Usually caused by a repetitive action but can be caused by a direct trauma.
The rotator cuff controls the humeral head to keep it
in the optimum location for the scapular and the humerus to get maximum
and efficient movement.
When the rotator cuff is not working correctly it will
place repeated stresses onto the area and gradually over time
degenerate the tendons and muscles and leads to tears, strains,
tendonitis, tendinopathy, bursitis and impingement syndromes.
Treatment consists of decreasing trigger points,
increasing range of motion, massage, and then correcting the
biomechanical faults that created the problem.
The strengthening will be aimed at strengthening and
establishing the inside of the scapular or by strengthening and
stabilising the inside of the scapular or by strengthening the rotator
Treatments is usually very effective but the longer
you leave the problem the longer the prognosis will be because the poor
biomechanics will continue to erode and exacerbate the problem.