Contents
Diagnosing Rotator Cuff Tendinopathy: What Tests Are Involved?
Published: Aug 28, 2024
Understanding the diagnostic process for rotator cuff tendinopathy can help you get the right treatment faster.
Physical Examination
A thorough physical examination is the first step in diagnosing rotator cuff tendinopathy. Doctors look for signs like muscle atrophy, range of motion limitations, and perform specific tests like the Neer and Hawkins-Kennedy tests to identify shoulder impingement.
Imaging Tests
Imaging tests, such as musculoskeletal ultrasound and MRI, are often used to assess the severity of tendon damage. Ultrasound is particularly useful for real-time evaluation and is considered the gold standard for diagnosing tendon issues.
Lidocaine Injection Test
For distinguishing between tendinopathy and tendon tears, a lidocaine injection test can be employed. This involves injecting anesthetic into the shoulder, and observing if pain relief also results in improved muscle strength, indicating tendinopathy rather than a tear.
Frequently Asked Questions
A physical examination is the first diagnostic step.
Ultrasound and MRI are commonly used imaging tests.
It differentiates between tendinopathy and tears by assessing pain relief and strength.
It's real-time, non-invasive, and considered the gold standard for tendon issues.
Final Thoughts
Accurate diagnosis through these tests is crucial for effective treatment of rotator cuff tendinopathy.
References
- Hegedus EJ, Goode AP. Physical examination tests for the shoulder. Br J Sports Med 2012; 46:964.
- Teefey SA, Rubin DA. Ultrasonography of the rotator cuff. J Bone Joint Surg Am 2004; 86-A:708.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
AI Doctor Visit Required
Appointments available 24/7
Top licensed doctors
Available in all 50 states
Full service care
Prescriptions, referrals & treatment
No insurance needed
All notes available in Doctronic
15-min consultation. No hidden costs.
AI Doctor Visit Required
Please Chat With Our AI Doctor First
Our AI doctor assessment helps our human doctors prepare for your video visit and provide better care
For safety reasons we have been forced to end this consultation.
If you believe this is a medical emergency please call 911 or your local emergency services immediately.
If you are experiencing emotional distress, please call the the Suicide & Crisis Lifeline at 988 or your local crisis services immediately.
Contact us
You can also email us at help@doctronic.ai
We aim to reply within 5-7 days
How likely are you to recommend Doctronic to friends or family?