Rotator cuff tendinitis
Alternate Names : Swimmer's shoulder, Pitcher's shoulder, Shoulder impingement syndrome, Tennis shoulder, Tendinitis - rotator cuff
Treatment
Treatment involves resting the shoulder and avoiding activities that cause pain. Ice packs applied to the shoulder and nonsteroidal anti-inflammatory drugs will help reduce inflammation and pain. Physical therapy to strengthen the muscles of the rotator cuff should be started. If the pain persists or if therapy is not possible because of severe pain, a steroid injection may reduce pain and inflammation enough to allow effective therapy.
If the rotator cuff has had a complete tear, or if the symptoms persist despite conservative therapy, surgery may be necessary. Arthroscopic surgery can be used to repair some tears and remove bone spurs and inflamed tissue around the shoulder. Some large tears require open surgery to repair the torn tendon.
Prognosis (Expectations)
Most people recover full function after a combination of medications, physical therapy, and steroid injections. For patients with tendinitis and a bone spur, arthroscopic surgery is usually successful in restoring them to their pre-injury level of activity. People with tears of their rotator cuff tend to do well, although their outcome is strongly dependent upon the size and duration of the tear, as well as their age and pre-injury level of function.
Complications
- Bursitis
- Complete rotator cuff tear
- Treatment fails to improve symptoms
Calling Your Health Care Provider
Call for an appointment with your health care provider if persistent shoulder pain occurs. Also call if symptoms do not improve with treatment.
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