Tendonitis of the shoulder – Shoulder tendonitis
To establish a causal link between shoulder tendonitis and physical activity, it is necessary to understand the gestures made by the patients and postures they adopt. Symptoms of shoulder tendonitis usually appear on the shoulder the most highly sought.
Supraspinatus tendinitis : the most common shoulder tendinitis
The supraspinatus tendonitis can occur by acute or chronic pain in the shoulder. This shoulder tendonitis usually occurs in young patients after misuse or improper use of the shoulder. Contributing factors may include heavy lifting, injuries caused by the motion of throwing, or excessive use of weight training equipment.
Chronic tendinitis of the shoulder affects more elderly patients, occurring more gradually or insidiously without a history of specific traumatic event. The pain is constant and intense and is frequently accompanied by sleep disorders. This shoulder tendinitis is mainly felt in the deltoid region.
The patients with shoulder tendinitis of supraspinatus tend to relieve tendon by raising the blade to remove the tension from the ligament, thus raising the shoulder constantly. I usually find a sore point over the greater tubercle. The patient shows a painful abduction of the arm, sometimes with a projection or cracking.
At the beginning of the supraspinatus tendinitis, passive movements’ amplitude is complete and painless. When the shoulder tendonitis progresses, patients often exhibit a gradual decrease in functional capacity with reduced range of motion of the shoulder, disabling in the most simple daily activities such as combing, attaching a bra, or bringing the arm behind the head.
Tendinopathy of the rotator cuff – the famous shoulder tendinitis
The rotator cuff is the group of muscles and tendons that surround the head of the humerus at the shoulder joint. These shoulder muscles are used to give strength to allow elevation of the arm and its various rotations, but also contribute to the stability of the shoulder.
This tendinopathy “shoulder tendonitis” can affect different tendons of the rotator cuff : the supraspinatus, infraspinatus thorny, the subscapularis, the teres minor and biceps.
This shoulder tendonitis extremely common after age 40 is the primary cause of shoulder pain. Aging tendons or aggression by the acromion will cause damage to the tendon because the coracoacromial arch is rigid and aggressive (especially the outer edge of the coracoacromial ligament) and the supraspinatus tendon is often caught between the humeral head and the coracoacromial ligament during abduction or elevation of the arm.
These can cause repetitive strain attrition of the rotator cuff, and sometimes cause a rupture. Many sports and professionnel activities further it.
Tendons are sometimes the breech of calcareous deposits thus leading calcific tendonitis of the rotator cuff (calcifications in the tendon). This deposit of calcium is probably related to a lack of oxygen at the tendon attachment.
The calcifying tendinitis of the shoulder affects 10% of the population.
It has nothing to do with hyper-use of the shoulder, trauma or diet.
Tendinitis of the infraspinatus – tendonitis in the shoulder infraspinatus muscle
Posterolateral sub-acromial pain
Elective pain in forced external rotation
Biceps tendonitis – shoulder tendonitis of strength training athletes and bodybuilders
The tendon of the biceps is not part of the rotator cuff, but it is often responsible for pain and inflammation that lead to thinking of a shoulder tendinitis.
– Pain in the anterior intertuberous gutter
– Pain in the forced flexion of the forearm on the arm.
The shoulder tendonitis of the subscapularis
Pain at forced internal rotation
The test for this shoulder tendinitis is made shoulder to body, forearm bend at 90 °.
This shoulder tendonitis presents at late age and often reveals impairment of the overall cap.
Tendinitis of the coracobrachialis, an often forgotten shoulder tendonitis.
The pain of shoulder tendonitis is located on the coracoid :
– pain on forward flexion of the shoulder flexion with the forearm upset, causes
– pain of shoulder tendinitis.
“Rotator Cuff Tendinosis is a degenerative genetic, age or activity related change that occurs in our rotator cuff tendons over time.
Rotator cuff tendinosis is exceptionally common.
Many, many people have tendinosis of the rotator cuff and do not even know it. Why rotator cuff tendinosis bothers some people and doesn’t bothers others is currently a question the orthopedic surgery community can not answer.
Rotator cuff tendinosis is just as likely to be found in a professional body builder as it is likely to be found in a true couch potato.”