Rotator Cuff Tendinopathy

Rotator cuff tendinopathy is a common shoulder overuse injury, frequently seen in musicians.

This condition is particularly common among those who play shouldered instruments such as the violin, viola, or flute. Any instrument requiring a sustained elevated shoulder position—whether bowing or not—can place extra load on the shoulder girdle. If your rehearsal or gig schedule suddenly increases, and you begin playing more often or for longer durations than usual, you may develop tendinopathy in the shoulder.

To treat tendinopathy, it is essential to assess your training load and implement a strength program. Treatment may also include manual therapy to relieve tension in other areas, such as the upper back. Improving thoracic mobility can reduce strain on the shoulder. Additionally, a personalised strengthening plan helps the shoulder adapt to the demands of your practice and performance schedule.

The best approach to rotator cuff injury is early intervention. If you start feeling unusual fatigue, tightness, or pain, don’t ignore it. Recognising symptoms early allows for simple, short-term solutions that prevent more serious injury or prolonged rehabilitation.

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