Rotator Cuff Tendonosis / Impingement - TRCC Total Rehabilitation and Chiropractic Centre

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The rotator cuff involves four muscles that surround and support the shoulder joint (subscapularis, supraspinatus, infraspinatus, and teres minor). Together with the deltoid, the rotator cuff muscles place the arm in the overhead position essential in many sports. Sometimes these muscles get strained and irritated. Several different mechanisms of rotator cuff injury are presently recognized. These can be divided into acute traumatic injuries and the more common microtrauma caused by repetitive overuse injuries as seen in overhead activities (swimming, volleyball, etc.)


The symptoms of rotator cuff injury caused by both mechanisms include pain, weakness, and limitation of motion. Pain tends to be located in the front, top or side portions of the shoulder. Patients with acute inflammation of the rotator cuff have intermittent mild pain with overhead activities.

Patients with chronic inflammation of the rotator cuff have persistent, moderate pain with overhead activities; there may be pain at rest, but much less than with overhead activities. Patients with partial and full-thickness rotator cuff tears have persistent pain at rest that is often referred to the deltoid (shoulder) muscle insertion on the side of the upper arm. The symptoms of weakness and limitation of active motion may be the result of pain or a rotator cuff tear.

Several weight training exercises, including the upright row, military (shoulder) press and lat pull downs behind the neck jeopardize the muscles and tendons of the rotator cuff. Among the rotator cuff tendons, the supraspinatus tendon is the most frequently involved, probably because of its relative lack of blood flow and location in a potentially narrowed space below the shoulder bones. Frequently, the chest and front shoulder muscles development is disproportionate to that of the scapular (postural) stabilizing muscles.

Treatment is largely non-operative. It is aimed at pain control and scar tissue breakdown utilizing Acupuncture Physiotherapy and Targeted Soft Tissue Therapy, increasing pain-free shoulder range of motion, stretching (with emphasis on the posterior capsule of the shoulder), and strengthening of the scapular stabilizers, rear shoulder muscles, and external rotators with Functional Rehabilitation.

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For anyone that's getting sore while working from home Dr. Andrew is doing a webinar with Staples Business Advantage and Fellowes next Tuesday the 11 th. Click the link below to register!Register today for the Fellowes Canada / Staples Business Advantage Canada Webinar with valuable 'Tips To Working Ergonomically At Home' on August 11th. Guest speaker Dr. Andrew Sulatycki is a Chiropractor, Clinical Acupuncturist, Registered Kinesiologist and Clinical Exercise Physiologist. Register now at #StaplesforBusiness #webinar ... See MoreSee Less

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Here's an example of what just one session of Fascial Remodeling can do! This before & after are an hour apart.

RMT Asha started working with this client to prep her for breast reduction surgery. They did 2 prep sessions prior to the reduction, and this treatment was their first one since the surgery 3 weeks ago.

The client reported feeling more breast congestion on her left side post op, but as you can see her entire torso was congested (1). Her whole right side was pulled up (3) and rotated (2), and most of her weight was on her left leg (4). After the treatment, the torso girth reduced, her rotation relaxed (see the belly button position), and her weight was evenly distributed on both legs.

Breast work was modified according to the client's current activity level, surgeon's recommendation, and scar quality.

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