In order to understand a rotator cuff syndrome, it
is important to briefly review the anatomy of the shoulder joint. As
described in the first of this series, the shoulder is a ball and socket
type of joint, that the Lord created in a way that it allows for maximum
mobility.
There
are four major muscle groups around the shoulder joint, called the
supraspinatus, infraspinatus, teres minor and subscapularis. These
muscles are commonly called the "rotator cuff muscles" and
function together as a unit to depress or lower the shoulder joint
in the arm socket so that it could move freely.
When one of these muscles
are strained or torn, the shoulder rides a little higher in the socket
and often causes pain, limitation of movement and swelling. When
this is identified, rehabilitation efforts should be aimed at reducing
swelling, increasing range of motion and rotational exercises to condition,
coordinate and strengthen the specific muscle(s) in the cuff that have
been weakened or torn.
Exercises, however, must be incorporated at
the right time. If an inflamed joint is prematurely exercised, it
could become more inflamed. Likewise if a person performs the wrong
kind of exercises, this could worsen their condition. Many well meaning
patients attempt to exercise a sore shoulder and develop a shoulder
impingement syndrome. We will be discussing this more next week.
Shoulder
Injury Articles
Part
1 - Bursitis Part
2 - Adhesive Capsulitis
Part
3 - Rotator Cuff Part
4 - Impingement
Syndrome