Rotator Cuff Syndrome

What is

The rotator cuff is formed by the tendons of the supraspinatus, infraspinatus, subscapularis and teres minor muscles in their insertion in the different bones that are part of the shoulder joint. Their correct functioning allows performing the wide and complex range of movements that the shoulder is capable of executing. Inadequate postures, trauma or the mere passage of time can lead to its wear and tear, producing the condition commonly known as rotator cuff syndrome. This condition can range from minor alterations in the form of tendinitis to partial or total tendon rupture. Depending on the degree of deterioration, pain and functional impairment will vary.

Causes

Sudden movements when playing sports.
Due to wear and tear.
Trauma.

Symptoms

It is very common for patients suffering from this condition to have pain in the tendon insertion area, pain that typically increases with daily activities involving shoulder movement (combing hair, brushing teeth, cleaning). In those patients in whom the tendon has ruptured, it is possible that in addition to pain, there may be an inability to perform certain movements.

Approach protocol

Diagnosis and assessment

A correct medical evaluation by means of a good anamnesis and physical examination will be necessary. The multidisciplinary vision is essential for a comprehensive, personalized approach, focused on achieving a prolonged relief of pain depending on the phase in which it is found.

Complementary tests

Shoulder X-rays, ultrasound and/or MRI.

Treatment

Interventional treatment: the treatment of this pathology will depend to a great extent on the patient’s condition and the tendons affected. They can be applied:

Suprascapular and axillary nerve blocks and radiofrequency: allow painless recovery with very satisfactory results.
Peri tendon blocks with hyaluronic acid.
Regenerative medicine: applied in certain circumstances can not only reduce pain, but also promote tendon regeneration.
- Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
- Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
- Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.

Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.

Here begins your life without pain

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Paqui precioso Villalba Canto

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Response from the owner:Paqui, agradecemos mucho tu recomendación y confianza en MIVI Salud.Siempre estaremos aquí para brindarte la mejor atención. ¡Gracias por elegirnos

jorge perez galarza

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Response from the owner:• Muchas gracias Jorge ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro. Saludos

Juan de Dios Gutierrez Roncero

Buen centro de fisioterapia.
He estado recuperándome de la operación de rotura de ligamento cruzado anterior, y no tengo ninguna queja. Siempre dispuestos a ayudarme y a adaptar las rutinas de recuperación en función de las sensaciones y estado de la rodilla.
Muy buenos profesionales y mejores personas.