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Rotator Cuff Tendinitis: Physiotherapy
Management
Assessment and Treatment Approach
 Presented by: [Your Name]
 Date: [Date]
Anatomy of the Shoulder
• Bones: Humerus, Scapula, Clavicle
Rotator cuff muscles:
- Supraspinatus
- Infraspinatus
- Teres Minor
- Subscapularis
• Function: Shoulder stabilization and movement
What is Rotator Cuff Tendinitis?
 • Inflammation or irritation of the rotator cuff tendons
 • Commonly affects the supraspinatus tendon
 • Also called: Shoulder impingement syndrome or
tendonitis
Causes & Risk Factors
 • Overuse (especially overhead activities)
 • Poor posture
 • Age-related degeneration
 • Trauma or repetitive strain
 • Muscle imbalances
Symptoms
 • Pain with overhead movements
 • Night pain (especially lying on the affected side)
 • Weakness in shoulder
 • Decreased range of motion
 • Clicking or catching sensation
Diagnosis
 • Clinical tests:
 - Neer’s Impingement Test
 - Hawkins-Kennedy Test
 - Empty Can Test
 • Imaging (if required): MRI or Ultrasound
Physiotherapy Goals
 • Reduce pain and inflammation
 • Restore range of motion
 • Strengthen rotator cuff and scapular stabilizers
 • Improve posture and biomechanics
 • Prevent recurrence
Acute Phase Management
 • Rest and activity modification
 • Ice therapy
 • Pain-free ROM exercises
 • Isometric shoulder exercises
 • Education
Subacute to Late Phase
 • Stretching tight structures (posterior capsule, pecs)
 • Strengthening:
 - Rotator cuff (e.g.,Theraband ER/IR)
 - Scapular stabilizers (e.g., serratus anterior, trapezius)
 • Posture correction exercises
 • Functional training
Return to Activity
 • Sport-specific or work-specific retraining
 • Emphasis on proper biomechanics
 • Gradual return with load progression
Shoulder_RC_Tendinitis_Physio___PPT.pptx
Adjunct Therapies
 • Taping
 • Ultrasound therapy
 • Dry needling
 • Manual therapy
Prevention Tips
 • Proper warm-up before activity
 • Strength and flexibility maintenance
 • Avoid repetitive overhead loading
 • Ergonomic adjustments
Summary
 • Early diagnosis and rehab are key
 • Structured physiotherapy can prevent chronicity
 • Patient education improves compliance and outcomes
References
 • APTA Guidelines
 • NICE Clinical Guidelines
 • Ortho Bulletins

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Shoulder_RC_Tendinitis_Physio___PPT.pptx

  • 1. Rotator Cuff Tendinitis: Physiotherapy Management Assessment and Treatment Approach  Presented by: [Your Name]  Date: [Date]
  • 2. Anatomy of the Shoulder • Bones: Humerus, Scapula, Clavicle Rotator cuff muscles: - Supraspinatus - Infraspinatus - Teres Minor - Subscapularis • Function: Shoulder stabilization and movement
  • 3. What is Rotator Cuff Tendinitis?  • Inflammation or irritation of the rotator cuff tendons  • Commonly affects the supraspinatus tendon  • Also called: Shoulder impingement syndrome or tendonitis
  • 4. Causes & Risk Factors  • Overuse (especially overhead activities)  • Poor posture  • Age-related degeneration  • Trauma or repetitive strain  • Muscle imbalances
  • 5. Symptoms  • Pain with overhead movements  • Night pain (especially lying on the affected side)  • Weakness in shoulder  • Decreased range of motion  • Clicking or catching sensation
  • 6. Diagnosis  • Clinical tests:  - Neer’s Impingement Test  - Hawkins-Kennedy Test  - Empty Can Test  • Imaging (if required): MRI or Ultrasound
  • 7. Physiotherapy Goals  • Reduce pain and inflammation  • Restore range of motion  • Strengthen rotator cuff and scapular stabilizers  • Improve posture and biomechanics  • Prevent recurrence
  • 8. Acute Phase Management  • Rest and activity modification  • Ice therapy  • Pain-free ROM exercises  • Isometric shoulder exercises  • Education
  • 9. Subacute to Late Phase  • Stretching tight structures (posterior capsule, pecs)  • Strengthening:  - Rotator cuff (e.g.,Theraband ER/IR)  - Scapular stabilizers (e.g., serratus anterior, trapezius)  • Posture correction exercises  • Functional training
  • 10. Return to Activity  • Sport-specific or work-specific retraining  • Emphasis on proper biomechanics  • Gradual return with load progression
  • 12. Adjunct Therapies  • Taping  • Ultrasound therapy  • Dry needling  • Manual therapy
  • 13. Prevention Tips  • Proper warm-up before activity  • Strength and flexibility maintenance  • Avoid repetitive overhead loading  • Ergonomic adjustments
  • 14. Summary  • Early diagnosis and rehab are key  • Structured physiotherapy can prevent chronicity  • Patient education improves compliance and outcomes
  • 15. References  • APTA Guidelines  • NICE Clinical Guidelines  • Ortho Bulletins