Shoulder Pain

Tendonitis, tendonosis, tendonopathy:

Tendonopathy can be a painful condition, and it can affect multiple tendons in the shoulder. Luckily, there are treatments available that can help. If you think you might have tendonopathy, it’s important to see a doctor or specialist who can help you get on the road to recovery.

Shoulder impingement

Rotator Cuff




This condition is characterized by too much contact between the back part of the greater tuberosity of the humeral head and the back-upper part of the glenoid border when the arm is in extreme ranges of abduction and external rotation.


  • Tendon is torn or swollen. This can be due to overuse from repetitive activity of the shoulder, injury or from age-related wear and tear.
  • Bursa is irritated and inflamed, fluid-filled sac between tendon and the acromion.
  • Bursa helps your muscles and tendons glide over bones.
  • Bursa can become inflamed due to overuse of the shoulder or injury.
  • cromion is not flat or you have developed age-related bone spurs on your acromion.

The rotator cuff is a group of four muscles and their tendons that provide strength and stability to the shoulder during motion. They are also known as the SITS muscles, named for the first letter of each muscle (supraspinatus, infraspinatus, teres minor, and subcapularis). The muscles arise from the scapula and connect to the head of the humerus, forming a cuff around the glenohumeral (GH) joint.


  • Rotator cuff injuries are most often caused by progressive wear and tear of the
    tendon tissue over time.
  • Repetitive overhead activity or prolonged bouts of heavy lifting can irritate or damage
    the tendon.
  • The rotator cuff can also be injured in a single incident during falls or accidents.


  • Be described as a dull ache deep in the shoulder
  • Disturb sleep
  • Make it difficult to comb your hair or reach behind your back
  • Be accompanied by arm weakness
  • Painful range of motion
  • Painful arch (degrees vary – generally above shoulder height)
  • Painful external rotation / internal rotation / ABDuction
  • Muscle weakness in the shoulder joint (particularly ABDuction and ER)
  • Functional impairments (difficulty lifting, pushing, overhead movements and
    movements with hand behind the back (IR)).

At Kalp Health Care, our wise and empathetic professionals take a transparent and innovative approach to ensure you receive the highest quality care, personalized to your unique health journey.

  • Comprehensive Assessment: Our expert professionals conduct a thorough assessment, which includes:
    • Patient Symptom Evaluation: We listen attentively and patiently to understand your symptoms.
    • Posture Analysis: We assess your posture to identify potential issues.
    • Physical and Functional Assessment: A comprehensive evaluation of your physical health and functionality.
  • In-Depth Evaluation: To ensure a holistic understanding, we consider various factors, such as:
    • Radiological Findings: Incorporating X-Ray, MRI, CT scans, and clinical correlation.
    • Lab Reports: Analyzing laboratory test results for a complete picture.
    • Medication History: Documenting past and current medications.
    • Medical and Surgical History: Understanding your medical journey.
    • Lifestyle Factors: Exploring lifestyle, work patterns, and daily routines.
    • Nutritional Assessment: Evaluating diet and nutrition, emphasizing fibrous foods, minerals, and hydration.
  • Personalized Approach: We believe in patient-centric care, tailoring our assessments and recommendations to your specific needs:
    • Climate Considerations: Recognizing the impact of climate on health.
    • Family History: Considering hereditary factors.
    • Daily Activity: Analyzing your daily routine.
    • Metabolic Assessment: Understanding your metabolic activity.
    • Exercise Routine: Assessing your physical activity regimen.

At Kalp Health Care, we believe in precision and personalization, our wise and empathetic approach ensures that your treatment is innovative, transparent, and, above all, centered around your unique needs and holistic health.That’s why:

Individualized Approach: Our expert team crafts unique treatment protocols for each patient.

Unique Needs: Even if two patients have a similar diagnosis, their treatments are tailored to their specific requirements.

Comprehensive Assessment: We consider not only the diagnosis but also your overall well-being, including physical, mental, emotional, and psychological health.

Holistic Care: Our patient-centric philosophy means that:

A 360-Degree View: We take into account every aspect of your health and life that may impact your well-being.

Emphasis on Well-being: Your treatment plan is designed to address not just physical pain but also your mental and emotional health.

Himanshu Dagar

I have been visiting the clinic for the past two years and my experience has been great. Dr. Kant is very knowledgeable and he treats his patients with full dedication and patience. I underwent treatment for my neck and back pain and I got relief after just a few sessions of dry needling. So, I would recommend everyone to visit KALP HEALTH CARE for any kind of physiotherapy treatment.

Nithya Santhakumar

At the age of 53, a back problem is scary when a doctor tells you that you need 10 days of bed rest or surgery! I went to Kalp expecting the usual steps of physiotherapy, but I couldn't even stand up straight or get out of bed without shooting pain. This is an example of not judging a book by its cover. Dr. Kant is a simple man but a magician when it comes to his treatment. He is passionate and positive about his treatment and knows the human body like the back of his hand. A dedicated team with Dr. Monika and Dr. Rakesh got me on my feet in just 3 days. This is the best treatment I could have asked for!

Vivek Goyal

Dr. Kant and his clinic are excellent in treating muscular and spinal issues - it's very clean and hygienic. Dr. Kant has great understanding and knowledge, quickly reaching to the root of what's wrong and able to provide Relief within a few sessions. I found a solution to my spine problem after seeking treatment from Dr. Kant - I had tried all kinds of treatments before but hadn't been able to find any relief.

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Who is a Kalp Specialist?

Dr. K. K. Kant is the Founder of Kalp Health Care, located in the sub-city of Dwarka, New Delhi.

There are trial & success methods to treat pain but as a seasoned  professionals, we know when and bhow to combine clinical reasoning with manual therapy, modalities, and recent EBP to restore mobility & rejuvenate life.

Dr. K. K. Kant has a keen interest in Ortho – Sports – Spine – Pelvic Floor – Foot field and advanced manual therapy.

Frequently Asked Questions

A rotator cuff tear may result from an acute injury, such as a fall, or may be caused by normal aging-related wear and tear with degeneration of the tendon. You may feel pain when you try to sleep on the affected side.

You may note weakness of your arm and difficulty with routine activities such as combing your hair or reaching behind your back.

If the tear occurs with injury, you may experience acute pain, a snapping sensation, and immediate weakness of the arm.

A rotator cuff tear can extend or get larger over time. This can occur normally over time, or with repetitive use or a re-injury. It is common for patients with known rotator cuff disease to have acute pain and weakness following a minor injury. This likely represents extension of an existing tear.

If you know you have a rotator cuff tear, worsening pain and decreasing strength may mean the tear is getting larger.

The majority of rotator cuff tears can be treated nonsurgical using one or more of these treatments:

  • Anti-inflammatory medications
  • Steroid (cortisone) injections
  • Physical therapy

The goals of treatment are to relieve pain and restore strength to the involved shoulder.

Even though most tears cannot heal on their own, you can often achieve good function without surgery.

If, however, you are active or use your arm for overhead work or sports, surgery is most often recommended because many tears will not heal without surgery.

Rehabilitation plays a critical role in both the nonsurgical and surgical treatment of a rotator cuff tear.

When a tear occurs, there is frequently atrophy of the muscles around the arm and loss of motion of the shoulder. An exercise or physical therapy program is necessary to regain strength and improve function in the shoulder.

After surgery, the repair must be protected from certain activities that may put healing at risk. As such, a therapist can provide a safe and progressive therapy program.

Even though surgery repairs the defect in the tendon, the muscles around the arm remain weak, and a strong effort at rehabilitation is necessary for the procedure to succeed. Complete rehabilitation after surgery may take several months or even up to a year.

It’s a common problem, but one which is rarely spoken of. Many people suffer from shoulder pain, and it can be difficult to find a solution. Thankfully, there are plenty of places to seek help. Firstly, you’re going to need to rule out any possibility of serious injury. Seek medical attention if you suspect a problem. Then, you can start to look for a physiotherapists to work on the muscles. There are also stretches and exercises which can be done. These should be practiced regularly. The sooner you start treatment, the better chance you have of success.