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    Rotator Cuff Injuries, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Rotator Cuff Injuries, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Rotator Cuff Injuries, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook102 pages1 hour

    Rotator Cuff Injuries, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Rotator Cuff Tears

    Last few months I had several cases of rotator muscles tears and frozen shoulder.

    One was a middle aged man playing golf.

    He had a rotator cuff tear.

    The pain was relieved by direct injection of steroids.

    However the injury as I did inform him will take some time to disappear especially if he continued playing his golf.

    Another injury was another old lady who was trying to help her pregnant daughter take out her wheelchair when she felt a tear in the right shoulder area.

    She was unable to lift her arm or use her arm to wear her clothes after the injury for a few weeks.

    I also gave her a steroid injection to relieve the pain and inflammation.

    It was an obvious rotator cuff tear and would take some time to recover.

    She was given pain killer and cream for temporary relief.

    She is now able to lift her arm up 180 degrees but cannot sustained prolonged use of her shoulder.

    Another elderly patient had her rotator cuff tears surgically repaired and is practically back to normal.

    Just last Saturday 2nd May 2015 Manny Pacquiao had his fight of the century with Mayweather and is now in trouble because he did not inform the boxing porters and regulators that he had a tear of the rotator cuff muscle before the match.

    So rotator cuff muscles injuries are quite common especially in older men, women and sports people.

    Without proper treatment there will be a prolonged period of healing but eventually the muscles will be healed with or without treatment.

    It is unlikely that the muscles will not be unhealed unless it is torn again and again.

    Nowadays key holes surgeries and new methods of treatment can improve recovery from a rotator cuff injury quickly.

    Rotator Cuff Tears is a frequent medical disorder of the shoulder which is produced by the injury and damage to the rotator cuff muscles or tendon resulting in pain and restriction of movement.

    The rotator cuff muscles are made up of 4 muscles that are utilized to strengthen the shoulder and help to move the shoulder.

    Causes:

    1. Repetitive movements of the shoulder-
    Swimmers, rowers and tennis players who use repetitive movements are at higher risk of rotator cuff injuries.

    2. Heavy lifting or pulling
    Lifting and pulling an object that is too heavy or lifting in the wrong way can cause a strain or tear to the rotator cuff muscle or tendon.

    3. Normal wear and tear
    With age the blood supply to the tendons of the rotator cuff muscles is reduced resulting in degeneration of the cuff muscles and tendons.

    4. Trauma
    Injury can occur to the rotator muscles when there is a fall or direct knock to the shoulder muscles which may cause a tear in the muscles producing in tightening of the injured muscles around the shoulder joint.

    5. Poor posture.
    Slouching forward of the head and neck cause the rotator muscles to be strained leading to inflammation and tears.

    Symptoms:

    1. Pain in the shoulder when lifting the arm
    2. Pain can occur when trying to comb the hair
    3. Certain movements make the pain worse

    Signs:

    1. Apprehensive patient who holds the arm protectively
    2. Generalized tenderness of rotator cuff
    3. Limited shoulder movement

    Conservative treatment:

    1. Rest of the shoulder
    2. Pain killers such as NSAID (non-steroidal anti-inflammatory drugs) for pain
    3. Muscle relaxant to relax muscles
    4. Injection of local anesthetic and long acting steroid into the rotator cuff muscle may help to relieve pain.
    5. Physiotherapy such as shortwave diathermy and muscle traction can help to improve shoulder strength and increase muscle flexibility

    Surgery is usually indicated in Rotator Cuff Tears if the condition does improve with conservative treatment.
    A keyhole or arthroscopic repair is done to remove the torn edges of the cuff muscles and re-attach the

    LanguageEnglish
    PublisherKenneth Kee
    Release dateSep 17, 2016
    ISBN9781370780082
    Rotator Cuff Injuries, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Rotator Cuff Injuries, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Rotator Cuff

      Injuries,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2015 Smashwords Edition

      Published By Kenneth Kee at smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Rotator Cuff Injuries, Treatment and Related Conditions or in vernacular terms

      (What You Need to treat Rotator Cuff Injuries)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

      This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com/

      From which many free articles from the blog was taken and put together into 590 amazon kindle books and some into Smashwords.com eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical conditions.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Rotator Cuff Tears

      Last few months I had several cases of rotator muscles tears and frozen shoulder.

      One was a middle aged man playing golf.

      He had a rotator cuff tear.

      The pain was relieved by direct injection of steroids.

      However the injury as I did inform him will take some time to disappear especially if he continued playing his golf.

      Another injury was another old lady who was trying to help her pregnant daughter take out her wheelchair when she felt a tear in the right shoulder area.

      She was unable to lift her arm or use her arm to wear her clothes after the injury for a few weeks.

      I also gave her a steroid injection to relieve the pain and inflammation.

      It was an obvious rotator cuff tear and would take some time to recover.

      She was given pain killer and cream for temporary relief.

      She is now able to lift her arm up 180 degrees but cannot sustained prolonged use of her shoulder.

      Another elderly patient had her rotator cuff tears surgically repaired and is practically back to normal.

      Just last Saturday 2nd May 2015 Manny Pacquiao had his fight of the century with Mayweather and is now in trouble because he did not inform the boxing porters and regulators that he had a tear of the rotator cuff muscle before the match.

      So rotator cuff muscles injuries are quite common especially in older men, women and sports people.

      Without proper treatment there will be a prolonged period of healing but eventually the muscles will be healed with or without treatment.

      It is unlikely that the muscles will not be unhealed unless it is torn again and again.

      Nowadays key holes surgeries and new methods of treatment can improve recovery from a rotator cuff

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