The US Open was so exciting to watch!  This summer saw a noteworthy number of shoulder injuries at Physiohaus from our tennis players.  A common injury associated with racquet sports is Rotator Cuff Related Shoulder Pain (RCRSP). Here is some information written by our Physiotherapy Team  to help keep you on the court.

What is RCRSP?

The rotator cuff is made up of 4 muscles that move the arm and help stabilize the shoulder joint. RCRSP is a broad term that includes rotator cuff tendinopathy, tendinitis, tendinosis, partial and non-traumatic full-thickness rotator cuff tears, impingement and subacromial pain. RCRSP is the most common shoulder condition and accounts for 50-85% of all shoulder pain.

What causes RCRSP?

Unfortunately it is not just isolated to racquet sports and often occurs with repetitive use of the arm, using your arm above your head and sudden changes in training or load. It is also more frequent as you get older with people over 40 at greater risk.

Specifically to racquet sports, other causes can be string tightness, grip size, poor technique and reduced range of motion and strength through the upper body or shoulder.  A Physiotherapy assessment can help determine potential causes of your shoulder pain.

What are the common symptoms of RCRSP?

  • Pain at rest and at night, particularly if lying on the affected shoulder
  • Pain when lifting and lowering your arm or with specific movements
  • Weakness when lifting or rotating your arm
  • Cracking or grinding sensation when moving your shoulder in certain positions

How do you treat RCRSP?

At Physiohaus,  a physiotherapist can help confirm that your shoulder pain is mechanical in nature and rule out other conditions that require additional testing and treatment. Once a diagnosis is confirmed, they can educate you about recovery time, ergonomics, what you should and shouldn’t do and how to best return to your daily activities. The physiotherapist will work with you to help manage your symptoms and help you remain as active as possible.

There is high quality evidence to show that physiotherapy treatment for shoulder pain can help speed up recovery time and may include a combination of hands-on therapy, dry needling, taping, education and exercise. Exercise therapy is the main non-surgical intervention for RCRSP and a physiotherapist will design a tailored exercise program for your rehabilitation.

How can you prevent RCRSP?

  • Increase your training volume or activity gradually
  • Give yourself time to recover
  • Do exercises to improve the strength and mobility or your upper limbs
  • Improve your technique
  • Conditioning through regular physical exercise
  • Seek help and make sure your racquet is right for you
  • If you are in the offseason, maintain your physical activity
  • Warm up and cool down
  • Cross train or mix up your exercise routine

If you read this article and are wondering about the specific factors that may be causing your shoulder pain, give Physiohaus a call.  Our clinical team is happy to help you return to the court!