Rotator Cuff Tendinitis Treatment in Visalia

If you are looking for rotator cuff tendinitis treatment in Visalia, you’re not alone. Many shoulder issues are caused by rotator cuff tendinitis that require physical therapy

The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, and it is essential for allowing the shoulder to move and keeping it stable during movements. But due to its vital role and frequent use, the rotator cuff is also a very common site of injury. In particular, rotator cuff tendinitis is a frequent source of shoulder pain that can impair a patient’s ability to perform overhead movements. But for most of these patients, physical therapy can address the underlying problem.

Rotator cuff tendinitis is often an overuse injury that occurs gradually over time. It can result from something as simple as moving the shoulder into the same position repeatedly, or from sports and activities that consist of over-the-head motions like baseball, tennis, swimming or even painting. As time passes, these repetitive shoulder motions lead to inflammation and irritation of the tendons, which will eventually cause pain when performing these motions.

Common Symptoms of Rotator Cuff Tendinitis

The main symptoms of rotator cuff tendinitis are pain and swelling in the front of the shoulder and side of the arm, usually while raising or lowering the arm. Loss of mobility and strength, stiffness, and at times a “clicking” sensation may also occur. If you happen to notice any of these symptoms and are concerned, the only way to determine if rotator cuff tendinitis is present is with a physical therapist evaluation.

Fortunately, most cases of rotator cuff tendinitis are reversible and can be managed very successfully with a course of physical therapy. All physical therapy programs are different depending on the patient’s abilities and goals, but most will include the following components:

  • Pain-relieving modalities like laser therapy, heat, and/or ice
  • Recommendations to avoid activities that can further aggravate the shoulder
  • Posture education and training
  • Strengthening exercises to recover the strength of the rotator cuff and the shoulder girdle complex
  • Stretching exercises to increase flexibility of muscles surrounding the shoulder

A recent study highlights just how effective physical therapy can be for patients with rotator cuff tendinitis. In the study, three different types of exercises that are commonly used by physical therapists were compared, and the conclusion reached stated:

Open chain, closed chain and range of movement exercises all seem to be effective in bringing about short-term changes in pain and disability in patients with rotator cuff tendinitis

Rotator cuff tendinitis can be a major hindrance on your everyday activities, especially if you’re an active athlete. So if shoulder pain is holding you back from living your life normally, physical therapy is likely your fastest ticket to relief.  Click here for contact information for both of our locations.

NEW: If you are looking for shoulder treatment in Hanford or Visalia, ask about our New class 4 laser and how it might help your shoulder problem.

Shoulder Impingement Treatment in Visalia – Surgery Is Not Your Only Option

If you have pain in your shoulder, there’s a strong chance shoulder impingement syndrome is responsible

If you look at an x-ray or an MRI of your shoulder, and the doctor tells you that your rotator cuff and bursa are being pinched, you may think that the only shoulder impingement treatment in Visalia is a knife.  Let me share another natural option.

The shoulder is a complex joint consisting of numerous tendons, ligaments and muscles that allow the arm to move in several different directions. These structures help keep the shoulder stable and are crucial for its flexibility, but they also make it vulnerable to a number of injuries. This is one of the main reasons shoulder pain is so common, especially in individuals who perform lots of overhead movements. In most cases, this pain is due to a condition called shoulder impingement syndrome, but the good news is that physical therapy can help, regardless of its cause.

The shoulder is made up of three bones: the upper arm bone (humerus), the shoulder blade (scapula) and the collarbone (clavicle). The humerus and scapula are surrounded and connected by the rotator cuff, which is a group of muscles and tendons that keeps the shoulder stable and allows for the ball-and-socket movements of the joint. There is also a fluid-filled sac called the bursa between the rotator cuff and a bony prominence on the top of the scapula (acromion), and its function is to provide a cushion during movement.

In shoulder impingement syndrome (SIS), the tendons of the rotator cuff become compressed—or “impinged”—as they pass through the narrow space beneath the acromion. Over time, this causes the tendons to become irritated and inflamed, and will lead to bothersome symptoms like swelling and tenderness, loss of strength, restricted shoulder movement and shoulder pain at rest, when moving the shoulder overhead and/or when sleeping.

SIS is most common in individuals that regularly perform lots of overhead activities like golfers, swimmers, and baseball and tennis players, as well as painters and construction workers. If the condition develops, it’s strongly advised to receive physical therapy as soon as possible in order to prevent it from progressing further. Physical therapy for SIS typically consists of the following components:

  • Activity modification/functional training
  • Stretching exercises
  • Strengthening exercises
  • Hands-on (manual) therapy
  • Posture education

A recently published study investigated the effectiveness of eccentric strengthening exercises—a treatment commonly used in physical therapy programs—for patients with SIS, and the results were very encouraging. The conclusion states:

An eccentric program targeting the external rotators was superior to a general exercise program for strength, pain, and function after six months. The findings suggest eccentric training may be efficacious to improve self-report function and strength for those with subacromial pain syndrome (another term for SIS).

Shoulder symptoms from SIS can severely impair your abilities to perform your job or just get through the day without pain, but it doesn’t have to be this way. If your shoulder is bothering you, contact your local physical therapist first and fast, and begin on your path to a pain-free future.

Shoulder Specialist Visalia – About Frozen Shoulder Treatment

Looking for a shoulder specialist in Visalia? We can guide you through every stage of treatment if you adhesive capsulitis

The shoulder is a ball-and-socket joint, with the upper arm bone (humerus) serving as the “ball” and fitting into the “socket” of the shoulder blade (scapula). The bones and other structures of the shoulder are surrounded by a structure called the shoulder capsule, which is made up of strong connective tissue that helps hold the humerus to the scapula. Adhesive capsulitis, or frozen shoulder, occurs when scar tissue forms within the shoulder capsule. Inflammation of the capsule causes severe pain, inflammation, scarring and a tightening of the shoulder joint, which means there is less room to move the shoulder normally.

Although frozen shoulder affects up to 5% of the population, it’s not entirely clear why it develops. In general, it’s believed that not moving the shoulder joint normally for a long period of time is one of the leading factors, as most people who get frozen shoulder have kept their shoulder immobilized due to a recent injury, surgery, pain or some other condition. People between ages 40-60, women and those with arthritis, diabetes, cardiovascular disease and other health conditions are also more likely to develop it.

The Stages of Adhesive Capsulitis Development and Resolution

Frozen shoulder usually develops slowly and gets progressively worse with more pain and loss of motion over time. This is typically broken down into four stages:

  • stage 1 consisting of the onset of symptoms, which gradually get worse over 1-3 months.
  • Stage 2 is the “freezing” stage, which generally occurs 3-9 months after symptoms start and is very painful.
  • Stage 3 is the “frozen” stage in which the shoulder becomes even more stiff and difficult to move.
  • Finally, the “thawing” of stage 4 occurs within 12-15 months, in which pain decreases significantly and range of motion begins to improve.

Conservative Care is the Best First Choice

There are a number of treatment options available for frozen shoulder, but physical therapy is one of the best options because it’s effective for addressing symptoms at every stage. The goal of physical therapy is to control pain and improve strength and flexibility to help patients move their shoulder more easily, and treatment will consist of:

  • Heat and/or ice
  • Stretching exercises
  • Manual therapy
  • Strengthening exercises
  • Specific activity training

The benefits of physical therapy for frozen shoulder can be seen in the findings of a recent study, which evaluated if several commonly used physical therapy interventions were effective for patients with this condition. Here are the results:

Adding a structured rotator cuff strengthening program to TENS and joint mobilization in the treatment of frozen shoulder resulted in improvements in pain, range of motion and function. Reference: https://www.ncbi.nlm.nih.gov/pubmed/27884497

If You Need a Shoulder Expert Here in Visalia, We Provide All Natural Care – No Drugs, Injections, or Surgery

Frozen shoulder is clearly a serious condition that requires a great deal of time to fully recover from, but physical therapy can significantly speed up this process. If you have symptoms of frozen shoulder, contact us for a consultation right away and we can get you started on a treatment program that will safely help you regain your shoulder function.

Shoulder Specialist in Visalia – What Rotator Cuff Patients Need to Know

If you are looking for a shoulder specialist in Visalia, because of a rotator cuff injury (a common cause of shoulder pain), seeing a physical therapist first can help you avoid unnecessary treatments like surgery.  This article provides common sense reasoning as to why we can help.

What’s the Rotator Cuff ?

You’ve probably at least heard of the rotator cuff—especially if you play or watch sports—but what you may not know is just how important of a structure it is. The rotator cuff is a group of muscles and tendons in the shoulder joint that allows the arm to lift and rotate.  In addition to permitting movement, it also stabilizes the shoulder and helps the joint maintain good alignment and posture during many daily activities.  So any time you experience one of the countless displays of flexibility in your shoulder, you have your rotator cuff to thank.

Because the rotator cuff serves such an important role and is used so frequently, it’s also a common site of injury.  Injuries to the rotator cuff most often occur in people who repeatedly perform overhead motions in their profession or recreational activities. Some examples of those affected by rotator cuff injuries include painters, carpenters and athletes involved in tennis, baseball—especially pitchers—and swimming.

Repeated Overhead Activity Leads to Injury Which Might Mean You Need to See a Rotator Cuff Rehab Specialist

When these activities are performed regularly for a long period of time—or through the aging process—the rotator cuff tendons eventually become inflamed from over-stretching or repetitive stress, which can lead to pain or injury.  The most common injuries seen are rotator cuff tendinitis (or shoulder impingement), shoulder bursitis and rotator cuff tears.  The primary symptoms of a rotator cuff injury is a dull ache deep in the shoulder that makes it difficult to reach behind the back or lift the arm.

To investigate just how many people in the general population have rotator cuff injuries, one study (click for the reference) examined the shoulders of 683 individuals, some of which had shoulder pain and others who did not. This is what they found:

  • Overall, 20.7% of participants had a rotator cuff tear
  • 36% of participants with shoulder symptoms had a rotator cuff tear
  • 16.9% of participants without shoulder symptoms had a rotator cuff tear
  • The risk factors for a rotator cuff tear were trauma to the arm and older age

This study shows that rotator cuff tears are very common, and in many cases, a tear may exist even if the individual does not have should pain or other symptoms. Unfortunately, if you have a rotator cuff injury and go to a doctor first for an evaluation, there’s a chance that you may be instructed to have unnecessary treatments like an injection or surgery if they find a tear. But as you can see, tears are present in many people who aren’t even in pain, and surgery is rarely needed to treat it. Surgery is also very risky and expensive.

Why Seeing a Physical Therapist First Makes Perfect Sense…

On the other hand, if you see a physical therapist for your rotator cuff injury first, in most cases they will treat you right away regardless of whether or not you have a tear. As a result, you can begin your path to recovery through various exercises, manual treatments and other interventions during your first session, while avoiding expensive and potentially dangerous treatments in the process.

So if your shoulder is bothering you and preventing you from functioning normally, make the smart choice of seeing a physical therapist first for the best possible outcome.

Click here to visit our Contact Page, then give us a call to learn more about how we can help.

Hands-on for Shoulder Pain Treatment in Hanford

A 2016 clinical trial confirms what we here at Bacci & Glinn Physical Therapy have been doing for years. If you are in need of shoulder pain treatment in Hanford, then this research may be pertinent to you.  In a study of office workers that suffered with shoulder pain, physical rehabilitation involving hands-on treatment was found to be an important part of a conservative treatment program.

Long-term computer use can lead to muscle dysfunction and disorder

Approximately 90% of white-collar workers use computers for more than four hours per day.  Over time, sitting and working at a computer can lead to a dysfunction of muscle stability and other disorders of the region, which may result in shoulder and neck pain, as well as a decreased threshold for pain.  One of the main reasons for shoulder pain is hyperactivity of an upper back muscle called the upper trapezius, which results in decreased control of two other muscles and instability.  To treat this muscle instability, several physical therapy interventions may be used, including manual therapy.  In manual therapy, the physical therapist performs various manipulations and mobilizations on the painful area in order to bring about tissue changes that will lead to less pain.  Manual therapy may therefore be helpful for office workers with shoulder pain, and to evaluate this possibility, a study was conducted.

Middle-aged office workers with pain serve as the study group

Individuals between the ages of 30-40 who had shoulder pain and worked on a computer for more than eight hours a day were invited to participate in the study and screened to determine if they were eligible.  This process led to 38 individuals who were accepted, and then randomly assigned to either the manual therapy group or the shoulder stabilization exercise group.  Both groups underwent treatment during two 40-minute sessions per week for six weeks.  In the manual therapy group, the therapist applied manipulations and mobilizations to various muscles in the back, chest and neck for three minutes each.  In the shoulder stabilization group, patients were instructed to perform a series of stretching and strengthening exercises for muscles in the same area.  All patients were assessed before and after undergoing treatment for pressure pain threshold (PPT) of certain muscles, which measures the minimum force applied that causes pain.

Manual therapy leads to greater improvements

After completing treatment, participants in both groups experienced significant improvements with an increased PPT of several muscles of the upper back; however, the manual therapy group showed greater PPT improvements in these muscles than the shoulder stabilization group.  This is likely due to the pain-relieving properties of manual therapy, as it increases blood flow and decreases the activity of muscles in such a way that it changes the length of tissues and results in less pain.

Here’s an excerpt from the abstract published on Pubmed.org:

The manual therapy group showed greater improvements than did the shoulder stabilization exercise group in the splenius capitis on both sides, left upper trapezius, middle trapezius on both sides, and right lower trapezius. [Conclusion] The results of this study suggest that manual therapy for shoulder pain is feasible and suitable for office workers and may be useful in clinical rehabilitation.
Reference: https://www.ncbi.nlm.nih.gov/pubmed/27799661

These results show that while both shoulder strengthening exercises and manual therapy appear to be effective for office workers with shoulder pain, manual therapy is even more beneficial for improving their threshold for pain.  Individuals currently dealing with this type of pain should therefore seek out the services of a physical therapist for appropriate treatment.

Diagnoses we’ve successfully treated – Check our medical library

There are a number of shoulder conditions that we regularly treat.  Here’s a link to our medical library where you can learn more about physical therapy for shoulder pain that we provide here in Hanford (and Visalia as well).

If you have questions about your shoulder pain, just give us a call.  Chances are we can help.   Click here to visit our contact page for more information.

-As reported in the September ’16 issue of  The Journal of Physical Therapy Science

 

Frozen Shoulder Treatment in Visalia

Recovering from frozen shoulder often takes a while, but if you are looking for frozen shoulder treatment in Visalia, our physical therapy treatment can help every step of the way.

The shoulder is a ball-and-socket joint, with the upper arm bone (humerus) serving as the “ball” and fitting into the “socket” of the shoulder blade (scapula).  The bones and other structures of the shoulder are surrounded by a structure called the shoulder capsule, which is made up of strong connective tissue that keeps the shoulder stable.  Adhesive capsulitis, or frozen shoulder, occurs when scar tissue forms within the shoulder.  This causes the shoulder capsule to thicken and tighten around the shoulder joint, which means there is less room to move the shoulder normally.

Frozen shoulder affects up to 5% of the population, but it’s not clear why it develops.  In general, it’s believed that one of the leading factors is not moving the shoulder normally for a long period of time.  People between the ages of 40-60, women and those with arthritis, diabetes, cardiovascular disease and other health conditions are also more likely to develop it.

Frozen shoulder usually develops slowly and gets progressively worse with more pain and loss of motion over time.  This is typically broken down into the following stages:

  • Stage 1 (pre-freezing): symptoms start and gradually get worse over 1-3 months
  • Stage 2 (freezing): generally occurs 3-9 months after the start of symptoms; any movement of the shoulder causes pain, which is even worse at night
  • Stage 3 (frozen): occurs within 9-14 months; the shoulder becomes more stiff, making it more difficult to move and rotate it
  • Stage 4 (thawing): occurs within 12-15 months; pain decreases significantly, especially at night, range of motion begins to improve, making it easier to move

This shows that frozen shoulder follows a long course of development and eventual recovery, but following a physical therapy treatment program can expedite this process.

The goal of physical therapy is to control pain and increase strength and flexibility, and physical therapists have specific treatments that are designed to help patients improve at each stage of frozen shoulder.  In general, treatment consists of stretching exercises, manual (hands-on therapy), strengthening exercises and returning to daily activities.

The following findings from a 2007 study clearly identify the value of physical therapy for treating patients with frozen shoulder:

With supervised treatment, most patients with adhesive capsulitis will experience resolution with nonoperative measures in a relatively short period. Only a small percentage of patients eventually require operative treatment.

Dealing with frozen shoulder can be a long, drawn-out and frustrating process, but in seeing a physical therapist, you will be certain to increase your chances of easing the burden of your condition and having a successful, faster recovery.
For more information about our practice locations, click here for details about our Visalia & Hanford offices.

Looking for Shoulder Pain Treatment in Visalia?

When you are looking for shoulder pain treatment in Visalia, physical therapy is your best bet to help you bounce back!

The shoulder is the most flexible joint in the body, and it allows the arm to move in wide range of directions so that we can perform many of the dexterous tasks needed in daily life.  Unfortunately, this extreme flexibility comes at a price, as certain movements, postures and habits can cause damage to the shoulder and result in pain.

The shoulder is not actually a single joint, but a ball-and-socket made up of two joints, which combine with other structures in the region to allow the arm to move as it does.  Just about every movement that requires the use of our arms also involves the shoulder in some way, and it’s particularly important for reaching tasks and overhead activities.

Shoulder pain includes any pain that arises in or around the shoulder.  It may originate in the joints themselves or from any of the surrounding muscles, ligaments or tendons that make up the shoulder.  Most shoulder problems that result in pain are due to a tear or inflammation of a tendon, instability, arthritis or a fracture.  One of the most common causes of shoulder pain is when the tendons of the rotator cuff—an important structure that keeps the shoulder in place—become trapped under a bony area of the shoulder, which is called rotator cuff tendinitis.  Other conditions that can cause shoulder pain include shoulder impingement syndrome, frozen shoulder, tendinitis and bursitis.

NOTE: Quick Reference Guide to Shoulder Conditions We Treat

People who perform lots of overhead activities on a regular basis like painters, carpenters swimmers and baseball players are all at an increased risk for developing shoulder pain, and bad posture can lead to its development as well.  Most shoulder pain will dissipate within a few weeks with some rest and avoidance of activities that may aggravate it, but for pain that’s more severe or lingers for awhile, physical therapy may be necessary.  Physical therapy is one of the most proven effective methods to treat all types of shoulder pain, and treatment typically consists of the following:

  • Heat, ice, massage and other pain-relieving remedies
  • Stretching exercises to improve flexibility
  • Strengthening exercises to build back strength
  • Posture training for sitting and standing
  • Activity modification to help you avoid movements that make the pain worse

The use of physical therapy to treat shoulder pain is also supported in the medical literature as an effective way to foster improvements.  In one recent study on subacromial pain syndrome, another term for shoulder impingement syndrome, the conclusion states:

Exercise therapy should be the first-line treatment to improve pain, function and range of motion. The addition of mobilizations to exercises may accelerate reduction of pain in the short term.
Reference: https://www.ncbi.nlm.nih.gov/pubmed/27288517

Shoulder pain can be a real inconvenience, especially if it prevents you from participating in sports, but we are here to help.  Contact us to find out how we can address your shoulder pain and get you back to full strength as quickly and safely as possible.