What are the main symptoms of a rotator cuff injury?

Written in association with: Mr Shyam Kumar
Published:
Edited by: Conor Lynch

The rotator cuff is the latest topic of discussion today in one of our latest medical articles here. In this article below, highly regarded consultant trauma and orthopaedic surgeon, Mr Shyam Kumar, outlines some of the main symptoms typically associated with rotator cuff injuries.

What is the rotator cuff?

The rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder. It consists of four muscles: the supraspinatus, infraspinatus, teres minor, and subscapularis. These muscles work together to provide shoulder stability and allow a wide range of motion in the shoulder joint.

 

What are the main symptoms of a rotator cuff injury?

The rotator cuff can be prone to injury, especially in athletes who engage in repetitive overhead motions, such as throwing a baseball or swimming. Common injuries include rotator cuff tears, tendonitis, and impingement syndrome.

 

In adults, there is a high chance of having a rotator cuff injury following a shoulder dislocation. Symptoms of a rotator cuff injury may include pain, weakness, limited range of motion, and difficulty sleeping on the affected side.

 

How are rotator cuff injuries treated?

Treatment for rotator cuff injuries can vary depending on the severity of the injury. Following an acute injury, rest, ice, and physical therapy exercises may be sufficient to relieve pain and restore function. More severe cases may require surgical intervention, such as arthroscopic repair or open surgery.

 

Can rotator cuff injuries be prevented? If so, how?

Prevention is key when it comes to rotator cuff injuries. It's important to warm up properly before engaging in any physical activity, maintain good posture, and avoid repetitive overhead motions without proper conditioning. Strengthening the muscles of the rotator cuff through targeted exercises can also help.

 

It is also to be noted that a significant proportion of the general population above the age of 60 will suffer from age-related degenerative tears in their rotator cuff tendons. Most are asymptomatic, but some may become symptomatic, requiring a clinical evaluation. Treatment varies with the shoulder function and the impact on the function of each individual.

 

In conclusion, the rotator cuff is a crucial group of muscles and tendons that provide stability and allow for a wide range of motion in the shoulder joint. Injury to the rotator cuff can be painful and limit function, but with proper treatment and prevention strategies, individuals can recover and reduce the symptoms.

 

To schedule in an appointment with Mr Shyam Kumar, head on over to his Top Doctors profile today. 

By Mr Shyam Kumar
Orthopaedic surgery

Mr Shyam Kumar is presently serving as a consultant orthopaedic surgeon specialising in upper limb surgery at the University Hospitals of Morecambe Bay NHS Foundation Trust, based at the Royal Lancaster Infirmary since 2011. His private practice clinics are at The Lancaster Hospital (Circle Health Group).

After completing his training at the Mersey Deanery and the Welsh Orthopaedic training scheme, Mr Kumar attained fellowship status in Trauma & Orthopaedic surgery from the Royal College of Surgeons. He further honed his skills with a post-CCT fellowship in shoulder and elbow surgery at the renowned Shoulder and Elbow Unit at Northern General Hospital in Sheffield. This experience provided him with extensive exposure to various shoulder and elbow conditions.

During the final year of his training, he also worked at the upper limb unit at Wrightington Hospital. His tenure as a research fellow in hip fractures at the University of Leicester equipped him with the ability to analyse research summaries and draw meaningful conclusions. His primary areas of specialisation encompass disorders and injuries of the shoulder, elbow, hand, and wrist.

Over the years, Mr Kumar has contributed to numerous peer-reviewed journals, focusing on topics within the field of trauma and orthopaedics. He is recognised as a trainer for junior doctors and serves as an honorary lecturer at Lancaster University, where he plays a pivotal role in medical student education. Additionally, he fulfills the role of an examiner for the Royal College of Surgeons, Edinburgh.

Mr Kumar is an integral member of the AAC (Appointments Advisory Committee) of the Royal College of Surgeons of England, which is involved in maintaining quality standards for the appointment of Orthopaedic consultants across various NHS Trusts in England and Wales. Notably, Mr Kumar has been appointed as a regional professional advisor for the Northwest region by the Royal College of Surgeons of England and serves as a member of the Specialty Board in Trauma & Orthopaedics at the Royal College of Surgeons of Edinburgh.

His expertise extends to clinical assessment as he has experience as a clinical assessor for the Practitioner Performance Advice and has undergone training in assessing doctors' performance on behalf of the General Medical Council. Since 2020, Mr Kumar has been a valued member of the Medicolegal committee of the British Orthopaedic Association. With an LLM in Medical Law and Ethics, he undertakes instructions from both defendant and claimant solicitors for clinical negligence and personal injury cases. For more information about Mr Kumar's clinical work, please visit www.upperlimbsurgery.net, and for details about his medicolegal services, you can explore www.medicolegalorthopaedics.com.

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