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The rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint, allowing the shoulder to move and keeping it stable.
The tendons of the rotator cuff pass underneath a bony area on their way to attaching to the top of the arm bone. These tendons join together to form a cuff that surrounds the shoulder joint. This helps keep the joint stable and allows the arm bone to move on the shoulder bone.
Injury to these tendons may result in:
These injuries often lead to pain, weakness, and stiffness when you use your shoulder. A key part in your recovery is doing exercises to make the muscles and tendons in your joint stronger and more flexible.
Your doctor may refer you to a physical therapist to treat your rotator cuff. A physical therapist is trained to help improve your ability to do the activities you want.
Before treating you, a doctor or therapist will evaluate your body mechanics. The therapist may:
After testing and examining you, your doctor or physical therapist will know which muscles are weak or too tight. You will then start a program to stretch your muscles and make them stronger.
The goal is for you to function as well as possible with little or no pain. To do this, your physical therapist will:
Before doing exercises at home, ask your doctor or physical therapist to make sure you are doing them properly. If you have pain during or after an exercise, you may need to change the way you are doing the exercise.
Most exercises for your shoulder either stretch or strengthen (make stronger) the muscles and tendons of your shoulder joint.
Exercises to stretch your shoulder include:
Exercises to strengthen your shoulder:
Matsen FA III, Fehringer EV, Lippitt SB, et al. Rotator cuff. In: Rockwood CA, Matsen FA III, Wirth MA, et al., eds. The Shoulder. 4th ed. Philadelphia, PA: Elsevier Saunders; 2009: chap 17.
O'Brien MJ, Leggin BG, Williams GR. Rotator cuff tendinopathies and tears: surgery and therapy. In: Skirven TM, Osterman AL, Fedorczyk JM, Amadio PC, eds. Rehabilitation of the Hand and Upper Extremity. 6th ed. Philadelphia, PA: Elsevier Mosby; 2011: chap 88.