Cold therapy or ice therapy are used to decrease pain, and swelling and also help to relieve soreness.
Heat therapy or thermotherapy helps to increase circulation and release the toxins from the affected area.
Ultrasound therapy is used near the inflamed area of the rotator cuff, to decrease pain and inflammation.
Transcutaneous electrical stimulation (TENS):
Transcutaneous electrical stimulation (TENS) helps reduce pain and muscle tension in the scapular and shoulder areas to promote mobility.
Iontophoresis is a procedure used to drive medication to the targeted tissue. It provides pain relief with modalities and helps to maintain motion.
Sling or immobilisation:
A sling may be recommended for short-term comfort, but if used for a longer duration might cause shoulder stiffness. The elbow, forearm, and wrist should be used to strengthen them, especially during long immobilization.
Kinesio taping for pain-free ROM and joint stability is recommended.
Passive and active range of motion:
A gentle, passive range-of-motion program is recommended to prevent stiffness and maintain range of motion during the resting period. Exercises, for the anterior, inferior, and posterior shoulder, should be part of the rehab program.
These exercises permit the patient to abduct the arm by gravity, the supraspinatus remains relaxed and does not require a fulcrum.
After a painless range of motion is achieved, the patient is recommended a gentle strengthening program. Strengthening exercises gradually improve strength in the shoulder girdle by using manual resistance, elastic bands of six different colors and strengths, weights, dumbbells, or a pulley set. The program is customized according to the needs of the individual.
Mobilization of the scapulothoracic joint and posterior capsular mobilization are applied to improve the shoulder range of motion.
Soft Tissue Massage:
Soft tissue massage is a hands-on technique used for muscles and ligaments, improving the flexibility in these structures. This can help open up the posture and decrease any pinching or irritation on the rotator cuff muscle.
Stretching exercises are often indicated and applied to decrease shoulder stiffness and improve shoulder function. The physiotherapist usually focuses on improving the flexibility in the chest muscles that help move the shoulder.
Plyometric training includes catching & throwing a weighted ball. Agility training includes deriving energy from the lower extremities, transferring it through the pelvis, and releasing it through the upper extremity.