SPORTS INJURIES
Rotator Cuff Tendonitis
A secondary problem to chronic shoulder instability is rotator cuff
tendonitis (RCT). Rotator cuff tendonitis may occur in isolation,
as the muscles of the rotator cuff, which include the supraspinatus,
infraspinatus, teres minor, and subscapularis, are overworked
causing the tendon to become inflamed and painful. The more
common scenario of RCT occurs when a chronically unstable shoulder
forces the muscles of the shoulder, especially the rotator
cuff muscles and tendon, to work beyond their capabilities
to stabilize the shoulder as it moves through its complex motions.
These small rotator cuff muscles were not designed to stabilize the shoulder
or perform the major work in shoulder motion, but instead should function to
perform shoulder rotation. Chronic ligamentous instability can lead to rotator
cuff tendonitis, but the treatment of Prolotherapy can treat both the instability
and the secondary tendonitis that follows.
The important point for the athlete is to remember that pain is your body telling
you that something is wrong. The time to get treatment is not when your shoulder
finally goes out, but when the pain first starts. Shoulder problems either manifest
as shoulder pain or weakness. A pitcher feeling weak or a swimmer having prolonged
pain after freestyle training, requires shoulder examination. Pain and/or weakness
are common signs of ligament weakness. Ligament weakness in the shoulder will
almost always lead to a rotator cuff tendonitis. If this is not treated, the
rotator cuff muscles will give out, putting even more stress and strain on the
ligaments. Eventually shoulder instability develops. This can only have one of
two end results: arthritis or shoulder dislocation. Neither one is very good
for the athlete. The best approach is to stop the whole shoulder ligament-injury-arthritis
process by treating with Prolotherapy. Prolotherapy treats the root cause of
shoulder instability and rotator cuff tendonitis not only by strengthening the
rotator cuff tendons, but also correcting the shoulder ligament weakness. Prolotherapy
is the treatment of choice for athletes with shoulder pain.
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