Treatment for Rotator Cuff Tendinitis-Shoulder Pain

 

Linda, a 55-year-old cleaning woman, gradually developed right shoulder and right upper arm pain, especially when washing the windows. She had difficulty lifting her right arm and even combing her hair.

The rotator cuff is a group of four tendons that cover the humeral head and control arm rotation and elevation. There is a lubricating sac called a bursa between the rotator cuff and the bone on top of the shoulder (acromion). The bursa allows the rotator cuff tendons to glide freely when you move your arms. When you raise your arm shoulder high, the space between the acromion and rotator cuff narrows. The acromion can rub against (or impinge on) the tendon and bone, causing irritation and pain. The rotator cuff is a common source of shoulder pain due to tendinitis, bursitis and impingement. Rotator cuff tendons can also be partially or fully torn due to acute tendinitis or chronic tendinosis.

Patients with rotator cuff tendinitis can experience pain and stiffness on the front side of the affected shoulder when lifting the arm above shoulder height, sometimes described as a “catching pain.” The shoulder pain can even be aggravated by dropping the arm from the raised shoulder position. Pain can radiate to the arm several inchesbelow the top of the affected shoulder. Patients can experience muscle weakness and have difficulty combing hair, brushing teeth, or scratching the back. Shoulder pain often gets worse at night, especially when lying on the affected side.

Rotator cuff tendinitis is common in all age groups yet is often seen in young athletes involved in the sports of swimming, baseball, and tennis. Those who do repetitive lifting or overhead activity such as construction, painting, or washing the windows are also prone to develop rotator cuff tendinitis. A diagnosis of rotator cuff tendinitis depends on a detailed history and physical examination by a physician. Ultrasound and MRI can reveal inflammation of the tendons and bursa or even tendon tears. X-ray has limited use indiagnosing rotator cuff tendinitis and bursitis.

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A deep dive into musculoskeletal pain…

In this book, Dr. Tsai aims to offer readers a wider and deeper view of osteoarthritis, soft tissue rheumatism, and osteoporosis. Musculoskeletal pain is very common, but often misdiagnosed, and, therefore, treatment can be misguided. Not all pain should be dismissed as osteoarthritis, as several other conditions exist that may be the source of pain. To clarify the subtleties of this issue to readers and health providers, Dr. Tsai grouped the chapters anatomically and emphasized the similarities and differences of their symptoms, unique locations, and different treatment options. The main goal of this book is to help prevent patients and healthcare providers from being misguided by relying on X-ray, CT scan, and MRI findings alone.

This book is broken into three parts:

Part 1 focuses on the causes and symptoms of osteoarthritis and soft tissue rheumatism. Topics are organized anatomically, discussing OA and soft tissue rheumatism in various sections of the body.

Part 2 lists some treatment options for osteoarthritis, including pharmacological treatments, dietary supplements, exercise, and regenerative treatments.

Part 3 discusses osteoporosis, going through causes, symptoms, and treatment options.

Osteoarthritis, Soft Tissue Rheumatism, & Osteoporosis was written to be easily read by anyone, no matter their level of medical knowledge. Additionally, several illustrations are included to help visualize concepts and make them easier to grasp.

This book can be purchased online as an eBook or as a physical copy at our main office at the checkout desk or over the phone.

Myofascial Pain, Neurogenic Pain, & Chronic Pain Syndrome Cover

Myofascial Pain, Neurogenic Pain, & Chronic Pain Syndrome

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Chronic pain isn’t always caused by arthritis...

Myofascial pain, fibromyalgia, and chronic pain syndrome are often misdiagnosed and mistreated due to physician ignorance and the lack of verifiable findings on X-ray, MRI, and other imaging equipment. Most healthcare providers and physicians focus on arthritis pain and do not realize these disorders are far more common than osteoarthritis. This misconception may be one of the important reasons the effectiveness of invasive procedures and surgeries are far from satisfactory. In this book, Dr. Tsai aims to discuss these conditions, how they can be differentiated from arthritis, and possible treatment options.

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Myofascial Pain, Neurogenic Pain, & Chronic Pain Syndrome is the third book in Dr. Tsai’s collection.

Chronic pain isn’t always caused by arthritis...

Myofascial pain, fibromyalgia, and chronic pain syndrome are often misdiagnosed and mistreated due to physician ignorance and the lack of verifiable findings on X-ray, MRI, and other imaging equipment. Most healthcare providers and physicians focus on arthritis pain and do not realize these disorders are far more common than osteoarthritis. This misconception may be one of the important reasons the effectiveness of invasive procedures and surgeries are far from satisfactory. In this book, Dr. Tsai aims to discuss these conditions, how they can be differentiated from arthritis, and possible treatment options.

This book is broken into four parts:

Part 1 focuses on the causes and treatments of conditions in the tendons and muscles. Topics in this section include tendinitis and myofascial pain.

Part 2 explains the causes and symptoms of pain conditions in the nerves, including carpal tunnel syndrome and neuropathy.

Part 3 looks at what chronic pain is and how it works. There is also a discussion of other chronic pain syndromes, including fibromyalgia and connective tissue disorders.

Part 4 lists some treatment and management options for chronic pain, from pharmacological treatments to simple exercises

Myofascial Pain, Neurogenic Pain, & Chronic Pain Syndrome was written to be easily read by anyone, no matter their level of medical knowledge. Additionally, several illustrations and photos are included to help visualize concepts and make them easier to grasp. The primary goal of this book is to help those who may be suffering from chronic pain gain a better understanding of what they’re feeling and how their condition may be treated.

This book can be purchased online as an eBook or as a physical copy at our main office at the checkout desk or over the phone.