18805 W. Catawba Ave. Suite 101

Cornelius, NC 28031 US

(704) 987-5050

Open mobile navigation

Repairing an Injured Rotator Cuff

As we get older, rotator cuff injuries become more common, a result of the natural aging process. A similar mechanism operates in the discs separating the vertebras in your lower back. These cartilaginous structures lose water over time, becoming less flexible and more brittle as the decades roll by. In the case of the shoulder, the rotator cuff tendon is pulleyed to and fro as the arm swings forward and back and up and down. As the years pass, this constant motion may cause fraying in the rotator cuff tendon and inflammation in the muscles that comprise the rotator cuff. Eventually, partial or full thickness tears may develop in one or more of these musculotendinous units, causing pain and some loss of function. Importantly, conservative care may be all that’s needed to reduce pain and restore needed motion.

The shoulder joint is beautifully designed and a marvel of engineering. Its construction makes possible a full 360-degree arc of motion in both the sagittal and frontal planes. In other words, you can swing your arm in a complete circle from front-to-back and to-the-side-and-up-and-around. In the third, horizontal, plane, 180 degrees of motion is available. The overall combination of movements in three-dimensional space makes the shoulder joint the most freely movable joint in your body. However, as with all freedoms we enjoy in this life, there is a price. The shoulder joint’s great mobility is countered by its very limited stability.

The shoulder’s lack of stability needn’t concern us in our average day-to-day tasks. Protection to the joint is built-in by way of the rotator cuff muscles, which form a strong hood that envelops the intersection of the arm bone and shoulder blade. Falling on an outstretched arm may result in a dislocated shoulder, so we need to have some care in this regard.

If you’re a young athlete and have suffered a rotator cuff tear, surgery may be an appropriate option.1 But for the vast majority of people, especially for those over age 40, most rotator cuff injuries are chronic rather than acute and can be treated with rest and rehabilitative exercise. Again, if you’re a 60-year-old skier who has torn his or her rotator cuff in a downhill accident, surgery could be indicated. For the rest of us, rehabilitative exercise is the key.2,3

Four or five primary strength training exercises are involved in shoulder or rotator cuff rehabilitation. The three basic shoulder exercises are (1) seated overhead press, which trains all the shoulder girdle muscles simultaneously; (2) standing side [lateral] raise; and (3) seated or standing bent-over raise. The lateral raise specifically trains the middle deltoid muscle and the bent-over raise specifically trains the posterior deltoid muscle. Specific rotator cuff strength training exercises include internal rotation and external rotation on a flat bench using very light dumbbells. More painful injuries with greater loss of mobility may require (1) Codman pendulum exercises and (2) finger-walking (up a wall) to the front and to the side.

The goals of rotator cuff rehabilitation, as for any mechanical injury, include decreased inflammation, decreased pain, return to more full active range of motion, return to more full muscular strength, and restoration of function.

1 Plate JF, et al: Rotator cuff injuries in professional and recreational athletes. J Surg Orthop Adv 22(2):134-142, 2013

2 Escalmilla RF, et al: Optimal management of shoulder impingement syndrome. Open Access J Sports Med 5:13-24, 2014

3 McMahon PJ, et al: What Is the Prevalence of Senior-athlete Rotator Cuff Injuries and Are They Associated With Pain and Dysfunction? Clin Orthop Relat Res 2014 Mar 12. [Epub ahead of print]

Exclusive Offer

New Patients Receive a Free Consultation

Office Hours

Our Regular Schedule

Holistic Healing Chiropractic Hours

Monday:

7:30 am-5:00 pm

By Appointment

Tuesday:

7:30 am-5:00 pm

By Appointment

Wednesday:

7:30 am-5:00 pm

By Appointment

Thursday:

10:00 am-7:00 pm

By Appointment

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "Very professional and personal care. Takes the time to explain in detail your condition. Focuses on long term success and behaviour changes rather than short term fixes."
    Noah K
  • "Dr. Gary is absolutely WONDERFUL! My whole experience here has been just perfect. I feel that he truly cares if I get better or not, and I look forward to my appointments. If you're looking for an AMAZING chiropractor, this is the place you want to visit!"
    Suzie B
  • "Dr Gary is the best! He is very knowledgeable and knows what he is doing. I highly recommend anyone to seek him for help."
    Krystal D
  • "Dr. Draper knows the body; not only physically, but mentally as well. He's got machines throughout the office that can help treat both the body and the brain. He cares about each patients' wellbeing, and takes a practical approach to finding the root cause of whatever might be ailing you. Highly recommended!"
    David W
  • "Eileen M recommends Holistic Healing Chiropractic.
    I can not say enough positive things about Dr. Gary, the inviting office atmosphere and friendly staff. Dr. Gary treats everyone with professional care, excellent service and a caring heart."
    Eileen M.
  • "He is the greatest doctor ever had! He goes above and beyond with my whole family, kids and dog. If it weren't for Dr. Gary I would not be able to work or live! We love the office and the staff!"
    Carolyn Oliver
  • "I have two herniated discs in my lower back. Because of my spinal decompression, I am much better and I don't think I will need back surgery."
    Mary W.
  • "I have three bulging disc's in my lower back, one of which is pressing against a nerve. Due to being in so much pain I have put a lot more pressure and such on my right foot as well. Doctors have given me medication that doesn't touch the pain, but Dr. Draper and Dr. Gary as most of his patients lovingly call him will reduce my pain level more than half in one visit. I can't Recommend this place enough."
    April Plexico
  • "Dr. Gary is a very knowledgeable and very caring person. He gives you 100 percent of his attention. So glad that we found him."
    Barbara Rourke Chappell
  • "Dr. Gary Draper and staff are OUTSTANDING!!"
    Erin Murray
  • "Friendly and knowledgeable staff with a welcoming atmosphere. The facilities are beautiful, and the hydrotherapy table is fantastic!"
    Courtney Stahl Stachowski
  • "very personalized, wonderful bedside manor, actually takes time to listen, I left feeling taller and was able to walk without pain."
    Meegan Clemons​
  • "5 stars"
    JR Rivas​
  • "Very caring and get results kind of a doctor. If you are looking for a quality docotr... schedule your appointment today!"
    Celia Ringstad
  • "Dr. Gary Draper is such a great doctor with cutting edge therapies. His knowledge and caring, positive attitude is unmatched! He has helped me with back issues, vertigo, and feet issues. He has helped athletic boys with all kinds of issues! I highly recommend Dr. Gary and Pierce Family Chiropractic for your whole family!"
    Elizabeth Gwyn Jones​

Featured Articles

Read about interesting topics

NEWSLETTER SIGNUP

Sign up for more articles