Rotator Cuff – Carrollton TX
Dr. Mitchell F. Fagelman is a board certified orthopedic surgeon, specializing in treating complex shoulder conditions including shoulder fractures and Rotator Cuff Injuries. The surgeon also performs shoulder replacement surgery in Carrollton TX.

Rotator Cuff

The Rotator Cuff comprises a group of four muscles namely Subscapularis, Supraspinatus Infraspinatus and Teres Minor. These muscles are responsible for providing movement as well as stability to the shoulder joint. A Rotator Cuff injury refers to a condition when any of these muscles get inflamed or damaged due to overuse of shoulder muscles or from repeated overhead motion. The Rotator Cuff may either get partially damaged or get completely torn off. In the latter condition, orthopedic doctors highly recommend prompt surgical treatment.

Types of Rotator Cuff Injuries:

  • Rotator Cuff Tendonitis – When the tendons in your shoulder get inflamed.
  • Rotator Cuff Impingement Syndrome – When tendons or bursa repeatedly get impinged/scraped against the shoulder blade.
  • Rotator Cuff Tear – When one or more muscles in your shoulder get torn off.

Risk factors of Rotator Cuff Injury

  • Athletes who regularly use repetitive arm motions such as tennis players, baseball players, rowers, and wrestlers tend to damage their rotator cuff over time.
  • Rotator Cuff injuries are most common in people over 40 years of age.
  • Occupations that require repetitive arm motions, often overhead, such as painters and carpenters etc.

Causes of Rotator Cuff Injury

  • Repetitive overhead motion.
  • Heavy lifting.
  • Poor posture.
  • Any injury, such as falling, or direct blow to the shoulder.
  • Natural wear and tear due to growing age.
  • Reduced blood flow to the tendon.

Symptoms of Rotator Cuff Injury

  • Limited full range of motion.
  • Difficulty (immense pain) while sleeping on the affected side.
  • Pain, particularly while performing overhead activities
  • Difficulty in lifting the arm due to muscle weakness
  • Cracking sound while moving the arm
  • Rotator Cuff pain often gets triggered by a specific activity/incident

Diagnosis of Rotator Cuff Injury

If you witness the above mentioned symptoms, it is recommended to immediately consult your orthopedic doctor. First, he will
generally discuss your symptoms and ask if you had any recent shoulder injuries or accidents. Next, he will perform a physical examination in which he will examine the affected shoulder to check if there is muscle atrophy. MRI Scan, Ultrasound Scan and X-Ray will further determine the exact problem with your shoulder bones.

Treatment for Rotator Cuff Injury

Non-surgical Treatment

  • Rest: Your doctor may ask you to take rest and limit your overhead activities. He may also recommend a sling to help protect your shoulder and provide stability.
  • Strengthening exercises and physical therapy: This method can help strengthen your shoulder muscles and increase the range of motion of your shoulder. The exercises will be tailored to your specific injury. This treatment can last for several weeks.
  • Anti-inflammatory medication: These help reduce pain and inflammation in the shoulder joint and also increase mobility of shoulder.

Surgical Treatment

If symptoms persist after the non-surgical treatment methods, your orthopedic doctor may recommend surgery. The surgery involves removal of any bone spurs that are impinge with the Rotator Cuff.

Prevention of Rotator Cuff Injury
  • Regular shoulder exercises can help strengthening muscle and also preserve the range of motion of the shoulders.
  • Frequent breaks at work can help avoid any kind of shoulder trauma or injury.
  • In case you experience shoulder pain, opt for RICE method and if pain persists, consult your doctor immediately.
For treatment of Rotator Cuff injury in Carrollton TX, schedule an appointment with Dr. Fagelman. You can call at (972) 492 -1334 to request an appointment.