Rotator cuff impingement remains one of the most common causes for shoulder pain and is a significant cause for functional loss and disability. The rotator cuff consists of 4 muscles and tendons which blend to stabilize the shoulder (supraspinatous, infraspinatous, teres minor and subscapularis.) The most common muscle and tendon unit affected is the supraspinatous.
Rotator cuff tears are usually a clinical diagnosis based on the history and signs at physical exam. Patients usually notice pain and loss of the ability to use their shoulder for their usual activity. They can also have difficulty sleeping on the affected shoulder.
We use MRI imaging to determine the extent of the tear, the anatomy including the type of acromion process for which certain types can increase the chance for developing impingement (type 1, 2, or 3), atrophy of the rotator cuff, subacromial/subdeltoid bursitis and labral injuries.
Steroids can be used to reduce inflammation and help treat the pain involved with rotator cuff impingement. Although they can help with the pain, overtime they can also weaken the tendon multiple injections are discouraged for this reason. Recent research has shown PRP has now been used in treatment of rotator partial thickness rotator cuff tears. The safety profile of PRP and its healing benefits has become a very good alternative to steroids and possibly delaying progression of the disease and future surgery.
Article below is a nice study on PRP and Rotator cuff injuries
Posted on behalf of Advanced Healing Institute
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