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A secondary problem to chronic
shoulder instability is rotator cuff tendonitis
(RCT). Rotator
cuff tendonitis may occur in isolation, as the muscles of the rotator cuff,
which include the supraspinatus, infraspinatus,
teres minor, and subscapularis, are overworked
causing the tendon
to become inflamed and painful. The more common scenario of RCT occurs when a
chronically unstable
shoulder forces the muscles of the shoulder, especially the rotator cuff
muscles and tendon, to work beyond their capabilities to stabilize the shoulder
as it moves through its complex motions.
These small rotator cuff muscles were not designed to stabilize the shoulder
or perform the major work in shoulder
motion, but instead should function to perform shoulder rotation. Chronic ligamentous
instability can lead to rotator cuff tendonitis, but the treatment of Prolotherapy
can treat both the instability and the secondary tendonitis that follows.
The important point for the athlete is to remember that pain is your body
telling you that something is wrong. The time to get treatment is not when your
shoulder finally goes out, but when the pain first starts. Shoulder problems
either manifest as shoulder pain or weakness. A pitcher feeling weak or a
swimmer having prolonged pain after freestyle training, requires shoulder
examination. Pain and/or weakness are common signs of ligament
weakness. Ligament weakness in the shoulder will almost always lead to a
rotator cuff tendonitis. If this is not treated, the rotator cuff muscles will
give out, putting even more stress and strain on the ligaments. Eventually
shoulder instability develops. This can only have one of two end results: arthritis or shoulder
dislocation. Neither one is very good for the athlete. The best approach is
to stop the whole shoulder ligament-injury-arthritis process by treating with Prolotherapy.
Prolotherapy treats the root cause of shoulder instability and rotator cuff
tendonitis not only by strengthening the rotator cuff tendons, but also
correcting the shoulder ligament weakness. Prolotherapy
is the treatment of choice for athletes with shoulder pain.
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