Rotator Cuff Injuries: Causes, Symptoms, and Physiotherapy Solutions
Rotator cuff injuries are one of the most common sources of shoulder pain and dysfunction, especially among athletes, manual laborers, and individuals over 40. These injuries can range from mild inflammation to full tears, and without proper treatment, they can lead to chronic pain and limited shoulder mobility.
What is the Rotator Cuff?
The rotator cuff is a group of four muscles and their tendons that stabilise the shoulder joint and enable a wide range of movements, including lifting and rotating the arm. These muscles include:
Supraspinatus
Infraspinatus
Teres Minor
Subscapularis
Together, they keep the head of the humerus firmly within the shallow socket of the shoulder blade.
Common Causes of Rotator Cuff Injuries
Rotator cuff injuries typically result from:
Overuse: Repetitive shoulder motions, common in sports like tennis or occupations like painting.
Age-related Degeneration: Natural wear and tear over time.
Acute Trauma: Sudden injury from falls or lifting heavy objects.
Poor Posture: Chronic poor posture can alter shoulder mechanics and stress the rotator cuff.
Signs and Symptoms
Some common symptoms of a rotator cuff injury include:
Shoulder pain, especially when lifting the arm
Weakness in the shoulder
Difficulty reaching behind the back
Pain that worsens at night or when lying on the affected shoulder
A clicking or popping sound during movement
How Physiotherapy Helps Rotator Cuff Recovery
Physiotherapy plays a crucial role in both non-surgical treatment and post-operative rehabilitation. Here are some key components of an effective physiotherapy plan:
Manual Therapy
Hands-on techniques like joint mobilisations and soft tissue massage can help reduce pain, improve joint mechanics, and restore movement.
Strengthening Exercises
Targeted exercises aim to restore strength and function in the rotator cuff and surrounding muscles like the deltoid and scapular stabilisers. Resistance bands, weights, and functional movements are often used.
Posture Correction
Poor posture contributes to rotator cuff dysfunction. Physiotherapists teach ergonomic techniques and exercises that promote optimal shoulder alignment.
Modalities for Pain Relief
Techniques such as ultrasound therapy, ice/heat application, and dry needling may be incorporated to manage pain and inflammation.
When to See a Physiotherapist
If you experience persistent shoulder pain, weakness, or reduced range of motion, it’s essential to seek professional help. Early intervention can prevent further damage and lead to a quicker recovery.
Final Thoughts
Rotator cuff injuries can be painful and limiting, but with the right physiotherapy program, most people can recover fully and return to their normal activities. Don’t ignore shoulder pain—early diagnosis and targeted physiotherapy can make all the difference.
Need help with shoulder pain? Book a consultation with our expert physiotherapists today and get back to your best!
