supraspinatus tendon weakness rotator cuff tendonitis

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Caring Medical and Rehabilitation Services Oak Park 708-848-7789

Rotator Cuff and Shoulder Pain
Ross Hauser, M.D.

The most common cause of chronic shoulder pain is not shoulder instability but supraspinatus tendon weakness, also known as rotator cuff tendonitis. If full range of movement in the shoulder is compromised, the supraspinatus tendon works harder to provide the motion support needed. This tendon eventually weakens and laxity develops. A supraspinatus tendon problem is manifested by pain with abduction and external rotation of the shoulder, especially when reaching for things above shoulder level, or pain in the shoulder after sleeping due to compression of the supraspinatus tendon.

The supraspinatus tendon often refers pain to the back of the shoulder. Sleeping on the shoulder causes a pinching of the rotator cuff muscles and can lead to rotator cuff weakness. There are cases where the cause of the rotator cuff tendon laxity was due to years of sleeping on the shoulder.

In most cases, traditional therapies such as exercise and physical therapy will resolve rotator cuff tendonitis. It is not uncommon, however, for rotator cuff injuries to linger because blood supply to the rotator cuff tendons is poor. Poor blood supply is a reason the rotator cuff is so commonly injured. In chronic cases of shoulder pain due to rotator cuff weakness, Prolotherapy is the treatment of choice. Prolotherapy will cause the rotator cuff to strengthen and eliminate shoulder pain. If rotator cuff weakness is not corrected, the shoulder's range of motion will deteriorate. Rapid deterioration can occur, especially in people over 60 years of age.

When shoulder muscle weakens, movement becomes painful. Those who have supraspinatus tendon laxity causing pain will stop moving their arms into the painful position. Though they may not realize it, they are slowly but surely losing shoulder movement. What begins as a simple rotator cuff muscle weakness easily treated with Prolotherapy, has the potential to become a frozen shoulder because of scar tissue formation inside the shoulder that was left untreated. The scar tissue formation causing a decrease in the ability to move the shoulder is called adhesive capsulitis.

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Ross Hauser, M.D. Dr. Hauser received his M.D. from the University of Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and Rehabilitation; and received his Bachelor of Science degree from the University of Illinois, Urbana-Champaign. Dr. Hauser is the Medical Director and co-founder of the physician-run, comprehensive natural medicine clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy. He, along with his wife Marion, have written seven books on the topic of Prolotherapy, a comprehensive book on the natural medicine approach to cancer, as well as a myriad of articles and newsletters for the general public. Read more Ask A QUESTION
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There is no known cure for arthritis. Prolotherapy and nutritional supplements can help alleviate, reverse, or end arthritic pain by treating an underlying cause that contributes to degenerative disease, ligament laxity. Strengthening ligaments and other connective tissue can help prevent bone on bone arthritis from developing.