Treatment of Rotator Cuff Injuries
What is the Rotator Cuff?
The shoulder is a ball and socket joint with a relatively shallow socket. The rotator cuff is a set of four muscles and their associated tendons; supraspinatus, infraspinatus, teres minor, and subscapularis. These four separate muscles come together over the head of the humerus where it connects to the shoulder socket. The rotator cuff does the majority of the shoulder joint stabilization.
Function of the Rotator Cuff
As stated before, the rotator cuff helps stabilize the shoulder. The musculature also allows for the movement of the shoulder. Each muscle functions differently and in a different plane of motion. The supraspinatus is active throughout the abduction of the shoulder. The infraspinatus and the teres minor both act as external rotators. These two muscles are active at different angles, neutral or at 90° of abduction. The subscapularis is the strongest of the rotator cuff muscles. This muscle is also the largest and focuses on internal rotation of the shoulder.
Injuries to the Rotator Cuff
There are two different ways in which the rotator can become injuries; extrinsic or intrinsic. Extrinsic injuries are due to compression or impingement forces. Intrinsic means that the cuff itself is changing and developing tears.
A rotator cuff may become strained, impinged upon, subject to degeneration, or torn. Just like other muscular strains, the rotator cuff can become injured due to increased stresses on any one of the four muscles. Impingement of the rotator cuff can be due to swelling of the bursa sacs or joint swelling. When the shoulder joint becomes inflamed, the joint space will shrink causing the musculature to become pinched by other structures. The rotator cuff may also become impinged by the humeral head and the postero-superior labrum during overhead motions (such as throwing a baseball). As with many other diseases and disorders, age can take a toll on the tendon. With age, the rotator cuff tendon will begin to degenerate due to use. Lastly, a hooked acromion process can cause impingement of the supraspinatus at the AC joint. These hooked acromion processes may also lead to labral tear or rotator cuff tears. Also, injury to the rotator cuff commonly occurs from repetitive use or injury.
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Why Patients LOVE SCC
I would give this whole place a 10 star rating if I could!!! There staff is amazing they are friendly, knowledgeable, fun everyone speaks to you. The office is beautiful, so clean... After falling hurting my back (which already hurt and having some slipped disc's) they got me in that day thankfully...I feel amazing.... This is the place to go!!! The reviews are all true I will tell EVERYONE this is where they need to go... My 4 years of pain already feels better 1 visit I'm soooooooo looking forward to all my appointments!!!
- Roey
I really love Schilsky Chiropractic!!! I always feel better when I leave than when I come. The entire staff is so friendly and they continuously check on you to make sure you're ok during the appointment. Dr Sprague is the absolute best!! I love this place!!!!!
- Shawnda
We were blown away with how friendly everyone was! They didn’t rush us through to try and get to the next person they answered all of our many many questions and were so sweet and helpful with our kids! We were there for a while and not once did anyone seem aggravated or annoyed with us, which as a parent comes often in these situations. Could not have had a better experience! This was our initial visit and we are looking forward to starting our treatment today!
- Joshua
Every single person In this office is knowledgeable and caring. They care about everything from your health to the money you are able to spend. They care about giving you an appointment that works for you. They are amazing. Treat yourself, you will feel so much better.
- Marlene
This is one of the best places any person could hope to get in chiropractic care. Amazing staff and extremely courteous. I have not been able to go back to finish my treatments as I have been pretty ill but I am looking forward to going back. It is not like going into a doctors office. It is like being around family members.
- Angela
I absolutely love everyone here. I recently got into a car accident and was sent here n was a little uneasy about someone popping my back much less my neck lol. But let me tell you they made me feel very comfortable and at ease. I feel like I have known these people all my life. They r awesome. My back and neck are definitely feeling so much better. I encourage everyone to come here it is totally worth it.
- Amber
I've never had such a fantastic experience as I've had so far with this business. It's wonderful to be surrounded by people who you can tell are both caring and compassionate. I have been impressed every step of the way with the level of care I've received, the genuine concern for the staff have for my well being and healing, and for their understanding an patience. Everyone on staff is incredibly knowledgeable and it really seems to me that everyone I've had an interaction with genuinely loves the work they do. For me this place is the absolute pinnacle of quality, the complete package of everything you could ever hope for in personal chiropractic care from the experienced staff to the comfortable and relaxing environment
- Sean
Every employee here has an amazing attitude and is always happy to see you. Happy to be there, happy to be assisting you with your health needs. I feel like all the ladies here actually care about my well being and if I'm getting better. Highly recommended if you want a "family" like experience every single time you walk through the door.
- Jonnie
Very professional and relaxing i go once a month. before going i was hurting so bad i didnt want to move. same with my husband he had a herniated disc and now we are both able to go back to our daily lives and play with our kids again. im currently pregnant and going to them and it helps my back out so much with this pregnancy. i recommend them 1000 percent yes i said a thousand.
- Chelsea
I love all the staff, everyone is so vibrant and friendly. I never have to wait long to be seen for my appointments. I genuinely enjoy going and would definitely recommend this place to anyone who needs chiropractic care. I love my doctor and my back and neck have improved significantly during care. I’m so glad I found this place. 🙂
- Cassie
I have never left a Google review but for this I will. From the moment I walked in until the moment I left I felt at ease. I was super nervous and didn't know what to expect but the staff were very helpful every step of the way. I have bad social anxiety but I felt calm the whole visit. Dr. Sprague was awesome and super out going. The adjustment felt amazing and I left feeling way better than when I walked in. I can't wait to come back to get my next adjustment. Highly recommend for anyone who needs an adjustment.
- Mike
Dr. Sprague and his staff are the most kind and caring staff we've ever met. Always cheerful and accommodating to the needs of the patients. They deserve more than 5 stars are they're an example of how an outstanding business is run. We look forward to our visits as we leave feeling better and more cheerful.
- Denise
The most friendly and caring staff of any place I have ever been. Words cannot describe just how great I feel. Dr. Sprague is awesome he really cares about how people feel.
- Dan
Schilsky Chiropractic has been a great place of healing for getting my strength back after having a back injury. The staff is wonderful and always friendly with a positive attitude. Everyone here is so welcoming and thoughtful and I feel like I have a group of friends checking in on me every time I step through the doors. The office is also very clean, with upbeat music playing instead of the painfully boring elevator music. I recommend Dr. Sprague and his staff to all of my friends and family. My body has never felt better and I will continue coming here for my monthly adjustment to keep me moving and pain free!
- Jenn
Very professional and relaxing I go once a week now, before going I was hurting so bad I didn't want to move. Same with my husband he had a herniated disc and now we are both able to go back to our daily lives and play with our kids again. I went to them before my pregnancy and during my pregnancy and still going to them and it helps my back out so much with that. Me and my husband are still going, and it's been almost 3 years. They are very friendly and help in any way. I have an almost 1 year old they they are basically watching him grow and my other 2 love everybody there. Dr. Sprague is amazing at what he does and will explain things if you don't understand. I recommend them 1000 percent yes, I said a thousand.
- Chelsea
I have been receiving care here for about a year. I am a retired Marine officer, suffering from chronic back and knees issues. Since coming here, my quality of life has improved 100%. I've realized that as I get older I need regular Chiropracic care to maintain an active lifestyle... I keep coming back, not only because of the positive results, but also because of the world class customer service that I receive, at every visit! Wonderful Staff and a very positive and welcoming atmosphere. Thank you for taking care of me!