Shoulder Pain: Rotator Cuff Injuries

The rotator cuff muscles hold the head of the longyou pull your arm across your chest, and you will
bone of your upper arm tightly in the socket of yourhave difficulty raising your elbow over your shoulder.
shoulder. Sports that require moving the arm overAn arthrogram is often not sensitive enough to
the head repeatedly can cause tearing and swelling ofdiagnose a partial tear of the rotator cuff but can
the tendons of these muscles. Baseball pitchers,show a complete tear.The treatment is to avoid any
swimmers, weight lifters and tennis players oftenmotion that hurts and strengthen the uninjured
suffer this injury. Chronic irritation can cause pain,shoulder muscles. Do weight-lifting exercises that
swelling and tearing of the rotator cuff. If youbring the weights toward the body and do not hurt,
continue to exercise in spite of the pain, you will tearsuch as upright rows and downward "lat pulls". You
the tendons from their attachments.Initially, painmay need surgery if the rotator cuff tendons are
occurs only when you hold your arm over your headtorn completely, or if the tendons do not heal within
and bring it down or forward forcibly. Later, it willone year.Dr. Gabe Mirkin has been a radio talk show
hurt when the arm is moved forward for any reason,host for 25 years and practicing physician for more
such as to shake hands. Usually, it hurts when youthan 40 years; he is board certified in four specialties,
push things away and does not hurt when you pullincluding sports medicine. Read or listen to hundreds
objects toward you. A torn rotator cuff will causeof his fitness and health reports at weekly
tenderness over the tendons, especially when thenewsletter on fitness, health, and nutrition.
elbow is raised above the shoulder. It will hurt when