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
Nedenler
- 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.
Patofizyoloji
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.
Teşhis
- Physical examination
- X Ray
- MRI
- Ultrasound
Treatments
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
Prognoz
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.
Komplikasyonlar
- Permanent loss of motion or weakness
- Progressive degeneration of the shoulder joint
- Frozen shoulder
Disease & Ayurveda
Khallwi/viswachi
Nidana
Dhaatukshaya (degeneration of tissues) – one reason being injury/trauma
Aavarana (obstruction to channels in the body)
Purvaaroopa
Belirtilmemiş
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
Bölümler
Belirtilmemiş
Prognoz
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
Yaygın olarak kullanılan ilaçlar
Maharasnadi kashayam
Yogarajaguggulu
Balaatailam
Guggulutiktakaghrutam
Mevcut markalar
AVS Kottakal
AVP Coimbatore
SNA Oushadhasala
Vaidyaratnam oushadhasala
Ev ilaçları
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.
Diyet
- Kaçınılması gerekenler
Drink enough liquids. Ensure enough hydration.
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha and cause obstruction in channels
Curd – causes vidaaha and thereby many other diseases
- Eklenecek
Hafif yemekler ve kolay sindirilebilir gıdalar
Green gram, soups, sesame oil, fresh fruits & vegetables
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc
Davranışlar:
Protect yourself from very hot & cold climates.
Aşırı güneş ışığı, rüzgar, yağmur veya toza maruz kalmaktan kaçınmak daha iyidir.
Avoid lifting heavy weights and other vigorous physical activities.
Maintain a regular food and sleep schedule.
İdrar, dışkı, öksürük, hapşırık vb. dürtüleri tutmaktan veya zorlamaktan kaçının.
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.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
Yoga, vücut içinde ve çevredeki sistemle uyumu koruyabilir.
Yoga for rotator cuff injury
Bhujangasana
Tüm egzersizler ve fiziksel eforlar sadece bir tıp uzmanının gözetimi altında kararlaştırılmalı ve yapılmalıdır.
Araştırma makaleleri
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
Bu beyanlar Amerika Birleşik Devletleri Gıda ve İlaç İdaresi tarafından değerlendirilmemiştir. Bu ürün herhangi bir hastalığı teşhis etmek, tedavi etmek, iyileştirmek veya önlemek için tasarlanmamıştır. Lütfen almadan önce doktorunuza danışın.
Yazar:
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