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:
- described as a dull ache deep in the shoulder
- Disturbing the sleep
- Restricting the movement of the shoulder. It will be difficult to comb the hair or reach behind the back
- accompanied by arm weakness
Cause
- A substantial injury to the shoulder
- Progressive degeneration
- Wear and tear of the tendon tissue due to repetitive overhead activity or heavy lifting over a prolonged period of time.
Fisiopatologia
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.
Diagnosi
- Esame fisico
- X Ray
- RISONANZA MAGNETICA
- Ultrasound
Trattamenti
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:
- Arthroscopic tendon repair
- Open tendon repair
- Tendon transfer
- Shoulder replacement
Prognosi
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.
Complicazioni
- Permanent loss of motion or weakness
- Progressive degeneration of the shoulder joint
- Frozen shoulder
Malattie e Ayurveda
Khallwi/viswachi
Nidana
Dhaatukshaya (degeneration of tissues) – one reason being injury/trauma
Aavarana (obstruction to channels in the body)
Purvaaroopa
Non menzionato
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
Divisioni
Non menzionato
Prognosi
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
Farmaci di uso comune
Maharasnadi kashayam
Yogarajaguggulu
Balaatailam
Guggulutiktakaghrutam
Marche disponibili
AVS Kottakal
AVP Coimbatore
SNA Oushadhasala
Vaidyaratnam oushadhasala
Rimedi casalinghi
Medical professionals suggest the following to ease pain & other disturbances in the shoulder & arm:
- Stop the activity that caused the pain.
- Stretch and massage the muscle.
- Hold the arm in the stretched position until the pain is relieved.
- Apply heat to muscles that are tight or tense.
- Use cold packs on tender muscles.
Dieta
- Da evitare
Drink enough liquids. Ensure enough hydration.
I pasti pesanti e gli alimenti difficili da digerire causano indigestione.
Cibi spazzatura: causano disturbi della digestione e riducono la biodisponibilità del farmaco.
Bevande gassate: rendono lo stomaco più acido e disturbano la digestione.
Cibi refrigerati e congelati - causano una digestione debole e lenta indebolendo Agni (fuoco digestivo).
Milk and milk products – increase kapha and cause obstruction in channels
Cagliata - causa vidaaha e quindi molte altre malattie
- Da aggiungere
Pasti leggeri e alimenti facilmente digeribili
Green gram, soups, sesame oil, fresh fruits & vegetables
Cibo fresco e caldo trattato con semi di cumino, zenzero, pepe nero, ajwain, ecc.
Comportamento:
Protect yourself from very hot & cold climates.
È meglio evitare l'esposizione a luce solare eccessiva, pioggia o polvere.
Evitare il sollevamento di pesi pesanti e altre attività fisiche vigorose.
Mantenere un programma alimentare e di sonno regolare.
Evitare di trattenere o forzare gli stimoli come urina, feci, tosse, starnuti ecc.
lo 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.
L'esercizio fisico regolare aiuta a migliorare la biodisponibilità dei farmaci e degli alimenti ingeriti e porta a una salute positiva.
Lo yoga può mantenere l'armonia all'interno del corpo e con il sistema circostante.
Yoga for rotator cuff injury
Bhujangasana
Tutti gli esercizi e gli sforzi fisici devono essere decisi ed eseguiti esclusivamente sotto la supervisione di un medico esperto.
Articoli di ricerca
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
Queste dichiarazioni non sono state valutate dalla Food and Drug Administration degli Stati Uniti. Questo prodotto non è destinato a diagnosticare, trattare, curare o prevenire alcuna malattia. Consultare il proprio medico di famiglia prima dell'assunzione.
Scrittore:
Il dottor Rajesh Nair, cofondatore e consulente capo di Ayurvedaforall.com, si è laureato presso il prestigioso Vaidyaratnam Ayurveda College (affiliato all'Università di Calicut), in Kerala, India. Inoltre, ha conseguito un diploma post-laurea in Yoga Terapia presso l'Università di Annamalai.
Il Dr. Nair offre consulenze in due cliniche molto frequentate a Haripad e dintorni, Alleppey, Kerala, lo stato meridionale famoso in tutto il mondo per gli autentici trattamenti ayurvedici e per i medici. Oltre a offrire consulenze su tutti gli aspetti dei trattamenti ayurvedici, il Dr. Nair ha un interesse particolare per il Panchkarma, lo Yoga e il Massaggio.
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.
Il Dr. Nair partecipa regolarmente a conferenze sull'Ayurveda e ha visitato la Germania per diffondere l'Ayurveda. Potete scrivere direttamente a lui
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