- CONDITION - Rotator Cuff Tendonitis
CONDITION - Rotator Cuff Tendonitis
What is rotator cuff tendonitis?
Rotator cuff tendonitis, also knows as "bursitis" or "impingement syndrome" occurs when the rotator cuff gets irritated on the undersurface of the acromion. The reason this begins in the first place is a source of some debate. Some people are born with a "hooked" acromion that will predispose them to this problem. Others have rotator cuff weakness that causes the humerus to ride up and pinch the cuff. This means that the bursa — a water-balloon type structure that acts as a cushion between the rotator cuff and acromion/humerus — gets inflamed.
What are the symptoms of impingement syndrome?
Common symptoms of rotator cuff tendonitis include:
- Pain —Pain located primarily on top and in the front of your shoulder. Sometimes you can have pain at the side of your shoulder. Usually is worse with any overhead activity (reaching up above the level of your shoulder).
- Weakness —Mild to moderate weakness, especially worse with overhead activity.
- Popping —Sometimes bursitis that occurs with rotator cuff tendonitis can cause a mild popping or crackling sensation in the shoulder.
- Unable to Sleep on Shoulder —Most patients complain of difficulty sleeping on the shoulder at night.
How is impingement syndrome diagnosed?
Often, the diagnosis is suggested by your symptoms. Your orthopaedic surgeon or primary care physician can have you perform various maneuvers to detect this problem. This physical examination is designed to test your motion, strength, and certain positions of pain. In addition, plain x-rays can show a spur on the undersurface of the acromion. An MRI is occasionally ordered if a rotator cuff tear is suspected.
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