refuses to be lost by administering drugs is common, suffered will feel the pain, though while it is resting, in addition when doing routine activity, pain also appeared and is very disturbing.
Doctor Examination
the doctor will find out, the cause of the pain happens, furthermore conducted physical, examinations on sufferers, the first conducted an examination of the range of motion in the shoulder joint. jam it conducted an examination ti find out whether or not there is a tear, by performing several maneuvers, moreover carried out an examination of the power of the arm shoulder.
in addition to the examination of the shoulder, also performed on the neck, to find out whether or not there is a nerve that is pinched, performed also checks whether three is the possibility of inflammation of the shoulder joint (arthritis).
Imaging
initially conducted X-Ray photographs inspection to find out whether there are abnormalities in the bone such as bony (bony spurs), this examination can not see the soft tissues, such as the rotator cuff.
to know the abnormalities, used the examination using Magnetic Resonance Imaging (MRI) or Ultrasounografi (USG), this examination can clearly see the condition of the rotator cuff, for example knowing that rips and place magnitude, moreover can also note that new or rips had long been the case.
treatment's should be done immediately to get the best treatment and sufferers can return to normal activities, the goal of treatment is to reduce pain and restore function of the shoulder joint.
there re several therapies address the this each conditions defend disorder sufferers, in providing therapy your doctor will consider your age, activity level, health conditions in general and the type of tear that happens.
at first the doctor will recommend a non therapeutic surgery to correct this problem, because it's easier, cheaper and often give results quite satisfactory.
Non Surgical Treatment
most patients will get pretty good result with the drug, strength and shoulder arm function can be returned without action. non surgical therapy option include :
1. break, or modify the activities
do not have activity that can cause the onset of pain, for example, lift the weight up to the top of the head, or sports that make the upper arm is often raised.
2. dispensing anti pain
3. should joint strengthening exercises
to determine the type of exercise, should consult a doctor and sports doctor orthopaedic.
4. steroid injection
do if physiotherapist, or dispensing anti pain were no longer effective these therapies are only provided in limited quantities.
the advantage of non surgical, to avoid the presence of complications due to the actions of surgery wound infections, surgery, complications for anaesthesia and recovery time is longer, while a shortage of non surgical treatments is :
1. sometimes do not provide the treatment completely, especially in difficult cases, so ultimately the act of surgery an option.
2. during the treatment process progresses, a tear that occur can grow.
3. the limited activity during treatment, the pain may be caused.
The Surgical Action
therapy surgery done if non surgical therapy does not give results, and pain that is still going on, in addition the surgery indication is for athletes or workers who often lift weight up to above the head, in some cases, to think about the existence of the act of surgery, such as :
1. the perceived symptoms are continuous and lasted until 6-12 month.
2. a tear a happens quite large (more that 3 cm)
3. going weakness and impaired function of the meaning on the shoulder joint.
4. acute injuries occur due to tear in a certain time.
surgery on this condition, repairing rips, in some cases need to be done snapping tendon at the top of upper arm bone (humerus), there are several techniques of surgery.
including actions by small cuts using a tool inserted into the joints (arthroscopy) . this action can be done with or without for anaesthesia, to determine the type of therapy, the patient can discuss it with your doctor.
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