Rotator Cuff Tendinitis – Causes, Symptoms & Physiotherapy
What is Rotator Cuff Tendinitis?
Rotator cuff tendinitis is the inflammation or irritation of the tendons in the rotator cuff — a group of muscles and tendons that stabilize the shoulder joint. It is a common cause of shoulder pain, especially in people involved in repetitive overhead activities such as painting, swimming, or weightlifting.
Causes
- Repetitive overhead motions
- Shoulder impingement syndrome
- Poor posture
- Degeneration with age
- Direct trauma to the shoulder
Symptoms
- Dull ache or pain in the shoulder
- Difficulty reaching behind the back
- Shoulder stiffness or weakness
- Pain that worsens at night
- Limited range of motion
Diagnosis
Diagnosis is made based on physical examination, medical history, and imaging tests like X-rays, MRI, or ultrasound to assess inflammation or tendon damage.
Physiotherapy Treatment
- Therapeutic ultrasound
- Electrical stimulation (TENS)
- Range-of-motion and strengthening exercises
- Postural correction
- Manual therapy techniques
- Cold or heat application
Importance of Physiotherapy
Physiotherapy is essential in relieving pain, restoring mobility, strengthening the rotator cuff, and preventing recurrence. Early intervention can often avoid surgery.
Precautions
- Avoid repetitive overhead activities
- Use proper posture during daily activities
- Do not lift heavy weights suddenly
- Warm up properly before exercising
- Follow physiotherapist’s advice consistently
FAQs about Rotator Cuff Tendinitis
It is mainly caused by repetitive overhead activities or wear and tear with aging.
Recovery may take a few weeks to months depending on severity and compliance with treatment.
Mild cases may improve with rest and conservative care, but physiotherapy is recommended for faster recovery.
Yes, physiotherapy helps reduce pain, improve mobility, and prevent recurrence.
Gentle range-of-motion exercises, pendulum swings, and resistance band exercises are commonly used.
If untreated, it can lead to chronic pain or rotator cuff tears.
Yes, initial rest is crucial to reduce inflammation and avoid aggravating the condition.
Massage therapy may help improve circulation and reduce muscle tension when used appropriately.
Ice is useful in acute stages, while heat is better in chronic stages to reduce stiffness.
Yes, poor posture can cause muscle imbalances that contribute to tendon irritation.
Surgery is rarely needed and only recommended in severe or unresponsive cases.
Avoid overhead and strenuous shoulder activities until recovery. Follow a therapist-approved plan.
Warm up, use proper lifting techniques, avoid overuse, and maintain good posture.
Reduced pain, increased range of motion, and improved strength indicate healing.
It is best to avoid sleeping on the painful side as it may worsen symptoms.