Discussion
So, I ran out of talent 3 weeks ago on the winter hill descent at Rivington managing to blacken an eye, bruise my right hip, small chunk out of my right knee but more annoyingly I managed to sprain my right hand side rotator cuff according to my GP. Movement is very restricted in my right shoulder and I wonder if you guys can offer some advice on exercising the area concerned. Oh, and any ideas on physio, whether its better to go private or to just use the NHS physio I'm being referred to. I've heard good and bad things about both but so far after weighing up the pros and cons. I'm erring towards using the NHS physio.
I'd like to hear your experiences as I've played sport for years but never really needed any physio before.
Cheers.
I'd like to hear your experiences as I've played sport for years but never really needed any physio before.
Cheers.
A rotator cuff injury is a very general term, like saying your heating is not working, could be 101 different things. don't be tight , see someone private who knows what to do and can get you better quickly. NHS physio’s have no need to get you better, they get paid no matter what. may cost you £100 but is far less then you spend on your car service each year and that can be replaced - unlike body parts!
Morning Steve 
I thoroughly recommend seeing a chiropractor. I've had a few aches and strains that weren't spinal (chiro's main skill) but as they can see if the body is mis-aligned they're often far better at diagnosing a problem.
Eg... I've had a bit of a sore lower back recently. Went to the docs and she just said "take it easy". Useless!!! Went to the chiro and she said my hip wasn't in perfect alignment, causing pressure on my lower back or something. 30mins and £45 later she had adjusted my hip, all back in alignment and *touches wood* I haven't had any major issues since.
Also when I was younger I broke my arm. NHS physio said it would eventually straighten, but it was still at a fairly bad angle. Went to chiro and he was amazed they left me like this, hit the bone with a small hammer, back in position and could instantly straighten.
So... I'm a firm believer in them. Could be worth a shot? Ultimately, you're not 90, so if you're hurting, don't let a doc or physio fob you off. Get someone who is an expert, get it fixed and get out riding again!
I thoroughly recommend seeing a chiropractor. I've had a few aches and strains that weren't spinal (chiro's main skill) but as they can see if the body is mis-aligned they're often far better at diagnosing a problem.
Eg... I've had a bit of a sore lower back recently. Went to the docs and she just said "take it easy". Useless!!! Went to the chiro and she said my hip wasn't in perfect alignment, causing pressure on my lower back or something. 30mins and £45 later she had adjusted my hip, all back in alignment and *touches wood* I haven't had any major issues since.
Also when I was younger I broke my arm. NHS physio said it would eventually straighten, but it was still at a fairly bad angle. Went to chiro and he was amazed they left me like this, hit the bone with a small hammer, back in position and could instantly straighten.
So... I'm a firm believer in them. Could be worth a shot? Ultimately, you're not 90, so if you're hurting, don't let a doc or physio fob you off. Get someone who is an expert, get it fixed and get out riding again!
Thanks for the replies Guys,
I'm in the North West.
I've heard good things about NHS physio's from friends, but bad from a doctor at my GP's surgery. I've heard bad things about private physio's from friends, but good from the doctor. Hence my slight confusion here. Again I stress that I've never had to use a physio's services before despite 29 years playing football so it's a bit of an unknown quantity to me.
I'm aware that the rotator cuff is a group of muscles and tendons but I'm not aware of the actual muscle/tendon that might be damaged. If it helps - the pain starts right at the cuff and works it's way down into the bicep. My arm won't straighten like my other and holding both arms straight out in front of my body, there is a marked difference in length between the two when holding the fingertips together. The doctor didn't examine me - I described the symptoms and he simply suggested the cuff to be the problem and that physio would be required. He also told me about R.I.C.E.
Cheers
I'm in the North West.
I've heard good things about NHS physio's from friends, but bad from a doctor at my GP's surgery. I've heard bad things about private physio's from friends, but good from the doctor. Hence my slight confusion here. Again I stress that I've never had to use a physio's services before despite 29 years playing football so it's a bit of an unknown quantity to me.
I'm aware that the rotator cuff is a group of muscles and tendons but I'm not aware of the actual muscle/tendon that might be damaged. If it helps - the pain starts right at the cuff and works it's way down into the bicep. My arm won't straighten like my other and holding both arms straight out in front of my body, there is a marked difference in length between the two when holding the fingertips together. The doctor didn't examine me - I described the symptoms and he simply suggested the cuff to be the problem and that physio would be required. He also told me about R.I.C.E.
Cheers
Sorry about the delay been on hols, the rotator cuff muscles support the shoulder joint as there is a mobility stability paradox in the shoulder, so due to this the ligaments of the shoulder are not strong enough to support the joint so the rotator cuff muscles help stabilise the shoulder.
The weakest position for the shoulder is 30° abducted and externally rotated this then leaves the front of the shoulder exposed so easy to dislocate.
To strengthen the rotator cuff muscles you should get some thera band and work the shoulder in a isolated manner, internal roation, external rotation, and abduction.......my apologies if the words don't make sense but type them in a search engine and it should be explained.
My concern is the fact you can't fully extend your arm and there is a length issue when you touch your finger tips......
Sometimes the long head bicep tendon is called the 5th rotator cuff muscle due to its origin, if you get a pain down your bicep this could be the problem, its important you keep taking your arm into full extension to its pain threshold.
With the length issue I would worry that you have a subluxation and not a full dislocation, did the doc examine this or is it something you found for yourself?
Just read your reply again, the Doc did not examine you so you need a qualified physio sharpish as once your shoulder goes once it increase two fold without physio input......
The weakest position for the shoulder is 30° abducted and externally rotated this then leaves the front of the shoulder exposed so easy to dislocate.
To strengthen the rotator cuff muscles you should get some thera band and work the shoulder in a isolated manner, internal roation, external rotation, and abduction.......my apologies if the words don't make sense but type them in a search engine and it should be explained.
My concern is the fact you can't fully extend your arm and there is a length issue when you touch your finger tips......
Sometimes the long head bicep tendon is called the 5th rotator cuff muscle due to its origin, if you get a pain down your bicep this could be the problem, its important you keep taking your arm into full extension to its pain threshold.
With the length issue I would worry that you have a subluxation and not a full dislocation, did the doc examine this or is it something you found for yourself?
Just read your reply again, the Doc did not examine you so you need a qualified physio sharpish as once your shoulder goes once it increase two fold without physio input......
Edited by 996 sps on Tuesday 11th December 20:33
996 sps said:
Sorry about the delay been on hols, the rotator cuff muscles support the shoulder joint as there is a mobility stability paradox in the shoulder, so due to this the ligaments of the shoulder are not strong enough to support the joint so the rotator cuff muscles help stabilise the shoulder.
The weakest position for the shoulder is 30° abducted and externally rotated this then leaves the front of the shoulder exposed so easy to dislocate.
To strengthen the rotator cuff muscles you should get some thera band and work the shoulder in a isolated manner, internal roation, external rotation, and abduction.......my apologies if the words don't make sense but type them in a search engine and it should be explained.
My concern is the fact you can't fully extend your arm and there is a length issue when you touch your finger tips......
Sometimes the long head bicep tendon is called the 5th rotator cuff muscle due to its origin, if you get a pain down your bicep this could be the problem, its important you keep taking your arm into full extension to its pain threshold.
With the length issue I would worry that you have a subluxation and not a full dislocation, did the doc examine this or is it something you found for yourself?
Just read your reply again, the Doc did not examine you so you need a qualified physio sharpish as once your shoulder goes once it increase two fold without physio input......
Hi, The weakest position for the shoulder is 30° abducted and externally rotated this then leaves the front of the shoulder exposed so easy to dislocate.
To strengthen the rotator cuff muscles you should get some thera band and work the shoulder in a isolated manner, internal roation, external rotation, and abduction.......my apologies if the words don't make sense but type them in a search engine and it should be explained.
My concern is the fact you can't fully extend your arm and there is a length issue when you touch your finger tips......
Sometimes the long head bicep tendon is called the 5th rotator cuff muscle due to its origin, if you get a pain down your bicep this could be the problem, its important you keep taking your arm into full extension to its pain threshold.
With the length issue I would worry that you have a subluxation and not a full dislocation, did the doc examine this or is it something you found for yourself?
Just read your reply again, the Doc did not examine you so you need a qualified physio sharpish as once your shoulder goes once it increase two fold without physio input......
Edited by 996 sps on Tuesday 11th December 20:33
Thanks for this.
I actually visited a private physio on Monday morning and with some prodding and poking I've now got a full extension and subsequently equal length arms.
I had physio on the right side of my neck (I wasn't actually aware I had a problem with this until it became apparent that I could rotate my head further to the left than to the right), a small area in my back, my lower arm (extensor?) and in my shoulder. I've got much better movement now but still suffering some discomfort. I'm due to go back again in a weeks time for some further treatment but the physio doesn't expect I'll need too much treatment.
Cheers
anniesdad said:
996 sps said:
Sorry about the delay been on hols, the rotator cuff muscles support the shoulder joint as there is a mobility stability paradox in the shoulder, so due to this the ligaments of the shoulder are not strong enough to support the joint so the rotator cuff muscles help stabilise the shoulder.
The weakest position for the shoulder is 30° abducted and externally rotated this then leaves the front of the shoulder exposed so easy to dislocate.
To strengthen the rotator cuff muscles you should get some thera band and work the shoulder in a isolated manner, internal roation, external rotation, and abduction.......my apologies if the words don't make sense but type them in a search engine and it should be explained.
My concern is the fact you can't fully extend your arm and there is a length issue when you touch your finger tips......
Sometimes the long head bicep tendon is called the 5th rotator cuff muscle due to its origin, if you get a pain down your bicep this could be the problem, its important you keep taking your arm into full extension to its pain threshold.
With the length issue I would worry that you have a subluxation and not a full dislocation, did the doc examine this or is it something you found for yourself?
Just read your reply again, the Doc did not examine you so you need a qualified physio sharpish as once your shoulder goes once it increase two fold without physio input......
Hi, The weakest position for the shoulder is 30° abducted and externally rotated this then leaves the front of the shoulder exposed so easy to dislocate.
To strengthen the rotator cuff muscles you should get some thera band and work the shoulder in a isolated manner, internal roation, external rotation, and abduction.......my apologies if the words don't make sense but type them in a search engine and it should be explained.
My concern is the fact you can't fully extend your arm and there is a length issue when you touch your finger tips......
Sometimes the long head bicep tendon is called the 5th rotator cuff muscle due to its origin, if you get a pain down your bicep this could be the problem, its important you keep taking your arm into full extension to its pain threshold.
With the length issue I would worry that you have a subluxation and not a full dislocation, did the doc examine this or is it something you found for yourself?
Just read your reply again, the Doc did not examine you so you need a qualified physio sharpish as once your shoulder goes once it increase two fold without physio input......
Edited by 996 sps on Tuesday 11th December 20:33
Thanks for this.
I actually visited a private physio on Monday morning and with some prodding and poking I've now got a full extension and subsequently equal length arms.
I had physio on the right side of my neck (I wasn't actually aware I had a problem with this until it became apparent that I could rotate my head further to the left than to the right), a small area in my back, my lower arm (extensor?) and in my shoulder. I've got much better movement now but still suffering some discomfort. I'm due to go back again in a weeks time for some further treatment but the physio doesn't expect I'll need too much treatment.
Cheers
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