Rotator Cuff Syndrome

Iontophoresis Protocol: Rotator Cuff Syndrome

The rotator cuff is composed of the supraspinatus. infra­spinatus, teres minor and subscapularis muscles. These four muscles form the musculotendinous cuff that provides stability to the glenohumeral joint. Through the action of one or all four, a rotary force causes rotation of the humerus and com­pression of the humeral head into the glenoid fossa.

Degeneration and subsequent tearing of the rotator cuff at its tendon of insertion is common and results in restriction of shoulder movement, especially abduction. The supraspinatus is most commonly ruptured at its insertion. Additionally, the anterior part of the infraspinatus tendon, the long head of the biceps, the anterior one third of the acromion, coraco-acromial ligament and the acromioclavicular joint structures are in­volved.

Rotator cuff syndrome is a common overuse injury usually caused by repetitive overhead activities (swimming, pitching. tennis) or through direct trauma. Repeated microtrauma starts a painful cycle of inflammation-edema-increased tendon vol­ume and decreased suprahumeral space.

  • Typical Dispersive Pad Sites:

    • Trapezius
    • Biceps

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IONTOPHORESIS PROCEDURE


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IONTOPHORESIS PROCEDURE

IMPORTANT: See Phoresor System and electrode instruc­tion guides for indications, contraindications, warnings, pre­cautions and directions...
PATIENT EVALUATION


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PATIENT EVALUATION

A.    Subjective: •    Patient complaint •    Location •    Onset and...
RE-EVALUATION


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RE-EVALUATION

In addition to patient's subjective reports, check for: de­creased pain, decreased tenderness to palpation at the involved tendons and...
WHY IONTOPHORESIS IS APPROPRIATE THERAPY


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WHY IONTOPHORESIS IS APPROPRIATE THERAPY

Iontophoretic drug delivery for the condition of rotator cuff syndrome provides an alternative to hypodermic injection of corticosteroids, with...


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