The most common cause of shoulder pain is overuse tendonitis or strain of the rotator cuff. Other common causes of shoulder pain include degenerative tendinosis, frozen shoulder, dislocation or instability, rotator cuff tears, arthritis, and biceps tendonitis. If your pain lasts more than a few days, or if it worsens, talk to your doctor.cuff tears can be repaired by threads or anchors.
When Is Arthroscopy Needed?
Damage to ligaments or tendons - A small tear in the rotator cuff allows the shoulder to become weak and unstable. These can often be stapled or sutured to help the joint function better. A larger tear may need an open procedure.
Shoulder instability - The restraining ligaments and tendons of the shoulder can get stretched out by injury or overuse. This can cause the ball to move out of the socket. To remedy this condition, the ligaments can be tightened with suture
Impingement - Wear and tear or overuse of the shoulder can cause bone build-up under the acromion or on the end of your collar bone (clavicle). This build-up reduces the space in the shoulder causing inflammation and pinching of the rotator cuff. This bone can be removed, thereby restoring the space and relieving the impingement. This is called subacromial decompression.
Loose fragments of bone and cartilage - Rough joint surfaces affected by arthritis or calcium deposits can be smoothed and loose pieces of bone and/or cartilage can be removed.
Why begin physical therapy so soon after surgery?
After surgery, scar tissue accumulates in the areas where the surgery was performed. Although this is an expected and often necessary part of the healing process, if the shoulder joint is not moved, too much scar tissue may accumulate, or scar tissue may accumulate in the wrong places. This excess scar tissue can hinder movement of the joint, resulting in stiffness and pain.
Rotator cuff tear
What is rotator cuff?
The rotator cuff is a band of muscles that surround the joint formed by the upper arm bone or humerus that connects to the shoulder blade or scapula. The rotator cuff is stiff enough to hold the joint together, but is also flexible enough to allow the arm to reach and lift. Rotator cuff injuries are common among baseball pitchers, tennis players and other athletes who frequently exert an overhand throwing or swinging motion. Non-athletes who engage in frequent lifting or reaching activities, such as stacking cans on a high shelf, can also develop rotator cuff problems.
Why do rotator cuff injuries heal slowly?
The rotator cuff, like all tendons, gets little blood. All bodily tissues need blood to heal. Parts of the body that have a better blood supply heal faster than those with a poor supply of blood.
Why is the rotator cuff so important to the shoulder?
The rotator cuff consists of four tendons, each of which is part of a shoulder muscle. If one or more of those tendons is damaged, that muscle cannot move the arm like it is supposed to. If it's torn, the muscle can't do its job at all. A damaged or torn rotator cuff causes several problems:
The shoulder is painful because of swelling and inflammation.
The shoulder is not as strong.
The shoulder may lose some of its range of motion, particularly raising the arm overhead.
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The shoulder is painful because of swelling and inflammation.
