Preventing shoulder rotator cuff injuries

Rotator cuff tears are very common and more than 10 to 15% of population above 50 and more than 25% active population or athlete’s  will suffer one of the rotator cuff tears or damages.

It affects all as shoulder is a highly mobile structure so from sedentary adults to weekend warriors and prime elite athletes everyone gets affected due to rotator cuff injury.

But here are steps that can be taken to reduce the injuries, specific exercises, ergonomic correction, stretches, conditioning and isometric strengthening helps you prevent your shoulder girdle from getting injured.

MOST COMMON REASON FOR SHOULDER INJURY IS OVERHEAD ACTIVITY.

For sports men, cricket player’s tennis players, trying to lift weights overhead without shoulder muscle activations, are the commonest causes of rotator cuff and AC joint injuries and pain.

Teachers writing on black boards, house wife who repeatedly keep reaching out to overhead cabinets while working in kitchen all injure their shoulders one way or other leading to nagging pain in the shoulder which is on the side and makes It difficult for you to sleep on one side and perform basic routine activates like combing hair, to unhooking the clips of the clothing.

EXERCISES HELPS IN PREVENTION OF SHOULDER INJURIES.

A good  shoulder exercise program which does not focus on just weight training or aerobics but should include, isometrics holds, chest and pectoral muscle stretch, with mobility exercises and strength training will help in both preventing and also healing the shoulder injuries.

 

TREATMENT OPITONS FOR ROTATOR CUFF TEARS.

CAN IT HEAL WITHOUT SURGERY?

Yes in a lot many cases non-surgical options are the way to go for mild to moderate tears or even complete tear without retraction of muscle fibres.

Opting out for AXIS ORTHOBIOLOGIC procedure where we use your own blood and cells and implant them on same day under usg and x ray guidance has shown to have a faster recovery from pain and less down time for athletes to get back to active games following our state of art orthobiologic treatment. Rotator cuff tendinitis treatment, rotator cuff bursitis all can be easily be cured with orthobiologic interventions and physical therapy after that, there is not much evidence for surgical decompression or artho scopy repair unless the tear is massive with tendon fibres damaged to an extremely severe level.

 

 

 

                                        AXIS SD OB*PROCEDURES                                                  SURGERY

Return to daily                 a week                                                                         4 to 6 weeks

Routine

 

Return to Sports           2 to 3 months                                                                   6 months plus

 

During recovery                  physiotherapy 6 weeks &                                  PT for months, less

Time post procedure  over counter pain med and brace                             driving and limited rom

 

Done same day                        Yes                                                                          needs IPD admission

 

Rotator cuff intact                  Yes                                                                                   NO

 

SD OB= Same day ortho biologic procedures.

 

We at AXIS always thrive for the best treatment solutions for our general public and elite athletes and DR Madhur Chadha our main lead in regenerative and sports science leads it from the fore front to develop tailored made programs for you to get back to active routine as soon as possible after a shoulder injury.

AC JOINT SEPERATION

BASIC OF AC JOINT: IT is a prominent joint which is visibly seen  and made up of urn collar bone (clavicle) and acromion a part of the scapula the shoulder blade bone, it’s a prominence in front of the shoulder when you trace urn collar bone.

What is AC joint separation or shoulder separation.

It is a very frequent injury among athletes , physically active individuals , in this the collar bone (clavicle) separates form the scapula (shoulder blade), cause is due to a fall, a direct impact injury mainly seen in cyclist, runners, football players or contact sports.

There are different types of AC joint separations:

Grade 1 AC joint Separation:  Grade 1 is a mild form of displacement, this is where AC ligament may become partially torn or merely stretched, usually the symptoms are mild pain, tenderness on touch and some difficulty and pain when moving the shoulder, Grade 1 AC joint separation treatment is usually conservative , includes physical therapy along with use guided injections of super concentrated prep into the ligaments, it maintains the integrity of the ligament.

Grade 2 AC joint separation: In this there is partial joint dislocation with the acromioclavicular ligament being torn completely, though the coracoclavicular ligament is still intact, in this the patient may experience moderate to severe pains around the shoulder, some visible swelling  and also the movement of clavicle is more pronounced as the ligament which supports the clavicle acromial joint is torn, Grade 2 AC joint separation treatment is again focused on minimally invasive interventions including using your own concentrated cell therapy with high concentrated PRP, these regenerative medicine protocols and orthobiologics help in preventing further damage, maintains the integrity and with a good physical therapy protocol over time  most of the function is restored and pain is completely under control.

Grade 3 AC joint separation: in this there is complete tear of both the ligaments supporting the AC joint, the acromioclavicular and coracoclavicular are both torn, there is instability and also a visible bump on the shoulder, patients present with severe pain, popping sound, a visible deformity is appreciated in the shoulder region, the person needs support his arm by the elbow and will need a sling to avoid more movement.

The treatment of grade 3 AC joint separation is usually surgery, but with growing evidence pouring in a meta-analysis, researchers found out that a fusion surgery for high grade separation does not make any major significant difference in comparison to the group of other patients which same issues who were not offered any surgery, the group who dihttps://journals.lww.com/jorthotrauma/Abstract/2018/01000/Operative_Versus_Nonoperative_Management_of_Acute.2.aspxd not undergo surgery returned to work faster and had fewer complications too in the long run

So a good approach for treatment of AC joint separation is using a combination of interventions like PRP ( super concentrated platelets) cell therapy and physical therapy which yields better results and is more effective with less down time.