Jose S. Santiago M.D.

Rotator Cuff Injury Rotator Cuff Injury- any irritation or damage to any muscle or tendon of the rotator cuff muscles ( SITS) Also called Rotator Cuff Strain

Rotator Cuff Injury Classification of Rotator Cuff Injuries: 1. Grade I- stretching of the muscle fibers without any tear 2. Grade II- partial muscle or tendon tearing 3. Grade III- complete tear of a muscle or tendon

Rotator Cuff Injury Treatment: 1. Analgesics 2. Anti-inflammatory drugs 3. Physical Therapy 4. Surgery

Rotator Cuff Injury A 30 year-old man comes to the hospital with shoulder pain. It became painful because he carried some heavy weight on his shoulders. The doctor prescribed him to get physical therapy for one week.

T: Therapist P: Patient T: Hello. ________? P: I have ________ for physical therapy. T: Please wait, I will _____ your chart. You can ______. T: What __________? P: I have ______ for the past ______.

T: Therapist P: Patient T: How did the pain _____? P: Actually, I carried some _______ on my shoulder last week. From that day the night pains _____. T: What kind of _____ do you have? P: I have a severe ___ shooting through the ___. I cannot use my arm for any _____.

T: Therapist P: Patient T: Do you have any _____ pain? P: Yes. I have a _____ pain below the neck. T: Okay. It is a muscle problem. It is _____ to your shoulder muscle. P: Yes, the doctor explained about it to me. He gave _____ for 1 week to relieve the pain.

T: Therapist P: Patient T: The doctor has prescribed ______ and some ______. P: How long is the ________? T: Ultrasound therapy is for ______ and manipulation therapy is for _____. Shall we start now? P: Does it hurt?

T: Therapist P: Patient T: No. It doesn’t hurt. Don’t ____ about it. Please _____ your shoes and _____ on the bed. P: Yes sir. T: I will apply a gel on the treatment ___. Can you show me the ________? P: It is exactly on this area.

T: Therapist P: Patient T: Don’t move during the ______. In this treatment, you may not _____ any warmth or _______ sensation. If you have any ______, please _____ me. P: Okay sir.

T: Therapist P: Patient After sometime: T: The treatment is _____. Now I will ____ the manipulation. Please lie on your ____ side and move your _____ in my direction. P: Okay sir. __________? T: No. I will do it without pain.

T: Therapist P: Patient After the treatment: T: Your treatment is ___. You can get up. At home, you can ____ some ice pack _____ a day for ____ minutes. Don’t carry heavy ____ on your hand. P: Yes sir. I will ____ your instructions.

T: Therapist P: Patient P: When is my next appointment? T: You have to ___ here for ____ days. You can come back ______ at ___ for your therapy.