A rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of the upper arm bone firmly within the shallow socket of the shoulder. A rotator cuff injury can cause a dull ache in the shoulder, which often worsens with the use of the arm away from the body.
Signs and symptoms
Pain in the shoulder which is:
Causes
Pathophysiology Degeneration of the rotator cuff tendon results from a variety of intrinsic factors including but not limited to age-related degeneration, inflammation, vascular changes, and oxidative stress. Among these elements, the key factor leading to rotator cuff weakness and degeneration is aging. Rotator cuff injury starts from trauma. Macro-trauma causes an acute tear, which is seen generally a younger patient resulting in a complete tear. Micro-trauma causes tendon degeneration and with insufficient healing, leads to degenerative tears. Typically, acute tears happen in younger patients, and degenerative tears occur in older patients. However, a smaller amount of force is needed to cause a complete tear if there is sufficient tendon degeneration. Diagnosis
Treatments
1.Conservative treatments — such as rest, ice and physical therapy
2.A steroid injection into shoulder joint
3.Physical therapy
4.Surgical procedures which include:
Prognosis
Most of the people with rotator cuff disease can manage their symptoms and return to activities with physical therapy exercises that improve flexibility and strength of the muscles surrounding the shoulder joint. Complications
Disease & Ayurveda Khallwi/viswachi Nidana
Dhaatukshaya (degeneration of tissues) – one reason being injury/trauma Aavarana (obstruction to channels in the body)
Purvaaroopa Not mentioned Samprapti Due to the causative factors Vaata gets vitiated and gets lodged in the arms, especially nerves & muscles, causing the signs & symptoms. Lakshana Restricted movements in the arm, especially shoulder joint Pain in the shoulder Divisions Not mentioned Prognosis Saadhya when the disease is new Krichrasadhya or yaapya when the disease is chronic Chikithsa Samana Lepana with soolaharadravyas Parisheka with warm soolahara-sothahara dravyas Upanaha with Vaataharadravyas Sirodhara, kateevasti, kateepichu with Vaatahara taila(once there is no aama) Sodhana Sneha (Abhyanga) Sweda (Potalisweda) Nasya dhoomapaana Vasti Virechana Raktamokshana Daahakarma Commonly used medicines Maharasnadi kashayam Yogarajaguggulu Balaatailam Guggulutiktakaghrutam Brands available AVS Kottakal AVP Coimbatore SNA Oushadhasala Vaidyaratnam oushadhasala Home remedies Medical professionals suggest the following to ease pain & other disturbances in the shoulder & arm:
Diet
Drink enough liquids. Ensure enough hydration. Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha and cause obstruction in channels Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups, sesame oil, fresh fruits & vegetables Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc Behaviour: Protect yourself from very hot & cold climates. Better to avoid exposure to excessive sunlight wind rain or dust. Avoid lifting heavy weights and other vigorous physical activities. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Yoga Vigorous exercises are not allowed in painful conditions. Only stretching, moderate walking, and mild cardio exercises are advised. Also, specific yogacharya including bhujangaasana, salabhasana, vajrasana is recommended. Caution must be there to consider the range of movement and flexibility. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Yoga for rotator cuff injury Bhujangasana All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686437/ https://www.ncbi.nlm.nih.gov/books/NBK547664/
The study was conducted to determine the relationship between rotator cuff (RC) tear and the orientation of the glenoid. Ninety‐six shoulders (94 patients) that underwent open RC repair were grouped according to the type of tear. They measured on MRI the acromio–glenoid angle (AG) and the supraspinatus fossa glenoid angle on the anterior–posterior (SGAP) and axial (SGAX) views. RC patients had a smaller AG angle and a larger SGAP angle compared to controls. It was also found a highly significant difference in glenoid version measured by SGAX between anterior cuff tears and posterior cuff tears. Furthermore, an association between RC tear and the orientation of the glenoid relative to the axis of the supraspinatus fossa was identified. It was concluded that greater retroversion is predictive of an anterior cuff injury and greater anteversion is predictive of a posterior cuff injury These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
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