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Pain Management
The rotator cuff includes muscles such as the supraspinatus muscle, the infraspinatus muscle, the teres minor muscle and the subscapularis muscle. The upper arm consists of the deltoids, biceps, as well as the triceps. Steps must be taken and precautions need to be made in order for the rotator cuffs to heal properly while still maintaining function to prevent any deteriorating effects on the muscles.

Continuous Passive Motion
Physiotherapy management usually helps manage the pain, but utilizing a program that involves continuous passive motion will reduce the pain even further. Assisted passive motion at a low intensity allows the tissues to be stretched slightly without damaging them Continuous passive motion improves the shoulder range and enables the subject to expand their range of motion without experiencing additional pain. Easing into the motions will allow the person to continue working those muscles to keep them from undergoing atrophy, while also still maintaining that minimum level of function where daily function is allowed. Doing these exercises will also prevent tears in the muscles that will impair daily function further. Since injuries of the rotator cuff often tend to inhibit motion without first experience discomfort and pain, other methods can be done to help accommodate that.

Capsular Release
A surgery procedure exists where the joint of the injured area will be freed in order to achieve a full range of motion without too much pain and discomfort, speeding up recovery time and allowing the person to better perform optimally. A study conducted by Jin-Young Park investigated the benefits of using capsular release to help relieve the stiffness of the shoulders that usually come whenever there is an injury in the rotator cuff. Some of the subjects had diabetes mellitus, which can also cause shoulder stiffness, impeding external rotation of the shoulders. Of the 49 subjects recruited for this trial, 21 of them went through only manipulation to relieve stiffness, while the other 28 underwent a capsular release surgery along with the manipulation to treat shoulder stiffness. Despite the results that suggest that there appears to be no difference in external rotation between the control and treatment group, the subjects that had diabetes mellitus benefitted most from the treatment that included the capsular release surgery. Their flexion improved significantly in both forward flexion and external rotation in a short amount of time compared to the subjects that were not diagnosed with diabetes mellitus.

Orthotherapy Exercises
Patients that suffer from pain in the rotator cuff may consider utilizing orthotherapy into their daily lives. Orthotherapy is an exercise program that aims to restore the motion and strength of the shoulder muscles. Patients can go through the three phases of orthotherapy to help manage pain and also recover their full range of motion in the rotator cuff. The first phase involves gentle stretches and passive all around movements, and people are advised not to go above 70 degrees of elevation to prevent any kind of further pain. The second phase of this regimen requires patients to implement exercises to strengthen the muscles that are surrounding the rotator cuff muscles, combined with the passive exercises done in the first phase to keep on stretching the tissues without overexerting them. Exercises include pushups and shoulder shrugs, and after a couple of weeks of this, daily activities are gradually added to the patient’s routine. This program does not require any sort of medication or surgery and can serve as a good alternative. The rotator cuff and the upper muscles are responsible for many daily tasks that people do in their lives. A proper recovery needs to be maintained and achieved to prevent limiting movement, and can be done through simple movements.