Doctor insights on:
Effectivness Of Bowen Therapy Rotator Cuff
Not likely: Bowen therapy relies on fascial and soft tissue release. It can help relieve associated pain related to neck and back muscles that often accompanies rotator cuff injuries, but the rotator cuff tendon is a deep structure and will not be directly reached. Small and partial tears can respond well to pt. Larger tears or retracted tears (pulling away from bone) usually require surgery. ...Read more
How long does it take for physical therapy to help with a rotator cuff problem (I was told it was not torn and don't need a surgery yet)?
Couple of month: It is possible that you would get lucky and see results faster, but on average in takes 1-2 month ...Read more
Cuff injuries. ..: Cuff injuries aren't all the same and aren't all treated the same way. Some injuries respond well to non-operative treatment with resolution of pain and without loss of function while many require surgery to alleviate pain and/or restore strength and motion. An orthopedic surgeon experienced in the treatment of these injuries is most qualified to help you decide what the best treatment is for you. ...Read more
Graded program: Pt for rotator cuff problems usually start out with assisted exercises to decrease pain while gradually increasing the exercises to improve painless range of motion. Once painless range of motion has been achieved specific exercises to strengthen the rotatorcuff muscles are started and then finally sports specific exercises depending on what type of sport the person would like to go back to. ...Read more
Accessory muscles: When the shoulder muscles are not doing their job properly, the other muscles connected to the shoulder blade pitch in to help. This activity is not normal to them and they complain. ...Read more
Over a year ago I was diagnosed w/ a torn rotator cuff. PT was suggested but I never went. Am I still able to do physical therapy even after a year?
Mri back. Looks like a lot of degen rotator cuff issues but the pain is bad! Work is lot of heavy overhead lifting. (bread del.) will therapy work?
Tried physical therapy OTC pain killers and tramadol for torn rotator cuff. Nothing has worked. What is something I could getthat won't make me sick?
Torn Rotator cuff: A corticosteroid injection is something to try that may help. If the rotator cuff is torn, has orthopedic surgery considered surgical repair? Rest with gentle movements to maintain shoulder mobility can allow you to heal. Ice and heat applications may help. Perhaps a higher dose or stronger NSAID by prescription, if not allergic, plus 650mg tylenol (acetaminophen) together might work. ...Read more
Multifaceted: Physical therapy for rotator cuff tendonitis or impingement syndrome is multifaceted and includes: postural training, imporvement in upper back strength, improvement in core strength, strengtheing the rotator cuff first in internal and external rotation and then eventually with forward elevation. Obtaining full painless full range of motion is important in early physical therapy treatment. ...Read more
As long as it takes: While the exact duration of pt following your rotator cuff surgery will be managed by your surgeon, depending on the severity of your tear pt may last anywhere from 7 weeks to 1 year or more. All programs will emphasize avoiding strenuous activities that could cause a repeat injury while remaining active enough to prevent joint stiffness, one of the most common rotator cuff repair complications. ...Read more
Yes, sometimes: Some rotator cuff tears will symptomatically improve with physical therapy, nsaids, +/- corticosteroid injection; therefore non-operative treatment should be tried first (unless your tear was traumatic or there is other specific reason in your case to operate sooner). Cuff tears generally do not heal on their own so if non-op tx (pt, nsaids, etc) fails (symptoms persist), consider surgery. ...Read more
I had a partial tear to rotator cuff. Opted for physical therapy rather than surgery. After several weeks of therapy still some stiffness. Will the stiffness ever go away?
Yes: Partial rotator cuff tears are often treatable with therapy, but may take 6-12 weeks to improve. Oral and/or injectable steroids are helpful and may speed recovery. If non-operative treatment fails, arthroscopic surgery works quite well. The inflamed bursa and partial rotator cuff tear will be debrided. Bone spurs are also removed. The typical recovery is 3-4 months. ...Read more
A military pa told me, after 3 yrs complaining about pain, that I have a tear in my rotator cuff with fluid in my shoulder. Why would she refer me to physical therapy and not orthopedics?
Orthopedic referral: If you have been diagnosed with a rotator cuff tear then I would recommend seeing an orthopedic surgeon who can better determine if you should have therapy versus a rotator cuff tear. If you have a tear and need surgery then delaying that surgery could worsen your final outcome. See an orthopedic surgeon. ...Read more
Sometimes: Prednisone is a powerful anti-inflammatory medication. It can reduce pain and inflammation for tendonitis but it should be used sparingly for this purpose due to side effects. PT can help some patients with rotator cuff tears, but not all. Conservative treatment for rotator cuff tears is often the preferable initial treatment for most patients. You should be evaluated by an orthopaedic doctor. ...Read more
I've been going to physical therapy for my rotator cuff for about 4 weeks. I've noticed some increase in my range of motion but still get bad shoulder pain. What should I do?
I'm getting physical therapy for my rotator cuff surgery but now I have a burning pain in front of my shoulder. Did they over stretch?
Likely just muscle.: Physical therapy for rotator cuff is a mainstay of therapy for this. With stretching and exercise the other muscles and tendons of the shoulder joint will become strengthened and stretched. These muscles are likely not used to this at this point and so will become sore and burn as Lactic Acid builds up in them. The best thing to do is to keep up with the pt. ...Read more
I had rotator cuff surgery on 3 02 2012 did 7 months of therapy and now my bicep gives me a terrible pain when I lift it almost to my shoulder height it hurts so bad I have to drop and hold my arm my arm is also cracking and popping again any suggestions
Probably didn't heal: I suspect your repair didn't take or part of the repair failed to heal. Not your fault or even your surgeon's fault. Blame biology. Depending on extent of tear anywhere from 10->50% of tears won't heal. I would advise a followup exam and have it looked at. If still having pain and tendon retorn options will inlcude steroid, benign neglect or reverse total shoulder. B cautious w repeat repair. ...Read more
3 weeks post op shoulder surgery repair torn labrum & torn rotator cuff. Physical therapy started. Is popping and clicking normal after surgery?
Yes, don't worry.: Not all popping and clicking is a sign of trouble. In fact, because of the swelling that occurs after most shoulder surgeries, it is common. Remember to ice, do gentle range of motion exercises and begin early strengthening as directed by you surgeon and carried out by your physical therapist. In time, the noises will resolve as you recover. ...Read more
I have calcification tendonitis and a partial rotator cuff tear in my left shoulder. I have done 6 weeks of physical therapy but it is still giving me?
Still have options: Every case is unique, but more time, keeping up with a religious icing program +/- an anti-inflammatory in addition to the exercises may still improve things. An injection and/or a needling procedure to break up the calcium deposits may be an option. If those fail and your symptoms are still significant in 6-12 wks you my be a candidate for arthroscopic surgery, although many pts can avoid the or. ...Read more
Hi! Had rotator cuff surgery 3/2/2012and 7 months of therapy I have terrible pain when I lift my arm half way my bicep hurts so bad that I have to drop my arm it still pops and cracks the doctor said he is done. What could be the problem thanks?
We need more information about the full extent of your diagnosis...I recommend you get a second opinion with a shoulder specialist. Http://www. Theshouldercenter. Com/shoulderpain/2012/shoulder-specialist/surgeryspecialist/http://www. Theshouldercenter. Com/video-how-to-choose-a-surgeon-for-your-rotator-cuff-repair. Htm
these links may help you make a more informed decision. ...Read more
Age 16, I hurt my shoulder 2 months ago. Physical therapy and cortisone not helpful. Mri shows rotator cuff tear and bone spur. Should I have surgery?
I rarely see patients at age 16 that have a rotator cuff tear and don't have other shoulder pathology such as a labrum tear, suprascapular nerve injury or an unstable shoulder. I would recommend you have an evaluation with someone that performs hundreds of shoulder repairs like yours annually. I am also suspicious of the bone spur diagnosis.
http://www. Theshouldercenter. Com/shoulderpain/2013/sho. ...Read more
I was in MVA. MRI shows Rotator cuff tear, labra tear and tendinitis on shoulder. EMG shows pinched nerve. Will Physical Therapy help and how long?
Can't answer w/o inf: The space here is limited to provide a good answer to your question. You should speak to an Orthopedic Surgeon or sports medicine doctor (rehab?) to answer this question. Generally, rest, ice, & compression is used to help support healing. Anti-inflammatories like Tylenol (acetaminophen) could be used also. Later on, rehab is used when healing has started but timing is up to the surgeon. ...Read more
I had arthroscopic rotator cuff repair four weeks ago today. I am still in a sling and have not yet begun physical therapy. I have significant nerve pain in my wrist and forearm area when the arm is extended (when bent the pain is not apparent) to inclu
Comments: You may be getting some stiffness at the joints due to lack of use, secondary to the sling. Once you commence range of motion with physical therapy, this should start to resolve. Do contact your orthopedic surgeon, and let know of your symptoms. Doubt you have true "nerve" issues, but if concerns persist, an EMG test could clarify. ...Read more
Repair: At 45 years old, you should absolutely seek out a shoulder specialist and have your rotator cuff repaired. The long term risk with leaving it unrepaired is substantial. You are likely to eventually get worsening function and secondary arthritis if you have an unrepaired cuff tear for more than a decade. If you were 75, not such a concern, but at your age, this should not be ignored. ...Read more
Non-op 1st: The first line treatments of a cuff injury is non-operative with rest, tylenol, (acetaminophen) nsaid's, physical therapy, and possible cortisone injections. If these measures don't provide relief, surgery can be considered. If the tendon is torn, it is repaired. A repair can be performed either through a traditional open incision, a mini-open approach, or arthroscopically (through very small incisions). ...Read more
It depends: Many people have degenerative rotator cuff tears as we mature. Non operative conservative treatment should be the first line of treatment. This often consists of NSAIDS, injection, and physical therapy. If conservative treatment fails or if an acute traumatic tear, operative treatment may be warranted. Ask your orthopaedic surgeon for more details. Good luck ...Read more
Common treatment: Rotator cuff strains typically resolve with observation, avoidance of aggravating activities, daily antiinflammatories, ice, occasionally formal physical therapy with a gradual progression back to activities as comfort allows. If symptoms persist or if significant weakness is present a formal evaluation by an orthopedic surgeon is warranted to look for more significant problems. ...Read more
Rest: 3 things to consider: rest, motion, position. 1) you want to rest the rotator cuff and allow it to calm down (limit overhead activities), 2) keep the range of motion with gentle stretching against a wall, on a tabletop, or in bed, 3) strengthen the shoulder blade muscles so that your posture and shoulder position is not constantly inflamming the rotator cuff. ...Read more
Rarely: Physical therapy is a good treatment for most rotator cuff injuries. Sometimes if there is significant inflammation, the therapy may make the symptoms worse. A rotator cuff tear will not get better with therapy. See a board certified orthopaedic surgeon for evaluation and treatment. ...Read more
I'm having rotator cuff pain, previously diagnosed as bursitis. Is there any effective home treatment?
If symptoms persist w/ >6 wks of diligent rehab & compliance w/ conservative treatment, a more aggressive treatment, such as surgery, may be required.
This arthroscopic outpatient procedure usually allows for a return to daily living activities within 2-6 wks. A full recovery can be long & arduous, but excellent results are achieved >80%...
For more info: www. Drmarkgalland. Com (1/22/13). ...Read more
No: The difficulty is that many patients have asymptomatic rotator cuff tears, meaning no pain so many treatments such as the ones you mentioned and many others are recommended because they may help with pain. Think of the rotator cuff like a taut rubber band that when torn would pull away and shorten...Without surgery to pull it back out to length it can't heal. Learn more here:http://www. Theshould. ...Read more