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Inflammation of a specific or even a general area in the shoulder joint is called shoulder rotator cuff tendonitis, also often referred to as shoulder bursitis or the more common 'shoulder stiffness'. Theoretically, there is a distinction between tendonitis and bursitis, with the former concerning inflammation of the tendons themselves, and the latter referring to the bursa surrounding the tendons getting inflamed. The shoulder joint is a complex one involving a number of muscles, tendons, ligaments and bones that attach the upper part of the arm to the rest of the body at the chest or torso.
The top of the arm bone or humerus is attached to the tip of the shoulder or acromion by a number of tendons covered by bursa, all of which together form the rotator cuff. Injury or normal wear and tear, especially in older people tends to inflame these tendons and also the attendant muscles, as a result of which the respective tissues thicken, impeding free movement. As the spaces between the bones and tendons narrow, the tendons get 'pinched' when movement is required to be made and this causes pain and stiffness.
Common symptoms associated with this condition include pain on the outer side of the arm and shoulder, with severity of the pain increasing at night. Movement of the arms to the sides and overhead becomes progressively difficult and may eventually require other's help. A proper diagnosis needs to be made before a physiotherapy regimen can be worked out, though there is also the option of surgery in selected cases.
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