Shoulder problem separations. In severe cases, surgery may be advised. These conditions are closely related and may occur alone or in combination. If the rotator cuff and bursa are irritated, inflamed, and swollen, they may become squeezed between the head of the humerus and the acromion. Repeated motion involving the arms, or the aging process involving shoulder motion over many years, may also irritate and wear down the tendons, muscles, and surrounding structures. Tendinitis is inflammation (redness, soreness, and swelling) of a tendon. In tendinitis of the shoulder, the rotator cuff and/or biceps tendon become inflamed, usually as a result of being
Rotator cuff a rotator cuff tear can include rest, ice, physical therapy, and/or surgery. A published review of 14 trials involving 829 patients found that there is insufficient evidence to demonstrate whether surgery is any better than non-surgical options. A review of manual therapy and exercise treatments found inconclusive evidence as to whether these treatments were any better than placebo, however ""High quality evidence from one trial suggested that manual therapy and exercise improved function only slightly more than placebo at 22 weeks, was little or no different to placebo in terms of other patient-important outcomes (e.g. overall pain), and was associated