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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MARIA DEL ROCIO CALDERON GUILLEN

Todo el equipo de esta unidad es profesional y muestra mucha humanidad y comprensión frente al dolor que sufre el/la paciente y al motivo por el cual puede ser provocado.
Los conozco desde el 2018. Ellos hicieron posible que volviera a cambiar y el trato es impecable.

Mari Carmen Fernandez Prieto

Muy recomendable!!!!!
El Dr.Duca un gran profesional.

JUAN GUZMAN CANO

Lucas Cusulini

Sebastián Trujillo

Cati Hernández Pérez

Ha sido un tratamiento muy positivo, muy atentos y profesionales, si volviese algún otro problema de esta índole no dudaría en volver, gracias por todo

Trap Pezia

Maravilloso ! Finalmente desaparecio el dolor . El dr. Duca es muy empatico y todo el personal una maravilla

Ivan Quer

Yolanda Beribos

Me ha encantado el trato tan amable, tan exquisito y siempre con una sonrisa que eso hace que incluso el dolor sea menor. Muy contenta con la atencion al paciente a la entrada como en el quirofano. Gracias.

Noemi Navarro

Muy agradecida. Levaba año y medio con un dolor intenso en la zona del sacro y con el procedimiento del doctor Duca el dolor se va minimizado muchísimo y esperemos que se vaya del todo. Muchas gracias!!