Cambridge Rotator Cuff Injuries Clinic
We have cambridge rotator cuff injury clinics located in Central Cambridge and Waterbeach, Cambridgeshire.
What are Rotator Cuff Injuries?
A rotator cuff tear is a tear of one or more of the tendons of the four rotator cuff muscles. A rotator cuff ‘injury’ can include any type of irritation or overuse of those muscles or tendons.
Subacromial impingement occurs when the tendons of the muscles become irritated and inflamed as they pass through the subacromial space, the passage beneath the acromion. This can result in pain, weakness and loss of movement at the shoulder.
What causes Rotator Cuff Injuries?
Acute tears – The amount of stress needed to tear a rotator cuff tendon acutely will depend on the underlying condition of the tendon prior to the stress. In the case of a healthy tendon, the stress needed will be high, such as a fall on the outstretched arm.
This stress may occur coincidentally with other injuries such as a dislocation of the shoulder, or separation of the acromioclavicular joint. In the case of a tendon with pre-existing degeneration, the force may be surprisingly modest, such as a sudden lift, particularly with the arm above the horizontal position.
Chronic tears occur in conjunction with other factors such as poor biomechanics or muscular imbalance. Ultimately, most are the result of wear that occurs slowly over time as a natural part of aging. Several factors contribute to degenerative, or chronic, rotator cuff tears of which repetitive stress is the most significant.
This stress consists of repeating the same shoulder motions frequently, such as overhead throwing, rowing, and weightlifting. Many jobs that require frequent shoulder movement such as lifting and overhead movements also contribute.
Subacromial Impingment – When the arm is raised, the subacromial space narrows, through which the supraspinatus muscle tendon passes. Anything that causes further narrowing has the tendency to impinge the tendon and cause an inflammatory response, resulting in impingement syndrome.
This can be caused by bony structures such as subacromial spurs (bony projections from the acromion), osteoarthritic spurs on the acromioclavicular joint, and variations in the shape of the acromion.
Thickening or calcification of the coracoacromial ligament can also cause impingement. Loss of function of the rotator cuff muscles, due to injury or loss of strength, may cause the humerus to move superiorly, resulting in impingement.
Inflammation and subsequent thickening of the subacromial bursa may also cause impingement
How Can We Help?
If the pain has a musculoskeletal origin or cause, our osteopath uses osteopathy and prescriptive exercise to treat and manage this condition. The treatment can be deliveried in a conservative and uninvasive.
To book an appointment at our cambridge rotator cuff injuries clinic go to booking above