Rotator cuff problems can indeed impair function and cause a lot of pain, and progress to the involvement of neck, arm and upper back problems. In many cases, this leads to the constant use of pain meds and is the cause of much absenteeism in the workplace.
In an aligned posture, the middle of the top of the upper arm, the "ball" portion, should be in line with the hip. In our activities and jobs, using the arms in front of our chest more than overhead maneuvers, strain the muscles in the back and crunch the muscles in front. If we could go from our computers or instruments to picking fruit, we would balance the use of our upper bodies.
But no, the forward roll of the upper arm and upper back have become the position of choice as it is function-driven. In a nutshell, upper back muscles strain, overstretch and lose maximum elastic capacity. The upper chest muscles become crunched, shortened and hypoxic (low in oxygen). Neither upper chest nor upper back muscles are in a posture for optimum usage. Unfortunately, this "forward" position progresses and eventually involves neck and arm conditions that become equally problematic.
The Ikier Center sees this problem frequently and has a high success rate for returning the posture and maintaining it. In addition to pain being eliminated, there is a marked increase in hand temperature and reduction of neck dysfunction. Treatment of 1 or all 4 of the muscles of the rotator cuff need individual attention and therapy, ranging from tapping, stretching, soft tissue manipulation and strengthening. Consider being a part of your rotator cuff rehabilitation before undergoing a surgical intervention.
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