Rotator Cuff Tear Treatment Perth
The treatment and management of rotator cuff tears in Perth remains controversial. Should you have rotator cuff surgery for your torn rotator cuff tendon or is rotator cuff tear treatment with a physio more effective? Perth Shoulder Physio are the only physiotherapy clinic in Perth to focus specifically on the shoulder. We aim to provide you with pain relief and implement the correct rotator cuff tear treatment strategy for you.
Did you know that degenerative rotator cuff tears are common in those over the age of 40, so much so that they are considered a normal part of aging. Approximately 20% of the population have rotator cuff tears that don’t require rotator cuff tear treatment as they have no symptoms.
The rotator cuff tear experts at Perth Shoulder Physio have your best interests at heart. Book an appointment with Adam today and learn the optimal rotator cuff tear management for you.
Note: This page contains general information on rotator cuff tear treatment in Perth. Book an appointment with Perth Shoulder Physio for more specific information about your shoulder injury and the optimal rotator cuff tear treatment for you.
What is a Rotator Cuff Tear?
To understand a rotator cuff tear, you must first understand the anatomy and function of the rotator cuff muscles and tendons.
The rotator cuff muscles are a group of four individual muscles that originate on the shoulder blade and attach to the upper arm bone. The rotator cuff muscles are:
- Supraspinatus – originates from the top of the shoulder blade and runs over the top of the ball and socket joint of the shoulder
- Subscapularis – originates from the front of the shoulder blade and runs across the front of the ball and socket joint of the shoulder
- Infraspinatus and Teres Minor – originate from the back of the shoulder blade and run across the back of the ball and socket joint of the shoulder
The rotator cuff muscles are distinct and separate muscles, as you will see in most textbooks and anatomy models. However, as they approach the arm they blend into a continuous ‘blanket like’ rotator cuff tendon that wraps around the ball and socket joint of the shoulder. This allows the muscles to function as a unit and provide valuable assistance for each other in the case of a small rotator cuff tear.
The rotator cuff muscles have two roles; to rotate the upper arm and to stabilize the ball in the socket when the arm is moved.
The term rotator cuff tear actually alludes to a torn rotator cuff tendon rather than a tear in the muscle. Rotator cuff tears are graded as a partial thickness rotator cuff tear or a full thickness rotator cuff tear. A supraspinatus tear is the most common rotator cuff tear followed by infraspinatus tears and subscapularis tears.
Symptoms of a Rotator Cuff Tear
- Shoulder pain and weakness when the arm is elevated, especially under load such as reaching up to place something heavy in an overhead cabinet.
- There is commonly pain when lying on the affected shoulder at night.
- There is typically minimal pain at rest unless the rotator cuff tear is acute.
- It is possible to have clicking or crunching when the arm is elevated.
Causes of a Rotator Cuff Tear
Traumatic Rotator Cuff Tears:
- A fall on an outstretched arm can cause a rotator cuff tear, especially in those over the age of 40.
- Unexpected or excessive force applied to the shoulder such as weight lifting.
- Sudden traction or pulling on the arm. For example, taking the weight of a heavy piece of furniture when the person assisting you lets go.
Non-Traumatic Rotator Cuff Tears:
- Aging and disuse can lead to degenerative rotator cuff tendinopathy and eventually rotator cuff tears.
- A degenerative rotator cuff tendon is more likely to tear when subjected to excessive force or trauma.
Rotator Cuff Tear Treatment
This section includes general advice on rotator cuff tear treatment that may benefit you. It is important to recognize that no two rotator cuff tears are equal. Rotator cuff tear management that worked for a friend may not work for you. Perth Shoulder Physio have the knowledge and experience to assess your shoulder injury and implement a rotator cuff tear treatment plan for your individual circumstances.
Physiotherapy Treatment for Rotator Cuff Tears
- Massage, dry needling and other manual therapy for rotator cuff tear pain relief
- Advice and education on modifying activities to reduce stress on the torn rotator cuff tendon
- Very specific and graduated rotator cuff strengthening exercises
Surgery for Rotator Cuff Tears
- Perth Shoulder Physio will recommend the very best shoulder specialists if rotator cuff surgery is required
Post Operative Rehabilitation following Rotator Cuff Surgery
Adam has collaborated with leading shoulder surgeons to produce a comprehensive rotator cuff treatment and rehabilitation program following rotator cuff surgery. This includes:
- Mobility exercises of the neck, shoulder blade, elbow and wrist whilst wearing a sling
- Pain relieving shoulder exercises
- Graduated mobility exercises for the shoulder
- Graduated strengthening exercises for the shoulder
Rotator Cuff Exercises
Rotator cuff exercises are an essential component of rotator cuff tear management. Depending on your individual circumstances and the size and location of your rotator cuff tear, you may require a combination of shoulder mobility, rotator cuff strengthening or scapula strengthening exercises. Read more about rotator cuff exercises here.