The rotator cuff is a set of 4 muscles that stabilize your shoulder. The 4 muscles are the supraspinatus, infraspinatus, teres minor, and subscapularis. The tendons at the ends of the rotator cuff muscles can become strained or torn, leading to pain and restricted movement of the arm. A rotator cuff injury can occur following a trauma to the shoulder or it can occur through the “wear and tear” of tendons, most commonly that of the supraspinatus under the acromion. It is an injury frequently sustained by athletes whose duties involve making repetitive throws or it is commonly associated with motions that require repeated overhead motions or forceful pulling motions. You can injure your rotator cuff from overuse, from trauma (falling on your shoulder) or repetitive injuries. A lot of the time the underlying cause of rotator cuff injuries are posture related. If the shoulder is not sitting correctly in the joint or if you have poor biomechanics possibly due to forward rounded shoulders, you’re going to create abnormal stress on the joint and the muscles around the joint which will end up straining or tearing the muscles.
Typical signs and symptoms of rotator cuff injury is pain in the shoulder and being unable to lift your arm past 90 degrees. This means being unable to put your shirt on in the morning, being unable to put your hand behind your back, or pain with lifting. You may experience some numbness/tingling or pain down the outside of your arm which is a referral pain coming from your rotator cuff.
Rotator cuff injuries always need treatment – they rarely go away on their own because we use our arms and shoulders everyday with all activities of daily living. Additionally, since the shoulder has such a large range of motion, it also has a high chance of injury which is why rotator cuff injuries are fairly common.
ART is a relatively new and highly successful approach for the treatment of injuries to muscles, tendons, fascia, nerves, and surrounding soft tissues. ART has proven to be very effective for the treatment of rotator cuff injuries, with a success rate exceeding 90%. ART restores unimpeded motion and function to all soft tissues associated with a rotator cuff injury.
ART provides a means to diagnose and treat the underlying causes of Cumulative Trauma Disorders. Typical symptoms include numbness, tingling, burning, and aching. The goal of ART is to:
This is accomplished through the removal of adhesions in the soft tissues through the application of specific ART protocols.