The demands of modern day life, including repetitive work, the use of mobile devices and driving can place prolonged loads on our neck and shoulders. This often manifests as pain in the shoulder blade and ribs, experienced as tension, stiffness and aching.
Impingement Syndrome and rotator cuff tears
The rotator cuff is a group of four muscles which compresses the ball at the top of the arm into the socket of the shoulder blade, allowing the ball of the arm to remain centrated in its joint throughout its range of movement. The loss of integrity of this movement pattern, along with repetitive movements such as those experienced in tennis shoulder pain, can cause impingement of muscle tendons, leading to degeneration of the tendon called tendinosis. Prolonged degeneration along with poor healing leads to tearing of the tendon. You will experience pain in the affected shoulder with specific movements, particularly in elevated positions. A tear can be partial or full thickness.