Rotator Cuff Symptoms Sleep Disorders
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- Опубліковано 21 лют 2024
- Dr. Ebraheim explains in his video that rotator cuff injuries can lead to sleep disorders. The rotator cuff is a group of tendons and muscles surrounding the shoulder joint. Rotator cuff injuries can cause pain, weakness, and limited mobility in the shoulder. These symptoms can make it challenging to find a comfortable sleeping position. People with rotator cuff injuries often have trouble sleeping on the affected side and may have to sleep on their back or stomach. Additionally, pain and discomfort can disrupt sleep, leading to insomnia and other sleep disorders. Dr. Ebraheim advises seeking medical attention if you are experiencing symptoms of a rotator cuff injury, as early treatment can prevent further damage and improve the patient's chances of full recovery.
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The rotator cuff, comprising four muscles - the supraspinatus, infraspinatus, teres minor, and subscapularis - plays a pivotal role in the function and movement of the shoulder. When afflicted with rotator cuff disease, characterized by tears ranging from partial to complete, patients often experience significant shoulder pain, particularly during overhead activities and, notably, at night. This nocturnal discomfort is not only a hallmark symptom but also a significant disruptor of sleep, leading to a cascade of potential health consequences.
The Anatomy of Discomfort
Rotator cuff tears, whether due to degeneration or trauma, manifest as a painful and weak shoulder, predominantly over the deltoid area. The pain, which intensifies with overhead motions, significantly impairs the active range of shoulder motion, particularly in abduction, confining the arm's elevation to below 90 degrees. Notably, this restriction in motion remains despite interventions like lidocaine injections, a phenomenon known as pseudo paralysis.
The Nighttime Ordeal
A staggering 90% of patients with rotator cuff tears report experiencing pain at night, which is a critical indicator of the disease's severity. This nighttime pain is a crucial factor leading many patients to consider surgery, as it significantly impairs sleep, causing them to suffer from sleep disturbances. The lack of quality sleep is not just about physical discomfort but extends to profound emotional, behavioral, and cognitive effects, including anxiety, depression, and concentration difficulties.
Investigating Sleep Disruption
The intriguing aspect of rotator cuff disease is the lack of correlation between the severity of the tear and the intensity of pain or the degree of sleep disturbance. This observation suggests that other factors might be at play, influencing the relationship between rotator cuff pathology and sleep quality. Research indicates that factors like gender, depression, obesity, diabetes, low back pain, and cervical spine involvement might interact in complex ways to exacerbate sleep disturbances in affected individuals.
The Role of Sleeping Position
One hypothesis is that sleeping position might influence subacromial pressure, affecting blood flow to the rotator cuff and, consequently, pain levels and sleep quality. Different sleeping positions, such as supine, prone, or lateral decubitus, might vary in their impact on the rotator cuff, potentially explaining why some patients experience more pain and sleep disruption than others.
Towards Understanding and Intervention
The relationship between rotator cuff disease and sleep quality is complex and multifaceted. Understanding this interplay is crucial for developing effective treatment strategies that address not only the physical symptoms but also the broader health implications of disrupted sleep. Whether through surgical intervention, physical therapy, or lifestyle modifications like adjusting sleeping positions, the goal remains to alleviate pain and restore the quality of life for those suffering from rotator cuff disease.
The computer AI focused on sleep disorders from a rotator cuff injury. It should focus on the use of your arm! I know, I am human and have a massive tear from motorcross crash 20 years ago (complete dislocation, like a chicken bone) and a massive smash to the same shoulder 4 years ago in a motocross crash. I can still ride, that is what matters to me, not my sleep. I just do not sleep on it. I sleep fine. Surgery is always the last case scenario. Strengthen your muscles and learn your body's core, that is what matters. Eat zero pasteurized food, steam all natural foods and live your life I am 6'5" and solid muscle and blessed. I feel bad for all the people who do not get that they are a personality/soul inside that human body. Take care of it. Tom
Hello sir
This channel is one of my best channels and it is my refference.
Very short and informative.
Thank you.🎉❤😊
Thanks
Such a thorough presentation! Thank you
Thanks
This is incredibly helpful. It also gives me hope to know that the severity of the sleep disturbance I experience is NOT related to severity of the multiple tears in both shoulders. So that surgery is not necessarily an immediate or foregone conclusion. I can learn to manage the sleep pain and disturbance and continue activities as much as possible.
That is good information. I have shoulder issues and just went through rotator cuff and bicep tendon surgery in December and I enjoy reading about it. Thank you for sharing with all of us.
Thank you
Hello , Sir I am from India I always liked your vdos for me u r the most knowledgeable person , I respect you Sir. 🙏
Thanks
I had this injury 1984 its now 2024 it never healed
Its so painful i had alot of steriod injestions which where more painful i didnt get surgery they said it will heal but it didnt
Respected Dr,
I am 47 Yr old male, faced one shoulder injury while Bowling with Rt hand in cricket sport 23 year back. At that moment of time following Right hand bowing Unfortunately I have got my Left hand rotation nearly 360 degree without proper control & Training.
Sir... Terrible pain created by me at that time still being experienced by me due to Recurrent Dislocation of Lt shoulder. As I haven't
consulted a doctor because of fear.
Sir, ur presentation is very good but created much more fear now. I have experienced nearly nearly 55 times of shoulder dislocation mostly whenever my Left Hand is at 'abduction' position on my activities of life.
If possible please guide me sir. 🤔😱😭