Rotator Cuff Tendinopathy

Pathology of the soft tissues surrounding the shoulder joint are a common source of pain and suffering.

The principal culprits are the subacromial bursa and musculotendinous rotator cuff. Historically, proposed theories of the stages of rotator cuff pathology have placed the blame squarely on the shoulders of the under surface of the acromion and have focused on an “external” irritation model.

More recently, a new model, (Lewis JS, 2009) of the “continuum of rotator cuff tendinopathy” has been proposed based on the generic model put forward by researchers Cook and Purdam (2009). It describes a normal rotator cuff tendon as the optimal functioning unit, defined as a structurally sound, pain free tendon capable of performing normal functional tasks as required by an individual. This means the tendon has the ability to positively adapt to appropriate and graduated loading or stress, Lewis JS (2009).

We now know that tendinopathy characterised by pain during activity, localized tenderness upon palpation, swelling and impaired performance isn’t really an inflammatory process and that LOAD plays a significant role. Over (excessive) load and repetitive (over) use can cause shoulder injuries. Load management now becomes a very important balancing act between what’s enough for positive adaptation and improved shoulder performance and what’s too much to cause breakdown of the collagen tendon structure?

This has big implications for rotator cuff tendon injury management –> Watch the Video!

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Read More About Tendinopathy Here:

Rotator Cuff Tendinopathy Natural History and Treatment Options

What is Rotator Cuff Tendinopathy?

Signs & Symptoms of Rotator Cuff Tendinopathy