Rotator Cuff Tendinopathy: What You Need To Know

What is Rotator Cuff Tendinopathy?

The rotator cuff (RC) is a group of muscles that help stabilize the shoulder joint and raise and rotate it. Rotator cuff tendinopathy is the degeneration, wear and tear, and inflammation of the tendon collagen of these muscles. It leads to pain, weakness, and stiffness making overhead and away from the body movements difficult. The cause of rotator cuff tendinopathy is multifactorial. Intrinsic, extrinsic, or combined factors may play a role in disease development. The disease includes rotator cuff tendinosis (degeneration) or tendinitis (inflammation) and is commonly present in people over thirty.

What are the causes of Rotator Cuff Tendinopathy?

The exact cause of rotator cuff tendinopathy remains unknown. So far, many causes have been explained, and, as a result, the disease appears to be multifactorial.

Mostly, extrinsic factors of the disease lead to compression of the tendons and narrowing of the subacromial space. These risk factors include:

On the other hand, Intrinsic factors which lead to degeneration and wear and tear of the tendons are as follows:

What are the symptoms of Rotator Cuff Tendinopathy?

Rotator cuff tendinopathy signs and symptoms include:

When the problem becomes severe, the following symptoms are present

How to make a diagnosis of Rotator Cuff Tendinopathy?

Indeed, doctors make a diagnosis based on the following:

Mostly, the imaging tests are usually performed to rule out other possible conditions.

What is the prognosis of Rotator Cuff Tendinopathy?

Recovery from the disease depends upon its severity. Usually, people see improvements within six to twelve weeks of rehabilitation. The minimum recovery time from a small tear is generally two to four weeks. But large tears may take months to recover. Ultimately, the aim is to reduce inflammation and compression of the tendon.

RC tendinopathy may cause long-term disability and chronicity if combined factors are involved. It badly affects the quality of life and may be associated with substantial morbidity.

What are reatment of Rotator Cuff Tendinopathy?

For minor to mild conditions, doctors recommend the following non-surgical treatments.

Sometimes, a person may also benefit from over-the-counter analgesic ointments, creams, or patches such as menthol, capsaicin, and methyl salicylate.

What are interventional pain management options?

If RC tendinopathy is severe, doctors recommend a steroid injection into the shoulder joint. It relieves pain, improves sleep, and helps keep doing daily activities. But a steroid injection is a temporary solution and may weaken the joint in the long run.

Other than this, platelet-rich injection is a very good choice and more modern and preferable treatment for RC tendinopathy. Because it repairs the damaged tendon, it gives long-term results compared to intraarticular steroid injection.

What are the exercises for Rotator Cuff Tendinopathy?

Physical therapy is one of the first treatments doctors recommend. You may also see a physical therapist. Doctors or physical therapists recommend the following exercises:

Surgery

Most of the time, medication, rest, ice, and physical therapy is all that are needed to treat RC tendinopathy. Surgery is rarely performed and is the last resort. Its appropriateness depends upon age, the severity of the injury, physical demands, and overall health. Surgeries include tendon repair, tendon transfer, or shoulder replacement. Surgery has its own risks of anesthesia and surgical procedures and costly also. That is why non-surgical treatments are always preferable.