OVERVIEW OF SHOULDER PAIN

The shoulder has a wide and versatile range of motion. When something goes wrong with your shoulder, it hampers your ability to move freely and can cause a great deal of pain and discomfort.

Shoulder pain impacts up to 5% of the world’s population and is a common condition that arises from muscles, tendons, ligaments, cartilage, bursae, and joints of the shoulder. Accurate diagnosis and focused treatments are critical to aid complete recovery from shoulder pain.

By employing the appropriate treatment, you can relieve yourself from shoulder pains so that you can move freely and do the things that you enjoy without worry.

WHAT CAUSES SHOULDER PAIN?

  • Rotator cuff tendinitis and tears

Your rotator cuff holds your arm in place and lets you lift your arm up overhead. You can damage it through overuse or in a fall. It also deteriorates as you grow older. Signs that you might have a tendinitis and tear include pain when lifting or lowering your arm, weakness when rotating your arm or a crackling noise when moving your shoulders. If left untreated, a rotator cuff tear can severely restrict function and range of motion.

  • Frozen Shoulder

Your shoulder might “freeze” because pain or surgery have made you use it less, allowing the adhesions to build up. It also occurs without any reason or after injury to the rotator cuff. The main symptoms are pain and stiffness that make it difficult or impossible to move your shoulders. Frozen shoulder can cause loss of mobility and limited range of motion.

  • Impingement

This happens when the tendons of the rotator cuff get pinched in the bones of the shoulder. If you lift your arms over your head a lot, it can set this off and cause swelling and pain. The main symptoms are pain in the top and outer side of your shoulder, pain that’s worse when you lift your arm, pain or aching at night or weakness in your arm. If left untreated, impingement can lead to tendinitis or bursitis and rotator cuff tears.

  • Bursitis

The bursa can get swollen and irritated if you repeat the same motions over and over again. But it can also be caused by a fall or another injury. If you have bursitis, you may have discomfort when lying on your shoulder, pain that gets worse when you lift your arm, pain when opening a door or pain when circling your arm. If left untreated, bursitis can permanently limit of inhibit movement of the shoulder.

 

What are the symptoms of Shoulder Pain?

  • Intense shoulder pain
  • Inability to use shoulder
  • Limited range of motion
  • Swelling of the shoulder
  • Arm or hand is weak or numb
  • Shoulder joint looks deformed

 

What are the treatment options for Shoulder Pain?

  • Musculoskeletal Ultrasound Imaging

Musculoskeletal Ultrasound is the first line imaging for soft tissue injury of the shoulder. It is able to diagnose all tendinosis and tears of the rotator cuff of the shoulder joint and bursitis. It can also investigate for impingement syndrome, look for features of frozen shoulder and examine for musculotendinous tears.

  • Conservative therapy such as physiotherapy and rehabilitation

Physical therapy can help to reduce the pain, swelling, and stiffness. There are two main types of physical therapy—passive and active treatments. Physical therapy, though effective, has a long road to recovery and may not be suitable for those who are seeking quick and effective solutions to help you get back on your feet in no time.

  • Regenerative injection

Regenerative injections of the shoulder include PRP for supraspinatus tendinosis and partial tears with very good reduction in pain and improvement in function of more than 80% usually. Steroid can be injected for subacromial bursitis. Hydrodistension and injection with steroid is done by special technique for frozen shoulder unlike most centres and the results are rapid with immediate improvement in function and range of movement of the shoulder.

Read More About Regenerative Injections

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