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Sports image Rotator Cuff




What is a rotator cuff injury?
How do rotator cuff injuries develop?
How do I prevent a rotator cuff injury?
Improving sports performance
Rotator cuff injury rehabilitation for athletes


How do rotator cuff injuries develop?
Rotator cuff injuries can be caused by a direct blow to the shoulder or by excessive rubbing of the rotator cuff and the top part of your shoulder blade (called the acromion).

These types of injuries can cause the rotator cuff to tear or develop impingement syndrome. Participating in sports that require excessive overhead motion can cause impingement problems. If you do not seek medical care for the inflammation in your shoulder, it could eventually lead to a more serious injury.

Shoulder impingement involves one or a combination of problems, including inflammation of the lubricating sac (bursa) located just over the rotator cuff, a condition called bursitis; inflammation of the rotator cuff tendons, called tendinitis; and calcium deposits in tendons caused by wear and tear or injury. A torn rotator cuff is also a potential outcome of shoulder impingement.

Types of impingement include:

  • Bursitis
    Frequent extension of the arm at high speed under high load, such as pitching a baseball or playing racquet sports, can cause bursitis. Medical research shows that the older you get, the more likely you are to develop bursitis.

  • Tendinitis
    Tendinitis develops over time and is likely to occur when a person whose muscles are not in good condition starts an overly aggressive training program. In younger athletes, the causes of tendinitis are similar to those of bursitis.

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How can I prevent a rotator cuff injury?
While some rotator cuff problems are associated with direct blows or falls, most are caused by overuse. One of the best ways to prevent these overuse injuries from recurring is to listen to your body and take rest when you need it, or seek medical care for your shoulder inflammation instead of trying to "work through the pain."

Furthermore, the rehabilitation exercises should be continued to ensure protective strength, range of motion, and stability of the injured area.

Other preventive techniques include:

  • Don't play tennis or golf in an attempt to "loosen up" tightness. When a shoulder injury is ignored, it can become the source of chronic problems.

  • If your shoulder is sore after you use it actively, especially at the limits of your reach, give it some rest. If pain persists or worsens, consult your doctor.

  • Do exercises to strengthen arm, back, and chest muscles.

  • Learn the proper technique for exercise and sporting activities. This will decrease stress on all your muscles, ligaments and tendons, including those around your shoulder.

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Improving sports performance
The key to improving sports performance after recovering from a rotator cuff injury is a proper rehabilitation program, and adhering to some of those same principles after the injury is gone. Refer to the rehabilitation exercises regularly.

Also, the single most important aspect of improving performance is stretching before and after you step onto the field, court, ice, or golf course.

Benefits derived from stretching include:

  • increased physical efficiency and performance
  • decreased risk of injury
  • increased blood supply and nutrients to joint structures
  • increased coordination
  • improved muscular balance and postural awareness
  • reduced stress
  • enhanced enjoyment

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