February 2015

Rotator Cuff Syndrome 

Rotator Cuff Syndrome (RCS) refers to an injury to one or more of the muscles that stabilize the shoulder. The “shoulder” is a complex of four joints and four muscles:
  • Scapulothoracic 
  • Glenohumeral 
  • Acromiocalvicular
  •  Sternoclavicular 
Four muscles primarily stabilize the shoulder:
  • Supraspinatus 
  • Infraspinatus 
  • Teres minor 
  • Subscapularis 


Causes of RCS include:
  • Acute Injury: 
    • Sports injury 
    • Fall on out-stretched hand (FOOSH) 
  • Chronic Conditions: 
    • Repetitive movements: 
      • Weightlifting 
      • Swimming 
      • Golfing 
      • Throwing sports 
      • Work demands 
Physical examination should include:
  • Mobility of the joints of the shoulder complex 
  • Strength/stability of the muscles of the rotator cuff 
  • Dysfunctional movement patterns of the upper extremity 
Treatment should address: 
  • Soft-tissue health 
    • ART® 
  • Mobility of the joints of the shoulder complex 
  • Strength & stability of the rotator cuff musculature 
    • Rehabilitation
Active Performance Chiropractic focuses on the diagnosis, treatment, and rehabilitation of athletic-related injuries. Treatment is a unique blend of Active Release Techniques, traditional chiropractic therapy, and physical rehabilitation designed to match each patient’s goals and lifestyle.
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