Rotator Cuff Symptoms Sleep Disorders - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубликовано: 5 июл 2022
- Dr. Ebraheim’s educational animated video describes the condition of rotator cuff tears and how it affects sleeping - sleeping disorders.
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Rotator Cuff Symptoms Sleep Disorders - Everything You Need To Know
The rotator cuff is a group of four muscles that include the Supraspinatus, Infraspinatus, Teres Minor, and Subscapularis. Each muscle has its own function. These rotator cuff muscles are commonly injured or affected. Rotator cuff tears are a common source of shoulder pain. Tears of the rotator cuff may involve a single tendon or multiple tendons. A tear may be partial or complete. The patient may present with a painful, weak shoulder. The patient will also complain of a gradual onset of pain that is increased by overhead activity. The pain is localized over the deltoid muscle area. The patient may have loss of active range of motion of the shoulder. The passive range of motion of the shoulder is usually intact. The patient will have weakness of abduction and will be unable to elevate the arm above 90 degrees. If you inject the shoulder with lidocaine, there will be no improvement if the shoulder movement after the injection (pseudoparalysis).
Always check the range of motion of both shoulders to compare the shoulder movement actively and passively. It is the active range of motion the affected side will be limited. 90% of patients with a rotator cuff tear complain of night pain (shoulder pain at night). Night pain can mean that nonoperative treatment of the rotator tear may not work. It also means that patients with rotator cuff disease will have sleeping disorders. If the rotator cuff tear is traumatic, the pain can be acute and associated with sudden shoulder weakness. Sleeping disturbance is a common complaint in patients with rotator cuff tears. The patient with rotator cuff tear may not be able to sleep from the pain and this usually makes the patient want to go for surgery.
A small tear is usually up to 1 cm, a medium tear is 1-3 cm, a large tear is 3-5 cm, and a massive tear is greater than 5 cm. The rotator cuff tears can also be partial thickness or full thickness. Research found that the status of the rotator cuff does not correlate with the worst pain. For example, if you have a full thickness tear or a massive tear, it does not correlate with the worst sleep quality. So, the status of the rotator cuff did not correlate with increasing symptoms of shoulder pain or with the worst sleep quality. If the patient has inflammation of the rotator such as with the impingement or if the patient has a partial thickness or full thickness tear, all the patients have the same complaint of shoulder pain, night pain and sleep disturbance.
Worsening of the shoulder pain and sleep quality may not be clearly associated with the severity of rotator cuff disease. Some people think that there is another source of pain, and that the shoulder pain and lack of sleep is not due to the rotator cuff tear because there are a lot of patients who have rotator cuff tears and are symptomatic. The older population has a lot of rotator cuff tears and the majority of them are asymptomatic (they don’t complain about it). Full thickness and partial thickness rotator cuff tears are seen on the MRI or ultrasound in asymptomatic individuals. Its prevalence is over 55% in individuals over the age of 60 years old. The frequency of these tears increases with age.
Patients usually sleep in the following positions:
• Supine
• Prone
• Lateral Decubitus
• Supine with the shoulders abducted
Sleeping in a supine position has a lower subacromial pressure than the other positions. Increased subacromial pressure will decrease the blood flow to the rotator cuff and increase the severity of the disease. Clearly the sleeping position may affect the sleeping quality in patients with rotator cuff disease and that is why the patient may not be able to sleep on the affected shoulder due to worsening pain that is causing sleep disruption.
Is it an increased pressure in the shoulder that causes the pian and the sleeping disorder?
There are several factors that correlate with the worst sleep quality:
• Female
• Depression
• Obesity
• Diabetes
• Low back pain
• Cervical spine involvement
![3 Keys to Rehab a Rotator Cuff Tear & AVOID Surgery [UNIQUE EXERCISES]](/img/1.gif)
Life is incomplete now without watching your videos! Thanks for sharing, it helped ne a lot! Do with my son’s major in school, he came go know your channel before me. Yet, he didn’t k ow Ive been watching too. He said he learned a lot from your videos and had been applying what he kearned from you.
You are the besssssst ❤️❤️❤️. You know why because you give enough information in short time and clear concept from every angle.
Thank you for your education. This video supports many therapists,I learned many things from your video
Wow that was more than enlightening… I’m dealing with every issue. Never would have known it all works together
I love your videos Dr! Thank you so much for sharing. I’m learning a lot from your videos!
I learned a lot and applying to my mom’s case and in my future chosen career!
thanks, teacher ! stay healthy !!
Congrats for the 1M followers
Thanks for the info
God bless you for sharing your wisdom 🙏
the best quality medical information i have recieved so far, well done nabil ebraheim,
Thanks
Very nice topic. The pictures used for the partial thickness lesions is misleading. I suggest to change it.
best regards.
How bad my health is , all your videos literally apply to me . I don’t know what to do , tired of thinking
Pls don't worry, u will be fine
Go to any hospital with physiotherapy unit
Hello doc do you have some video for exercise or strecthing technique to ease and realease the pain
What about blood stagnation with inflammatory mediators during sleep?
What about the cause of impingement? What about physical therapy to get the lift the clavicle bone above the supraspinatus tendon, to to prevent any further damage?
If the MRI report said mild or moderate tear of the tendon, how serious is it ? How many cm is the tear?
Nerve impingement due to swelling from inflammation. Pressure on the bursa sac.
We don’t know our unconscious body movement during sleep. We become aware, however, when awoken in acute pain when rolling onto the affected side.
7:05 subacromial pressure and reduced gap with the clavicle .
Why would treatment only be a local injection into the bursa? Common treatment is an ultrasound guided cortisone injection into the bursa.
I have both torn rotator cuff tears. After a year and finally buring at night I'm having surgery next month .
Tell me about your symptoms please?
Did it occur to your dominant hand side first, or both at the same time as the result of an accident?
@@zakiralladutt2475 burning aching shoulder while sleeping is main symptom. After a year of that I noticed weakness. From 10 push ups no problem to not even 1 pushup without trembling arms.
@@trudyfox938 I believe its from wear and tear at the gym. Right arm first then shortly after left arm . Both cuff tears. Left was way worse so had surgery on it first 3 weeks ago. Now no pain at all and I can sleep at night. But, when that nerve block wears off after surgery it's no joke ! Hydrocodone cant mask that first day of pain that comes on about 24 hours post op. At 48 hours it calms down. Having your elbow bent in the sling so much really hurts and taking it out and letting it hang free ( like pendulum) is alot of relief when the pain is unbearable. Recovery sucks being 1 armed but it's going to worth it I can tell. I'll do the right one also this year.
👌🌹3:53 肩袖肌腱斷裂程度分類
🌹4:14 Partial-thickness vs Full-thickness tear
4:51
8:03 8:14
Is rotator cuff disease contagious
Can it cause clavicle interior rotation ?
I don't think so
HELP!!!
Where is solution sir?
I suddenly couldn't pass the basketball 🏀 accurately as good as before because a sudden pain occurs on my left rotator cuff.
I couldn't lift my left arm as easily as before, now it is stiff, i couldn't rotate my arm and raise it up straight
Are you left hand dominant?
@@trudyfox938 no... I just usually sleep facing left doc. It started when I was playing basketball, I just passed the ball and a sharp pain I felt.
@@baduder1653how r u now?? Hope it's improved?
❤❤❤❤❤❤👍👍👍👍👍👍👍👍❤
Don’t need a RUclips video to tell me that it does…
🙋.🙋
Useless video. What about a cure or a fix.