Rotator cuff injuries are the most common shoulder ailment affecting golfers. The golf swing causes chronic wear and tear injuries to the rotator cuff muscles. In rotator cuff tendinopathy, the tendons become swollen and hypercellular, the collagen matrix is disorganized and the tendon weaker, and there is an increase vasculature and nerve density. Calcification may occur in any of the rotator cuff tendons but it is most often seen in the supraspinatus.
What can we do to help?
Ice: Rest from the aggravating activity and ice.
Scapular Stabilization: Scapulohumeral rhythm is the movement of the scapula across the thoracic cage in relation to the humerus. This movement can be compromised by anything that changes the position of the scapula. This could be an imbalance in the muscles that hold the scapula in place which are the upper and lower trapezium. This imbalance can lead to impaired scapulohumeral rhythm which in turn can cause impingement of the rotator cuff tendon as the arm is raised above the head. Scapular stabilization refers to a set of exercises that strengthen the shoulder girdle muscles to restore normal scapular motion. These exercises also aim to facilitate energy transfer through the kinetic chain. An essential part of rehabilitating the kinetic chain therefore involves exercises that transfer energy from the trunk to the arm.
Strengthening: Muscle weakness or incoordination: Decreased rotator cuff strength or imbalance also pre-dispose to the development of tendinopathy. Treatment involves strengthening of the external rotators as they are usually relatively weak compared with the internal rotators. We will prescribe you with an extensive program to strengthen the rotator cuff muscles.
Stretching: Posterior capsular tightness of the shoulder joint is commonly associated with decreased internal rotation and reduced rotator cuff strength.