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Sports Physiotherapy/Sports Medicine
This is the Sports Physiotherapy discussion forum. This is the place to post all your questions, suggestions and/or words of advice on topics of a sporting nature.

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Old 15-02-2006, 11:45 PM
max87
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tendinosis of the rotator cuff

I was wondering if anyone could tell me whether it would be of any benefit to use T.E.N.S on tendinosis of the rotator cuff?
Thanks.
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Old 16-02-2006, 12:41 AM
Physiobase Physiobase is offline
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Not really. TENS is basically a device used to mask pain. Tendinosis is a more chronic deterioration of the tendon structure. Using tens might, and I stress "might", give some short term pain relief but that is about it.

You need to look at why the tendinosis is occuring. Is there a subacromial impingment? Is this due to overactivity of some type? Are the mechanical considerations like reduced thoracic extension, tight pectorals and subscapularis, overactive upper trapezius/deltoids, clavicular head of prec major etc etc. Add to that cervical spine mobility....

After addressing the biomechanical issues and balancing the musculature the you can see where you are. This might then lead to some diagnostic work to look at the entent of the remaining issue. There are numerous options at that stage but one thing at a time. The important thing to remember is that a tendinosis takes a long time to develop and it is only at late stages that it becomes painful. So this means the pain won't go away completely over night, even if the correct approach is being used.
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