Rotator Cuff Tendonitis: A Shoulder Injury For All of Us

When you hear rotator cuff injury, what comes to mind?

For most people, the first thing they think of is your local team's pitcher, who was just placed on the disabled list. Most recently, Orlando Hernandez and Jarid Wright are two of the big names on their respective team’s disabled list because of a rotator cuff injury.

However, shoulder injuries are not issues restricted to baseball players even though they are particularly susceptible to it given the throwing motion and how that impacts the upper part of the shoulder. Essentially, baseball pitchers and players have something called impingement syndrome which eventually leads to rotator cuff tendonitis. Impingement syndrome is commonly referred to as the weekend warrior syndrome.

For those who are not professional baseball players, this syndrome can be exasperated by playing basketball, by serving a tennis ball, by throwing a football, etc. While it is routine to feel somewhat sore after increased activity, particularly as one ages, it is not routine to experience pain in less intense shoulder motions. If routine movements such as turning off the alarm clock or reaching on the top shelf become painful, you need medical attention as it is a symptom of rotator cuff tendonitis. Most of the time rotator cuff tendonitis can be healed and managed with physical therapy and full activity can be restored. Occasionally, steroid injections are needed and more rarely than that , surgery is recommended.

The critical aspect is to treat this problem early, before there is major scarring or rotator cuff tears. Keep in mind that 90% of all rotator cuff tears are the original result of chronic inflammation. It is essentially something that starts small and gets progressively more difficult. If the shoulder is hurting, medical attention should be sought more quickly rather than less.

Michael Carroll, MD is a board certified family physician with a special interest in sports medicine. He is the founding partner of Creekside Clinic, LLC, a progressive primary care center in Traverse City, Michigan and a member of both the American College of Sports Medicine, and the American Academy of Family Physicians. He also holds special interest in shoulder pain and rotator cuff injuries, specifically with regard to cutting-edge treatments.

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