One of the functions of the rotator cuff muscles and the long head of the biceps, is to pull the head of the humerus down from the acromion process, to prevent impingement. Strengthening the subscapularis, infraspinatus and teres minor can help with this function. Dr. Fishman discovered a technique when doing yoga and experienced relief of his own rotator cuff pain. The technique is based on a headstand in yoga and is called the Triangular Forearm Support. Dr. James Mally speculates that the technique trains the subscapularis to take over for the injured supraspinatus. He has wondered if the main effect of the technique has been the result of the humerus pressing in an inferior direction in the joint capsule. He believes that this creates more room in the subacromial space, thereby relieving any impingement symptoms (click this link to see a video of Norman Popovskys ' simple yoga move). Norman Popovsky from the blog "Successful Living Yoga with Norman Popovsky" demonstrates a simple yoga move that helps to strengthen the subscapularis, infraspinatus and teres minor. His blog also provides an image of Dr. Fishmans ' simple wall exercise that when performed for 30 seconds two to three times a day can help improve range of motion and reduce pain within the rotator cuff. They may decide to see a Reflexologist, Swedish practitioner, Medical massage practitioner, Hawaiian practitioner, Ayurvedic Massage practitioner or Traditional Chinese Medicine practitioner. These individuals may choose to see their desired therapist in a day spa, destination spa, salon, medical clinic, or massage clinic. These professional businesses may be located anywhere around the world. The one thing that they all have in common is an intimate knowledge that touch heals and releases tensions in the body. For those looking for stress reducing home care we offer the following Stress Reduction
In both species, deltoid muscles allow for the abduction of the humerus. The next two muscles are the biceps brachii and its opposing muscle the triceps brachii. The biceps brachii consists of two heads, which arise from the scapula and join to form a single muscle that ends upon the upper forearm. The most important functions of the biceps brachii are the supination of the forearm and the flexing of the elbow. The triceps brachii on the other hand extends the forearm in both minks and humans and has three heads as opposed to two in its antagonist biceps brachii (Scott).
Many factors like patients age, symptoms, size of the tear, and nature of onset (traumatic or degenerative) are responsible for determining the prognosis of the physical therapy treatment 9. Since it’s a partial thickness tear of the rotator cuff, the non-operative treatment is reasonable unlike, a full thickness tear where surgery will be required to treat the patient 9. The patient shows symptoms of moderate irritability without significant functional deficit which makes him a good candidate for conservative treatment 10. The pain reported by the patient is 6/10 so the patient participates well in physical therapy exercise to increase shoulder strength, and flexibility. There was a study done from Finland which asserted that physical therapy alone can produce results which are equal to those produced by arthroscopic surgery and open surgical repair in cases of rotator cuff tears 11. In this case, with three weeks of physical therapy the patient has showed a decrease in pain and reported it as 4/10 on pain rating scale and showed improvements in abduction (140̊) and external rotation (65̊). The MMT for shoulder abduction was 4-/5 and external rotation is still same as
A rotator cuff is simply a group of four tendons and muscles that are located right on the shoulder and on top of the humerus bone. (Source 1) The rotator cuff is what controls the shoulder and allows it to move and be mobile. The four main muscles that consist of the tendons are the supraspinatus, infraspinatus, teres minor, and subscapularis muscles. (Source 2). Too much wear and tear on these muscles (such as too many thrown fastballs) is precisely what causes the rotator cuff to begin to tear, as well as swelling in the tendons.
The four progressive resistive exercises I chose are, Thera-band tubing shoulder flexion, Thera-band shoulder diagonal, Thera-band shoulder Extension, and Thera-band shoulder external rotation at 90 degrees.
In this case, appropriate conservative measures in the form of medications, physical therapy, and chiropractic treatment were provided. An MR arthrogram of the right shoulder did not demonstrate any obvious rotator cuff tear. The test revealed some bursal fraying. His biceps were also noted to be intact. It was also noted that the claimant was still capable of performing light household chores. The records also revealed that his condition was slightly improved.
Supraspinatus tendonitis is inflammation of the supraspinatus/rotator cuff tendon and/or the contiguous peritendinous soft tissues, according to Medscape. It is usually identified with shoulder impingement syndrome and is a recognized phase in the second stage of the disease. There are both extrinsic and intrinsic factors that can lead up to this condition. Primary and secondary impingement are what make up the extrinsic factors. Primary impingement is the outcome from increased subacromial loading, trauma, or overhead activities. Secondary impingement is the outcome from rotator cuff overload and muscle imbalance. The condition can also be caused by the diminishing in the supraspinatus outlet space because of the unstable glenohumeral joint.
Touch is as essential to a healthy and happy life as eating right, getting proper sleep, and exercising. With the world growing more technological, the need for healthy human contact is more important than ever. Massage and body therapies are an age old healing refuge for us in this fast-paced, stressed-out world. The practice of massage therapy is rapidly growing in the United States. It has so much to offer and is becoming more widely accepted by doctors and the general public. Massage is touching another person by such movements as rubbing, kneading, pressing, rolling, slapping, and tapping. This type of therapy provides circulation of the blood and lymph, relaxation of muscles, relief from pain, restoration of metabolic balance, and many other benefits both physical and mental. There is much historical evidence to indicate that massage is one of the earliest remedies for pain relief and for the restoration of a healthy body. It is said to be the most natural and instinctive means of relieving pain and discomfort. Massage has proven to be an effective method for treating many conditions for thousands of years and it will continue to be used for thousands of years to come. Massage therapy is a great treatment for the body and soul.
Due to persistent pain despite medications, home exercises, sling, and splint, the claimant underwent a left shoulder manipulation under anesthesia, left shoulder arthroscopy with bursal debridement, and subpectoral biceps tenodesis. The procedure revealed an intact rotator cuff. Postoperative physical therapy treatment was recommended.
Goals: Patient education (posture, joint protection, positioning and hygiene), controlling pain and inflammation, initiating ROM exercises. Allowing healing of the repaired rotator cuff tendon while minimizing stiffness and muscle atrophy are the primary goals of the phase I.
Patient returned the next day still complaining of pain. The PT applied heat, then initiated the exercise program, but the patient could not perform theem to same extent as previously, secondary to pain. Therefore, the PT told the patient to schedule an appointment with his physician. The patient was seen by the MD the next day and an arthrogram performed that revealed a reinjure to the repaired site. And a second surgery repaired the rotator cuff.
Rotator cuff tear – The muscles adjoining the shoulder joint are required for rotating the shoulder, amid other movements. The tendons of these muscles furthermore influence the structural strength of the shoulder joint. Harsh, rapid actions, for example in tennis and baseball, can result in tearing of one of these tendons. This then causes pain as well as a decline in range of motion. Surgery possibly will be necessary to repair a torn
Most of us do not think about our shoulders and the scope of activities that they help us perform, such as tossing a ball or reaching that itchy spot in the middle of our back.
The shoulder is the most complex joint in the body. It is capable of moving in more than 16,000 positions. Many of its ailments, including the most common ones, involve biomechanical mechanisms that are unique to the shoulder. The most common shoulder problem for which professional help is sought out for is shoulder impingement (Haig 1996). Shoulder impingement is primarily an overuse injury that involves a mechanical compression of the supraspinatus tendon, subacromial bursa, and the long head of the biceps tendon, all of which are located under the coracoacromial arch (Prentice 2001). Impingement has been described as a continuum during which repetitive compression eventually leads to irritation and inflammation that progresses to fibrosis and eventually to rupture of the rotator cuff. Because impingement involves a spectrum of lesions of tissue in the shoulder, a working knowledge of its structural relationships will facilitate an understanding of the factors that result in abnormalities. This paper will provide knowledge of the anatomy, biomechanics, and correct rehabilitation involved with shoulder impingement.
Massage has been practiced for many centuries and has been used for a number of reasons, from medical treatments to general relaxation therapies. Lots of styles have been developed throughout the years and therapists have adapted their personalised treatments using routines, methods and mediums to create the effects and feelings that they are looking to achieve for their clients. Massage includes the therapist using mainly their hands, elbows and arms to manipulate the body’s muscle tissues. There are many types of massage however the main one we have looked at as a class is Swedish massage. This form of massage includes five main movement groups.
There are many different things that a massage therapist must do. First off they have to find somewhere to work and get clients, but that’s the obvious. There are also things they have to do after this, other than just massage. In an interview with Stephanie Melroy, who owns and runs The Massage Studio in Holdrege, she said to me, “A lot of high school girls are really interested in massage therapy but most of them don’t realize all the work and education that it requires. The classes that you take aren’t the easiest either. You have to take a lot of anatomy and physiology, know every bone, muscle, and nerve and they work.” You’ll to prepare the client before the massage, which might include: applying heat, alcohol, lubricants, salt, or other rubbing compounds. Of course the massage therapist will massage the client using kneading, rubbing, and/or stroking movements. You also need to know different types of diseases and skin irritations because if they have a certain kind of disease you can’t treat them. But there are also many types of massage or therapy that they might do. This includes Hydrotherapy, Swedish massage, Sports massage, Shiatsu, Trager, Hellerwork, Polarity, Reflexology, Acupressure, Rolfing, and many more. Other than a manual massage they might also use mechanical or electrical machines as well.