How to Realize When it's Time to Treat Your Cuff Tendonitis

By Tom Nicholson

Inflammation of the shoulder joint tendons is called cuff tendonitis. Excessive use of these tendons can cause irritation, pain and swelling. Injuries that cause tiny tears or even ruptured tendons can cause tendonitis.

Ibuprofen and other such pain relievers may be useful for the treatment of minor cases of tendonitis in order to reduce pain and swelling. Sudden injury that causes cuff tendonitis may be treatable with the occasional application of ice packs. Ice has the ability too reduce the discomforts of pain, swelling and bruising.

Occasionally, you may use ice or cold packs within the first seventy-two hours after incurring an injury. If activity causes a reoccurrence of symptoms, you may wish to apply cold applications for fifteen minutes every so often. However, you should only use heat applications when there is no swelling, since heat tends to irritate the problem. After the swelling has disappeared, you may wish to undergo physical therapy exercises as well.

If cuff tendonitis is caused by repetitive movement, the activity must be stopped long enough for the tendons to heal. During this time, physical therapy exercises should be undertaken. The goal of physical therapy is to stretch and strengthen the rotator cuff muscles.

Cortisone shots may be given directly into the shoulder joint in order to reduce pain and inflammation when you suffer from severe cuff tendonitis.

Surgeries to remove bone spurs, or repair the tendon or to repair the rotator cuff are necessary, when cuff tendonitis interferes with daily activities if the condition is not healed by other means of treatments.

Impingement surgery may be necessary when there is not enough room to rotate the rotator cuff freely. The removal of bone spurs, and swollen bursa or even the shaving of a portion of the bones may be necessary with this type of procedure. The torn tendons may be sewn to the bone in the upper arm to help repair a rotator cuff.

Since tendons in the shoulder area have a normally poor blood supply, recovery from cuff tendonitis surgery can be a very slow process. Physical therapy is essential to prevent muscle wasting, while the arm rests in a sling.

Small tendon tears may require arthroscopic surgery. The recovery time is faster and there is less risk of complications, since this procedure requires only a very small incision. A surgeon can repair the tendon while using a minute camera attached to a surgical instrument that is then inserted into the shoulder. He or she will work by watching the feedback from the camera on a video screen.

Generally, rotator cuff surgery is uncomplicated and done while under general anesthesia. However, it may also be done while using sedatives and local anesthetics. Although, complications are not common, they can occur with any type of surgery. These complications may include infection, bleeding and a negative reaction to the anesthesia.

You may be able to successfully treat cuff tendonitis at home with the help of a physical therapist. Before resorting to surgery, many individuals take this option, since surgery is generally reserved for cases that do not respond will to any other types of non-invasive treatments as well as cases that may result from sudden traumatic injuries. - 30453

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