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Repairing an Injured Rotator Cuff

Rotator Cuff Injuries and Chiropractic Care
Regular Chiropractic Care and Injury Rehabilitation

Recovery from injury can’t be rushed, but the rehabilitation process can be impeded or facilitated. In other words, sufficient time is required to allow for healing of damaged structures. Re-injury is possible if you attempt to return to full activity before healing is complete. In contrast, use of tested rehabilitative protocols help you prepare properly for return to full activity and may even help you to come back stronger.

Regular chiropractic care is an important component of injury rehabilitation. By helping ensure that your spinal column is well aligned, regular chiropractic care facilitates optimal functioning of all of your body’s systems. Mechanical loads are balanced so your spine, hips, legs, and arms work effectively, aiding in the recovery process. Spinal nerve irritation is reduced and removed, helping your internal organ systems do their job properly. As a result, oxygen and nutrition are delivered where they’re needed most. Regular chiropractic care supports your rehabilitation program and the healing process, helping you get back as quickly as possible to doing the things you want to do.

As we get older, rotator cuff injuries become more common, a result of the natural aging process. A similar mechanism operates in the discs separating the vertebras in your lower back. These cartilaginous structures lose water over time, becoming less flexible and more brittle as the decades roll by. In the case of the shoulder, the rotator cuff tendon is pulleyed to and fro as the arm swings forward and back and up and down. As the years pass, this constant motion may cause fraying in the rotator cuff tendon and inflammation in the muscles that comprise the rotator cuff. Eventually, partial or full thickness tears may develop in one or more of these musculotendinous units, causing pain and some loss of function. Importantly, conservative care may be all that’s needed to reduce pain and restore needed motion.

The shoulder joint is beautifully designed and a marvel of engineering. Its construction makes possible a full 360-degree arc of motion in both the sagittal and frontal planes. In other words, you can swing your arm in a complete circle from front-to-back and to-the-side-and-up-and-around. In the third, horizontal, plane, 180 degrees of motion is available. The overall combination of movements in three-dimensional space makes the shoulder joint the most freely movable joint in your body. However, as with all freedoms we enjoy in this life, there is a price. The shoulder joint’s great mobility is countered by its very limited stability.

The shoulder’s lack of stability needn’t concern us in our average day-to-day tasks. Protection to the joint is built-in by way of the rotator cuff muscles, which form a strong hood that envelops the intersection of the arm bone and shoulder blade. Falling on an outstretched arm may result in a dislocated shoulder, so we need to have some care in this regard.

If you’re a young athlete and have suffered a rotator cuff tear, surgery may be an appropriate option.1 But for the vast majority of people, especially for those over age 40, most rotator cuff injuries are chronic rather than acute and can be treated with rest and rehabilitative exercise. Again, if you’re a 60-year-old skier who has torn his or her rotator cuff in a downhill accident, surgery could be indicated. For the rest of us, rehabilitative exercise is the key.2,3

Four or five primary strength training exercises are involved in shoulder or rotator cuff rehabilitation. The three basic shoulder exercises are (1) seated overhead press, which trains all the shoulder girdle muscles simultaneously; (2) standing side [lateral] raise; and (3) seated or standing bent-over raise. The lateral raise specifically trains the middle deltoid muscle and the bent-over raise specifically trains the posterior deltoid muscle. Specific rotator cuff strength training exercises include internal rotation and external rotation on a flat bench using very light dumbbells. More painful injuries with greater loss of mobility may require (1) Codman pendulum exercises and (2) finger-walking (up a wall) to the front and to the side.

The goals of rotator cuff rehabilitation, as for any mechanical injury, include decreased inflammation, decreased pain, return to more full active range of motion, return to more full muscular strength, and restoration of function.

1 Plate JF, et al: Rotator cuff injuries in professional and recreational athletes. J Surg Orthop Adv 22(2):134-142, 2013

2 Escalmilla RF, et al: Optimal management of shoulder impingement syndrome. Open Access J Sports Med 5:13-24, 2014

3 McMahon PJ, et al: What Is the Prevalence of Senior-athlete Rotator Cuff Injuries and Are They Associated With Pain and Dysfunction? Clin Orthop Relat Res 2014 Mar 12. [Epub ahead of print]

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We value our patients' experience at Stamford Sports & Spine. If you are currently a patient, please feel free to complete the following Client Experience Questionnaire. The Questionnaire is in Adobe Acrobat format, and requires the free Acrobat Reader to view.

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Dr. Andrew Zomick & Dr. David Avallon

I have been coming to Stamford Sports and Spine for almost 10 years. I am active and have unfortunately been in a few car accidents. The care and treatment offered at Stamford Sports and Spine is world class and without them I would be living with an inordinate amount of pain and discomfort. Going to Stamford Sports and Spine has made my injuries manageable.

--James


Very good team of therapists. Flexible and available schedule. They helped get my teenage athletes back on the field in half the time.

--Shawn


I was experiencing some pain in my right shoulder and numbness down my arm to my hand. The range of motion in my shoulder was limited and I could not participate in volleyball. Dr. Z came to our office offering a free chair massage and a chance to come in for an evaluation. I did this and we worked out a treatment plan that included therapy and adjustments. I noticed in the first few weeks the pain subsided greatly in my shoulder. The numbness in the arm and hand were present but noticeably better. After three weeks, the range of motion in my shoulder was back to normal and the pain was gone. Now after one month of therapy the numbness in the arm is extremely better and I do not notice the symptoms as often as I used to. Coming into the office has helped tremendously. I can now play volleyball pain-free.

--Mary


After moving from London to the USA, two weeks into living in Stamford and having carried and unpacked a lot of heavy boxes my shoulder froze and I was in a great deal of constant pain. After finding Stamford Sports & Spine on the internet I made an appointment and the corrective programme S.S.S. put together for me meant that I immediately had some pain relief, and over the next few weeks the pain left completely. The programme is also ensuring that I am not only pain free but fully corrected so as this problem should not occur again. Very friendly staff and very detailed assessment programme that has ensured my full recovery.

--Laura


From my first visit to Stamford Sports & Spine I was extremely impressed and pleased with their service. Everyone including staff and doctors were very knowledgeable with their chiropractic services. I learned a great deal about my symptoms and overall care more than I expected. I have visited a few other chiropractors but none were as thorough as Stamford Sports & Spine. I was experiencing severe pain in my shoulder and arm and after a few visits my pain decreased substantially. I really appreciate all the services from the adjustments, rollers and even exercise room. I would highly recommend this facility to everyone. The entire staff are friendly, professional and just simply great!

--Sherri


Everyone was incredibly professional and helpful.  The staff is friendly and goes beyond what was expected to meet my needs and education me about my condition.

--Jon


Came in with severe and constant numbness and tingling in my legs and feet. The treatment worked quickly and resolved all of my symptoms. Thanks!

--Erik


My arms were falling asleep every night and had numbness and tingling during the day. I no longer have any of those symptoms during the day and have very rare episodes of pain at night due to my treatment here at Stamford Sports & Spine

--Eric


I came in for hip pain and stiff neck that also affected my right arm and hand. Using the relaxing rolling / traction bed and electrical muscle stimulation along with stretching and the adjustments my hip pain is gone. I can walk without sharp pains running up and down my legs. My neck range of motion has improved and my muscles are more flexible and less spastic.

--Karen


I had severe neck pain which was aggravated by a recent move. I have been coming to be adjusted for a few weeks now and not only has it helped with the neck pain I had been experiencing, but it has also made me feel better overall. I feel like I am able to sit up straighter, and my muscles are looser and less tense. I no longer have the intense pain I had once been experiencing

--Kim


When I came in my pain was a 10 out of 10. After just one week of care my pain went down to a 4 and has been improving ever since. The staff are very friendly and great educators. I learned a lot about my body and how to take better care of myself.

--Heidi


After a car accident,  I had to seek help for my upper back and neck pain. Slowly but surely I started to feel better, not immediately, but by keeping up with my visits with Dr. Q & Dr. Z. Now I can tell you that I feel leaps and bounds better, and am now looking forward to a pain-free summer.

--Rudy


I have been with Stamford Sports & Spine for more than a year now. I still remember how much pain I was in during my first session. I can now walk in and out without any aches or pains.

--Rick


When I first started going to Stamford Sports & Spine, my back had been seizing up with alarming regularity. After just a few months of working with Dr. Z and Dr. Q, I feel much more confident in my daily activities and have even been able to return to the gym.

--Dan


Thank you to Dr. Z, Dr. Q and the whole Stamford Sports & Spine team! For many years, I have been suffering from severe back pain that would sometimes keep me from going to work. The recurring pain would come and go and I couldn't figure out what I was doing to cause it. When I came to the office, Dr. Z took x-rays, did a complete examination and educated me as to what was happening and why. I began treatment and was given exercises to prevent these injuries from happening in the future. Since starting the treatment, I have seen a great improvement in my back. The pain is gone and I have an increased range of motion. Thanks again to the entire staff who are very friendly and always willing to accommodate my hectic schedule when I make appointments.

--Ron


The strabismus in my eyes caused a vertical deviation in my eye placement.  This resulted in my head naturally tilting to the right and throwing my muscular structure in my neck and shoulders off.  I had accepted the tilt and tightness as a way of life and a natural dis-figuration of my spine.  I almost didn't sign on for initial treatment.  After 3 visits I have already noticed a difference in the position of my head, my posture and regular comfort levels.  There is still a ways to go to rid that area of  a lifetime of dysfunction, but what a relief to know it's treatable and already improving.

-Jenn


I found Dr. Z and Dr. Q earlier in the week after experiencing some back pain and sciatica. After the consultation and x-rays I began therapy. After just 2 treatments I felt much better and had a significant reduction in discomfort in the area of concern. I am looking forward to continuing my treatment in an effort for long term recovery and a return to my heavy exercise routine.

--Tom


FANTASTIC. When I leave I feel like a whole new woman. I have been going there for my neck pain and headaches for about 1 year now; off and on and ever since I started treatment there my headaches have been reduced to one every few months instead of a few every month. The intensity of of my pain has also been reduced to almost nothing. The doctors seem to have a very friendly relationship with all of the patients and I feel very welcomed by the staff as well. Not to mention I love how they incorporate therapeutic massages into my treatment. I have since sent over many of my colleagues and family, who also share the same feelings. Thank you.

--Bri


I had a great experience. My low back pain is completely gone. I found the staff extremely knowledgeable, accommodating and friendly. I would highly recommend them.

--Jay F.

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