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(Shoulder Tendonitis; Shoulder Tendinosis; Bicipital Tendinopathy; Bicipital Tendonitis; Bicipital Tendinosis; Supraspinatus Tendinopathy; Supraspinatus Tendonitis; Supraspinatus Tendinosis; Pitcher's Shoulder; Swimmer's Shoulder; Tennis Shoulder)
- Tendonitis—inflammation of the tendon. (less common)
- Tendinosis—tiny tears in the tendon with no significant inflammation. (more common)
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- Repeated reaching overhead
- Repeated throwing
- Inflammation disease in the shoulder such as arthritis
- Trauma to the shoulder or fall on outstretched arms.
- Normal wear and tear associated with age.
- Age: 30 and over
Always using the arm in an overhead position or throwing motion, as in:
- Tennis or other racquet sports
- Jobs (eg, overhead assembly work, butchering, or using an overhead pressing machine)
- Pain (a dull ache) in the shoulder and upper arm
- Pain at night, especially when sleeping on the injured side
- Pain when trying to reach for a back zipper or pocket
- Pain with overhead use of the arm
- Shoulder weakness, usually due to pain with effort
- Shoulder stiffness with some loss of motion
Rest, Ice, Heat
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to manage pain (eg, aspirin or ibuprofen )
- Topical pain medicines (eg, cream, patches) that are applied to the skin
- Steroid injection into the bursa overlying the rotator cuff to decrease inflammation
- Physical therapy to strengthen muscles that control the shoulder
- Exercises to maintain normal range of motion
- Exercises for specific muscles that are used in sports or job activities
- Gradual return to sports and work
- Learning how to modify activities to prevent re-injury
- Do regular resistance exercises to strengthen the muscles.
- Use proper athletic training methods.
- Do not increase exercise duration or intensity more than 10% per week.
- Avoid overusing your arm in an overhead position.
- Alter job duties to avoid overhead activity.
- Do not ignore or try to work through shoulder pain.
American Academy of Orthopaedic Surgeons http://www.aaos.org/
The American Orthopaedic Society for Sports Medicine http://www.aossm.org
Canadian Orthopaedic Association http://www.coa-aco.org/
Canadian Orthopaedic Foundation http://www.canorth.org/
Bicpes tendinopathy. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us . Updated September 6, 2012. Accessed December 28, 2012.
Bursitis and tendonitis. National Institue of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Bursitis/default.asp . Accessed December 28, 2012.
Shoulder tendonitis. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/disorders/Tendonitis/hic%5FShoulder%5FTendonitis.aspx . Accessed December 28, 2012.
Rotator Cuff Tendonitis. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00032 . Accessed December 28, 2012.
10/26/2010 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.
- Reviewer: Michael Woods, MD
- Review Date: 11/2012
- Update Date: 11/26/2012