Theory #3: Kinesiological – poor neuromuscular control and limited scapular movement Reflex inhibition and or disuse Proper rotator cuff strengthening is essential to prevent disuse/RI MEDICAL INTERVENTION Implications of steroid injections – Anti-anabolic effect on connective tissue (Not Mark Maquire's Steroids…) Local steroids will relieve pain through inhibiting inflammatory response – may result in weakening of the injected tendon Proceed gradually with strengthening
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