Do you experience a cranky shoulder, especially when reaching behind your back or performing overhead movements? Shoulder internal rotation pain treatment can be a frustrating issue, but understanding the causes and available treatments can help you regain pain-free movement. This blog post will explore effective strategies for managing shoulder internal rotation pain, offering actionable information to improve your shoulder health.

Understanding Shoulder Internal Rotation

Internal rotation is a crucial shoulder movement that allows you to reach behind your back and perform various daily activities. When this motion becomes limited or painful, it can significantly impact your quality of life.

Causes of Shoulder Internal Rotation Pain

Several factors can contribute to shoulder internal rotation pain:

• Rotator Cuff Issues: The rotator cuff muscles are essential for shoulder stability and movement. Tears or tendinitis in these muscles can lead to pain and restricted internal rotation.
• Shoulder Impingement: This condition occurs when the tendons of the rotator cuff are compressed, leading to inflammation and pain.
• Internal Impingement: A specific type of impingement where the rotator cuff’s internal surface repetitively hits against the glenohumeral joint, often due to overhead movements.
• Overhead Activities: Sports or jobs involving repetitive overhead arm movements can increase the risk of internal shoulder impingement.

Diagnosing the Problem

To properly address shoulder internal rotation pain, a thorough diagnosis is essential. A healthcare professional will typically:

• Review your medical history and symptoms.
• Perform a physical examination to assess shoulder movement and strength.
• Order imaging tests like X-rays or MRI scans to identify any structural issues.

Decreased ability to internally rotate your arm and tenderness at the back of the shoulder are common signs of internal impingement.

Non-Surgical Shoulder Internal Rotation Pain Treatment

In many cases, non-surgical treatments can effectively manage shoulder internal rotation pain. Here’s a breakdown of common approaches:

• Rest and Activity Modification: Avoiding activities that worsen your symptoms is crucial for allowing the shoulder to heal.
• Physical Therapy: A physical therapist can guide you through specific exercises to restore motion, strengthen the rotator cuff muscles, and improve overall posture.
• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin can help reduce pain and swelling.
• Steroid Injections: Injections of a local anesthetic and steroid may be recommended if other treatments don’t provide relief. Steroids are effective anti-inflammatory medicines.
• Exercises: Specific exercises can improve shoulder movement and reduce pain. Examples include:
  • Supine Banded Shoulder Rotation: Lie on your back and use a resistance band to perform controlled internal and external rotation movements.
  • High Oblique Sit Shoulder Rotation: Sit in an oblique position and slowly lower your arm into external rotation, using a resistance band for added control.
  • Half Kneeling Shoulder Rotation: In a half-kneeling position, pull the band towards your body, focusing on controlling the internal rotation.
• Isometric Exercises: Holding a static contraction against resistance can help reduce pain and improve strength.

Surgical Options for Shoulder Internal Rotation Pain

If non-operative treatments are unsuccessful, surgery may be considered. Common surgical procedures include:

• Arthroscopic Debridement: Removal of damaged tissue from the rotator cuff or labrum.
• Rotator Cuff Repair: Repairing tears in the rotator cuff tendons.
• Posterior Capsule Release: Releasing the posterior capsule to improve shoulder movement.

Recovery and Prevention

Whether you undergo surgical or non-surgical treatment, following your healthcare provider’s recommendations is essential for a successful recovery. This may include:

• Adhering to a physical therapy program.
• Avoiding activities that aggravate your shoulder.
• Gradually returning to your normal activities as your shoulder heals.

Preventing shoulder internal rotation pain involves avoiding overuse, maintaining good posture, and regularly performing exercises to strengthen and stretch your shoulder muscles.

The Orthopaedic & Pain Practice: Your Partner in Shoulder Health

At The Orthopaedic & Pain Practice, we understand the impact that shoulder pain can have on your life. Our team of experts is dedicated to providing comprehensive care for various shoulder conditions, including shoulder internal rotation pain treatment. We offer a range of services, from accurate diagnosis to personalized treatment plans, to help you regain pain-free movement and improve your quality of life.

Don’t let shoulder pain hold you back. Contact us today to schedule an appointment and take the first step towards a healthier, happier you.