| Prolotherapy for Chronic Pain and Sports Medicine in Oak Park, Illinois, a suburb of Chicago Hope Practiced Here | |
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PROLOTHERAPY APPOINTMENT INFO |
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| Prolotherapy for Chronic Pain and Sports Medicine in Oak Park, Illinois, a suburb of Chicago Hope Practiced Here | |
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PROLOTHERAPY APPOINTMENT INFO |
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ROTATOR CUFF TENDONITIS AND IMPINGEMENT SYNDROME
Rotator cuff tendonitis occurs
when the small muscles of the
Rotator
Cuff, the
supraspinatus, infraspinatus,
teres minor, and subscapularis, become strained causing weakness of these
structures and subsequent tendonitis. While the deltoid muscle is the big and
strong muscle of the shoulder, as seen on many well-built athletes, the small
and relatively weak rotator cuff muscles perform key functions. The
supraspinatus helps seat the humeral head (ball) into the
glenoid cavity
(socket) when the arm is raised from the side (abducted). The infraspinatus
and teres minor rotate the forearm away from the body or in the hand-waving
position (external rotation), and the subscapularis rotates the forearm
towards the body (internal rotation). Once the balance between motion and
joint stability is altered through weakness in the static structures
(ligaments) or the dynamic structures (rotator cuff muscles), pain and
impaired function will invariably ensue. Baseball pitchers, quarterbacks,
tennis players (serving), and swimmers are prone to rotator cuff tendonitis
and impingement syndrome. This is because these athletes perform a lot of
overhead movements. The rotator cuff is most vulnerable in this position.
Impingement syndrome occurs
when the rotator cuff
tendon becomes pinched between the humeral head, on
which it is attached, and the overhanging
acromion process, when the arm is
raised above the head. This happens when the space becomes narrowed, as occurs
when the rotator cuff muscles weaken and the humeral head rides high in the
socket or when bone spurs and
calcium deposits narrow the space. Impingement
also occurs when the contents of the subacromial space increase in size, most
often due to a swollen rotator cuff tendon or bursa, which is painfully
squeezed between the humeral head and the acromion process.
MRI (Magnetic
Resonance Imaging), which is an expensive test to look at the rotator cuff,
often does not help in evaluation and management. The condition can easily be
diagnosed by a physician who elicits a positive impingement sign.
Common treatment for
rotator cuff tendonitis and impingement syndrome by traditional medical
doctors includes rest, non-steroidal
anti-inflammatory drugs (NSAIDS),
physical therapy, and
cortisone
injections into the subacromial space.
Because a cortisone injection has very strong anti-inflammatory properties, it
may reduce the swelling in the tendon and bursa, relieving the symptoms. These
treatments may temporarily help, but since the underlying cause has not been
addressed the problem invariably returns. Degenerative fraying and
tearing of the tendon may occur if constant irritation of the tendon occurs
from the impingement process over time. The best way to treat this unresolved
process is with
Prolotherapy injections to the ligaments and tendinous
insertions of the rotator cuff and deltoid. This, combined with
gradual re-strengthening of the rotator cuff muscles, give an excellent chance
for a full recovery and performance.
Anyone who has been told they
have rotator cuff tendonitis needs to run to a
Prolotherapist. If a person
cannot run, then jogging or fast walking is advised. If it is not done,
surgery will be inevitable.
The best treatment approach is
early recognition and treatment with Prolotherapy. In this scenario,
Prolotherapy is encouraged, as it eliminates the need for a lot of shoulder
surgeries. If the
Rotator
Cuff
tear has become large enough to produce
profound weakness in the shoulder, shoulder surgery may be necessary and
Prolotherapy
can be used as a post-operative treatment to improve tissue strength
and overall recovery. |
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Caring Medical
and Rehabilitation Services |
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The Journal of Prolotherapy
is unique in that it has a
target audience of both physicians and patients. The purpose of this
journal is to provide the readers with new cutting-edge information
on Prolotherapy, as well as provide a forum for physicians and
patients alike to tell their stories.Your membership fee includes a 1 year subscription to this quarterly journal, and unlimited access to the journal archives online! Premiere Issue scheduled to be released for Spring 2009! Learn more |
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The information on this website is presented as
information only and not a self-help guide NOR AS SPECIFIC HEALTH
RECOMMENDATIONS. Never alter or change your health management or begin
any new health plans without first consulting your personal health care
provider.
Some statements on this site regarding the value of
nutritional supplements have not been evaluated by the FDA.
Caring Medical and Rehabilitation Services 715 Lake Street Suite 600 Oak
Park IL, 60301 |
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