Rotator cuff tendinopathy & CNS considerations | our new paper in press here ow.ly/20Tpy3
Similar to any injury that persists we must ask ‘why?’ and seek the mechanisms that underpin the on-going experience of pain and altered movement that come hand in hand. One mechanism that has been identified is central sensitisation – see here. In this paper (in press), we consider the role of the central nervous system in rotator cuff injuries, a problem that is often painful and can persist.
Rotator cuff injuries & shoulder pain are common persisting injuries
Chronic injuries require a different approach to treatment and training. As well as improving the health and mobility of the tissues, we must look at the reasons why the body and brain continue to protect the area. Modern pain science has revealed a range of reasons why pain continues including sensorimotor incongruence, central sensitisation, changes in specific cell activity in the brainstem, mechanisms as a result of nerve injury and inflammation, neurogenic inflammation, beliefs about pain, fear of movement and stress to name but a few. These factors are revealed in a detailed assessment with the subsequent creation of a tailored treatment and training programme to tackle the problems at source.
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Specialist physiotherapy in London for chronic pain, persisting pain and injuries: clinics in Chelsea | Harley Street | Temple | New Malden