Prolotherapy Shoulder Impingment Frozen Rotator Cuff

PROLOTHERAPY APPOINTMENT INFO
Caring Medical and Rehabilitation Services Oak Park 708-848-7789

ROTATOR CUFF TENDONITIS AND IMPINGEMENT SYNDROME
Ross Hauser, M.D.

Rotator cuff tendonitis occurs when the small muscles of the Rotator Cuff, the supraspinatus, infraspinatus, teres minor, and subscapularis, become strained causing weakness of these structures and subsequent tendonitis. While the deltoid muscle is the big and strong muscle of the shoulder, as seen on many well-built athletes, the small and relatively weak rotator cuff muscles perform key functions. The supraspinatus helps seat the humeral head (ball) into the glenoid cavity (socket) when the arm is raised from the side (abducted). The infraspinatus and teres minor rotate the forearm away from the body or in the hand-waving position (external rotation), and the subscapularis rotates the forearm towards the body (internal rotation). Once the balance between motion and joint stability is altered through weakness in the static structures (ligaments) or the dynamic structures (rotator cuff muscles), pain and impaired function will invariably ensue. Baseball pitchers, quarterbacks, tennis players (serving), and swimmers are prone to rotator cuff tendonitis and impingement syndrome. This is because these athletes perform a lot of overhead movements. The rotator cuff is most vulnerable in this position.

Impingement syndrome occurs when the rotator cuff tendon becomes pinched between the humeral head, on which it is attached, and the overhanging acromion process, when the arm is raised above the head. This happens when the space becomes narrowed, as occurs when the rotator cuff muscles weaken and the humeral head rides high in the socket or when bone spurs and calcium deposits narrow the space. Impingement also occurs when the contents of the subacromial space increase in size, most often due to a swollen rotator cuff tendon or bursa, which is painfully squeezed between the humeral head and the acromion process. MRI (Magnetic Resonance Imaging), which is an expensive test to look at the rotator cuff, often does not help in evaluation and management. The condition can easily be diagnosed by a physician who elicits a positive impingement sign.

Common treatment for rotator cuff tendonitis and impingement syndrome by traditional medical doctors includes rest, non-steroidal anti-inflammatory drugs (NSAIDS), physical therapy, and cortisone injections into the subacromial space. Because a cortisone injection has very strong anti-inflammatory properties, it may reduce the swelling in the tendon and bursa, relieving the symptoms. These treatments may temporarily help, but since the underlying cause has not been addressed the problem invariably returns. Degenerative fraying and tearing of the tendon may occur if constant irritation of the tendon occurs from the impingement process over time. The best way to treat this unresolved process is with Prolotherapy injections to the ligaments and tendinous insertions of the rotator cuff and deltoid. This, combined with gradual re-strengthening of the rotator cuff muscles, give an excellent chance for a full recovery and performance.

Anyone who has been told they have rotator cuff tendonitis needs to run to a Prolotherapist. If a person cannot run, then jogging or fast walking is advised. If it is not done, surgery will be inevitable.

The best treatment approach is early recognition and treatment with Prolotherapy. In this scenario, Prolotherapy is encouraged, as it eliminates the need for a lot of shoulder surgeries. If the rotator cuff tear has become large enough to produce profound weakness in the shoulder, shoulder surgery may be necessary and Prolotherapy can be used as a post-operative treatment to improve tissue strength and overall recovery.

Caring Medical and Rehabilitation Services Learn about us Or Call 708-848-7789
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
FREE Prolotherapy e-newsletters Free weekly privacy maintained newsletter on Prolotherapy and other non-surgical options for the treatment of chronic pain.
Our Prolotherapy Books - Read about them here Prolo Your Pain Away The 3rd edition to the original classic! Read the book that has changed chronic pain management forever. Prolo Your Pain Away! details in common lay language the conditions that can be cured with Prolotherapy including arthritis, back pain, migraines, neck pain, fibromyalgia, spastic torticollis, osteoporosis fracture pain, whiplash, sports injuries, loose joints, TMJ, tendonitis, sciatica, herniated discs, and more!
Prolotherapy Risks	Prolotherapy Doctors	What is Prolotherapy?	Prolotherapy.org
Prolotherapy Books	Prolonews Home Page	PROLOTHERAPY BLOGS	Hauser Diet

POWER OVER PAIN
THE CARE OF THE PATIENT BEGINS WITH CARING
© 1999-2008 Site owned and operated by
Caring Medical and Rehabilitation Services,
715 Lake Street Suite 600 Oak Park, IL 60301 708-848-7789

The information on this website is presented as information only and not a self-help guide NOR AS SPECIFIC HEALTH RECOMMENDATIONS. Never alter or change your health management or begin any new health plans without first consulting your personal health care provider. Some statements on this site regarding the value of nutritional supplements have not been evaluated by the FDA.

As with any medical technique, Prolotherapy may not be effective for every individual and there are risks involved, these risks should be discussed with your physician. Results achieved with some may not be typical of all. Please consult a physician. Please read Prolotherapy Risks

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.