I am a licensed Physical and Manual Therapist and a Board Certified Clinical Associate with the American Academy of Pain Management. I have a private practice in Lafayette, Louisiana. It was in August of 1988 that I moved from The Netherlands. I hope this site will prove to be a useful resource to both health-care professionals and the general public. Maybe you are looking for information about Pain Management, Physical and Manual Therapy, or perhaps searching for ways to deal with the pain you, or a loved one, experiences; whatever the reason for your visit, I hope you will find my site informative, interesting and thought provoking.
The rotator cuff is a group of four muscles that are positioned around the shoulder joint. The muscles are named:
rotator cuff muscles work as a unit. They help to stabilise the
shoulder joint and also help with shoulder joint movement. The four
tendons of the rotator cuff muscles join together to form one larger
tendon, called the rotator cuff tendon. This tendon attaches to the head
of the humerus (the bony surface at the top of the upper arm bone).
There is a space underneath the acromion of the scapula, called the
subacromial space. The rotator cuff tendon passes through here.
What are the types of rotator cuff injury/inflammation?
are a number of different problems that can affect the rotator cuff and
lead to rotator cuff injury or inflammation. The most common problems
Rotator cuff tendonitis
Rotator cuff impingement syndrome
Rotator cuff tear
Rotator cuff tendonitis
Who gets rotator cuff tendonitis?
Rotator cuff tendonitis is the most common cause of shoulder pain.
What causes rotator cuff tendonitis?
cuff tendonitis is caused by irritation and inflammation of the tendons
of the rotator cuff muscles. It tends to have an acute (sudden) onset.
There is often a specific preceding injury. It can happen because of
recent overuse of the shoulder. For example, it can occur in athletes,
particularly those who participate in throwing sports. In non-athletes,
there may be a history of recent heavy lifting or activities involving
repetitive movements of the shoulder.
Sometimes the rotator cuff
tendons can become calcified. This is when calcium is deposited in the
tendons, due to long-standing inflammation. This is called calcific
What are the symptoms of rotator cuff tendonitis?
main symptoms are an acute (sudden) onset of pain and painful movement
of the shoulder. Pain is worst when you use your arm for activities
above your shoulder level. This means that the pain can affect your
ability to lift your arm up - for example, to comb your hair or dress
yourself. Swimming, basketball and painting can be painful.Also "postural stress" such as driving with your hand on top of the steering wheel and working on a computer for extended periods of time can cause pain.
exercise based program designed to promote central nervous system compensation
for inner ear deficits.
Equilibrium consists of vestibular
(internal) visual and somatosensory (external) input.
The central nervous system
integrates sensory input and produces a motor control response.
symptoms of dizziness, vertigo and balance problems.
BPPV is one diagnosis that can be
treated with repositioning technique and is resolved fairly quickly.
Vestibularpathy and balance issues are treated through adaptation,
substitution, visual motor and balance retraining techniques.
B. Klusman, O.T.
If you have any questions or know any patients that would benefit, please
contact me at 337-264-6282.
I am happy to announce the joining of Simonne Boullion Klusman, LOTR,
at Practice of Pain Management.
Simonne specializes in the administration of Vestibular and Neurological Rehabilitation.
In order to learn more about these forms of therapy,
please click the applicable tabs under this site's header.
Simonne will start seeing patients on Friday, December 20-2013
Simonne graduated in 1993 with a Bachelor of Science in Occupational Therapy
from Northeast Louisiana University.
She has since worked in inpatient and outpatient settings specializing in the treatment of neurological patients. Her training includes advanced NDT courses, splinting, hand therapy and vestibular rehab.
In July 2012, Simonne completed an additional cerification course at the
Medical Disclaimer: All information on this site is of a general nature and is furnished for your knowledge and understanding only. This information is not to be taken as medical or other health advice pertaining to your specific health and medical condition.