Rotator Cuff Injuries: Symptoms and Treatment [4 of 5]

What treatment should I use for a rotator cuff injury?

The most important part about treating a rotator cuff injury is to get the right diagnosis. Some supplemental first aids are the "R.I.C.E." instructions: Rest, Ice, Compression, and Elevation (if possible). It is helpful, as continuing care, to use an ice pack 3 or 4 times a day for 15 minutes at a time. Place ice chips or cubes in a plastic bag. Wrap the bag in a moist towel, and place it over the injured area. After the first 72 hours, application of localized heat promotes healing by increasing blood circulation in the injured area. Use heat lamps, hot baths, showers, heating pads or heat liniments and ointments. Take whirlpool treatments, if available. Massage gently and often to provide comfort and decrease swelling. Wrap the injured shoulder with an elasticized bandage between treatments.

What medications, if any, are recommended?

Your doctor may prescribe: (1) Aspirin, Acetaminophen or ibuprofen to relieve minor pain. Topical liniments and ointments (2) Your doctor may prescribe stronger pain relievers or an injection of a long-acting local anesthetic to reduce pain. Your doctor may also prescribe injections of corticosteroids, such as triamcinolone to reduce inflammation .

What activity is proper during rehabilitation and recovery?

Resume your normal activities gradually. For a moderate to severe strain, use a sling for at least 72 hours. As far as diet, balance the amount of food you eat with any change in your level of physical activity. During recovery eat a variety of foods to get the energy, protein, vitamins, minerals and fiber you need for good health and healing.. You can begin daily rehabilitation exercises when supportive sling is no longer needed and with the blessing of your doctor. Use ice massage for 10 minutes before and after exercise. Fill a large Styrofoam cup with water and freeze. Tear a small amount of the foam from the top so the ice protrudes. Massage firmly over the injured area in a circle about the size of a softball. Recovery involves medication to reduce inflammation, and physical therapy exercises to increase range of motion and strength. The treatment of a strain is different that a tear, so see your physician if you have an injury to the shoulder that results in pain. Stretching and strengthening the shoulder can help prevent injuries, and should be a part of a warm up and general conditioning program.

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