DESCRIPTION
Next to back and neck pain, the shoulder is the third most common musculoskeletal complaint encountered by manual therapists in practice. Rotator cuff problems are often characterized by pain in the shoulder that may radiate from the top of the shoulder and sometimes into the elbow. Symptoms are worse with overhead activity, sleeping on the affected side, trying to reach behind the back, and can include weakness when attempting to reach or lift. Some common rotator cuff injuries include tears, impingement, tendonitis, and bursitis (inflamed fluid filled sac that serves to reduce friction between bone and soft tissues).