A Real Pain in the Shoulder

Rotator cuff injuries are common: Every year about 2 million people in the U.S. go to their doctors because of rotator cuff problems.

The next time you reach up to brush your hair or grab something from the top of your closet, say a silent thank you to your rotator cuff.

This hardworking part of your shoulder makes it possible for you to lift and rotate your arm. It consists of four muscles that join together as tendons. But sometimes one or more of these tendons fray and cause a partial or complete tear of the rotator cuff.

A rotator cuff injury is painful -- and common: Every year about 2 million people in the U.S. go to their doctors because of rotator cuff problems.

How and why it happens

You can tear your rotator cuff suddenly in an accident -- if you lift something too heavy or fall down on your outstretched arm, for example.

If you routinely move your shoulder in the same way over and over again -- perhaps you play a lot of tennis or you make your living as a carpenter -- you are also at risk of a rotator cuff tear.

But most often, rotator cuff tears happen slowly over time and are caused by the normal wear and tear of aging. They are particularly common in people who are middle-aged or older.

Symptoms and treatment

Rotator cuff tears that happen suddenly can cause intense pain. Tears that occur slowly over time also become more painful the longer you have one.

Common symptoms of a tear include:

• Pain at rest and at night, especially if you're lying on the injured shoulder.
• Pain when lifting and lowering your arm.
• Weakness when lifting or rotating your arm.
• A crackling sensation when you move your shoulder in certain ways.

If you suspect you've torn your rotator cuff, see an orthopedic provider. According to the American Academy of Orthopaedic Surgeons, about 80% of tears can be treated nonsurgically. Those treatments include:

• Rest.
• Avoidance of certain activities.
• Nonsteroidal anti-inflammatory pain medication.
• Physical therapy.
• Steroid injections.

If none of the above works, your provider may recommend surgery to repair the tear. You might also opt for surgery if your job or favorite sports activity depends on your shoulder movement.

Strong shoulders start with the right care.

Call today to make an appointment with Dr. Lammli or Dr. Rickert for orthopedic care.
Norfolk: (402) 844-8158
Columbus: (402) 8564-9610