For scapular upward rotation to occur, scapular downward rotator musculature must lengthen. If scapular downward rotation muscles are tight, they might not be flexible enough to allow for scapular upward rotation, thereby causing shoulder impingement syndrome to occur.
Manual therapy treatment for a pathologic rotator cuff tendon depends on which tendon is affected and the specific pathology of the tendon.
Self-care for the client/patient with rotator cuff pathology depends on the specific muscle that is affected and the specific pathology that is present.
Signs and symptoms of rotator cuff pathology include pain, joint crepitus, weakness, and decreased range of motion when moving the shoulder (glenohumeral) joint.
The two most common types of rotator cuff pathology are rotator cuff tendinitis and rotator cuff tear, most often of the supraspinatus and infraspinatus.