shoulder pain conditions that limit movement are common, and are caused by problems with the shoulder joint and surrounding structures. Your shoulder is more prone to injury than other joints because of the broad range of motion and you need to know how to deal with the pain.
Some facts. Approximately 13.7 million people went to the doctor’s office in 2003 for a shoulder problem, including 3.7 million visits for shoulder and upper arm sprains and strains. (Source :. National Center for Health Statistics; Centers for Disease Control and Prevention National Medical Ambulatory Care Survey 2003)
One of the best ways that you can avoid injuries is to stay fit physically, through a balanced program of aerobic exercise, stretching and strengthening exercises for your entire body. There are a variety of training programs available from local fitness centers, online services and even download to an MP3 player or iPod.
There are some conditions that usually cause pain and limit movement of your shoulder joint and you need to know what they are to effectively address the issue of your shoulder pain:
1. Disorders of the rotator cuff
Pain and Inflammation can be caused by general wear and tear that occurs with age, activity that requires constant or repetitive motion of the shoulder (especially above the shoulders), weight lifting, trauma or poor posture. serious injury and inflammation of the tendons untreated can cause the rotator cuff to tear resulting in pain.
Pain associated with rotator cuff problems is usually felt in the front or outside of your shoulder, especially when you raise your arm or lift something above your head. You may also notice more pain when lying in bed. Severe injuries can cause shoulder muscle weakness, limited shoulder motion and pain constantly.
2. rotator cuff tears
This is usually the rotator cuff tendon (a thick band of tissue that connects muscle to bone) tear it, but sometimes tears occur in the muscle. Severe injuries can cause some tendons and muscles to tear. There is a special movement tests that doctors can use to help determine which of the muscle or tendon was torn.
3. Frozen shoulder
frozen shoulder pain is characterized by progressive pain and stiffness in the shoulder. The pain is felt deep within the shoulder joint and may be worse at night due to inactivity.
The exact cause of this condition is unknown, but sometimes develops following other shoulder injuries. Resting a painful shoulder injury for too long can cause the muscles of the shoulder and stiff connective structure, so when a shoulder injury occurred trying to stay loose without putting much strain on it.
Frozen shoulder can develop spontaneously, especially if you have thyroid problems or diabetes appears to increase the risk. Most people with frozen shoulder tend to boost among a pair of years, with or while not treatment. In the interim, but it can be very painful.
4. dislocated shoulder and shoulder instability
A disjointed shoulder that appearance distorted or out of place, and there is also swelling or bruising round the joint.. Your shoulder movement will be severely restricted. Your doctor usually can put the shoulder bone back into place using gentle maneuvers.
If you suffer dislocation, keep in mind that sometimes the shoulder joint becomes unstable and prone to recurrent dislocation. It causes pain and unsteadiness after you raise your arm or move it far from your body.. Your shoulder may feel as though it is slipping out of place when you lift your arms above your head.
5. Arthritis
Arthritis causes progressive joint pain, tenderness, swelling and stiffness.. Both rheumatoid arthritis and osteoarthritis will affect the shoulder joint. Sometimes shoulder pain can be caused by problems in the neck or a mixture of several different problems. A visit to the doctor is almost always necessary when it comes to a shoulder problem because in rare cases, shoulder pain can be caused by infection, problems with nerves, or tumors located elsewhere in your body.
As with any medical problems, shoulder problems are generally diagnosed using a three-part process:
o Medical History – you tell your doctor about an injury or other condition that may cause pain.
o Physical examination – Check your physician by feeling the wounds and to find the limits of movement, location of pain, and the degree of joint instability.
o Test – Your doctor may order one or more of the tests for you are listed below to make a specific diagnosis.
what tests area unit required to see the reason for your shoulder pain?
Your doctor will determine the cause of your pain based on symptoms and a physical examination. Where the pain is felt, both at rest and when moving the shoulder, a clue to the cause of shoulder pain. Your doctor will also test your shoulder strength and range of motion in your shoulder joint.
You may need X-rays or other scans, such as ultrasound or MRI scans. Sometimes, an arthroscopy is required. In this test, your doctor can look into the shoulder joint using a small telescopic instrument that has a camera on the end. It is not painful as it sounds.
How is your shoulder pain will be treated
In addition to relieving pain, treatment is aimed at restoring mobility in your shoulder joint. Treatment options depend on the extent of the problem and the level of your shoulder pain.
Pain such as non-steroidal anti-inflammatory drugs (NSAIDs) are often used as an initial treatment for shoulder pain. Ibuprofen is the best and Aspirin should be avoided.
Another simple way reduces shoulder pain is to apply a cold compress on your shoulder for 10 minutes at a time three or four times a day. cold packs to reduce inflammation, and most useful when applied for the first few days following a shoulder injury. After that, you can switch to using hot packs; intermittent application of heat can help relax the muscles of the shoulder.
A heat pad which is used at night when sleep will keep the shoulder from stiffing up.
You have to rest your shoulder for a few days after the injury, and if you have dislocated your shoulder, you may need to rest your arm in a sling or splint for several weeks after the joint has been manipulated back into place.
However, with most of the shoulder problem that’s not a good idea to rest for too long. While you should avoid strenuous activity and lifting heavy objects, you have to keep moving your shoulder to help make sure that you get back the full use of the joint. By returning to your normal activities as soon as possible (within the boundaries of disability and pain), you can help prevent shoulder joint of stiff up.
Physiotherapy can help you treat shoulder pain.
Physiotherapy can help improve your shoulder strength and flexibility as well as ease the pain associated with most shoulder problems. Physiotherapy uses a variety of different therapies, including massage, ultrasound therapy, laser therapy and electrical nerve stimulation (TENS) – therapy that uses mild electrical current to treat pain.
Recording of the shoulder joint can also help stabilize and reduce pain during activity. The doctor will refer you to a physiotherapist is good he felt the extent of the injury warrants Physiotherapy.
Physiotherapy can also teach you special rehabilitation exercises to stretch and strengthen the muscles of the shoulder rotator cuff. Exercises that increase range of motion of your shoulder helps reduce pain and stiffness that occurs after periods of immobility. Range of motion exercises can be followed by resistance training and weight training to strengthen the muscles.
Steroid injections can be effective but proceed with caution.
Depending on the cause of your shoulder problem, corticosteroid injections may be given to ease the pain in the short term. The corticosteroids, which are often mixed with local anesthetic, reduces inflammation and allows you to move the shoulder more comfortable. Make sure you understand what is involved in this kind of care for the long-term effects on your body. The jury is still out on the impact of this type of treatment.
Surgery may be necessary to treat your shoulder problem.
Since most people improve with the above treatments, only about 10 percent of people with shoulder problems will need to be treated with surgery. People with shoulder instability or rotator cuff problems that do not respond to less invasive treatments may benefit from surgery, and shoulder joint replacement may be considered for people with degenerative arthritis.
There are also some conditions that need to be treated initially with surgery, including some tears of the rotator cuff and shoulder sprains that can not be reduced (put back) with a simple manual maneuver. Sometimes frozen shoulder treated with what are known as manipulation under anesthesia. In this therapy, you will be moved gently shoulder while you are under general anesthesia to help increase range of motion and of course avoid the pain medication.
So make sure you are not self-diagnosis of shoulder problems, your doctor. Keep in mind that this is not a good idea to rest too long or will stiffen up. Use Cold and Heat intermittingly to accelerate the healing process. Avoid strenuous activity and objects of the heavy lifting, but remember to move your shoulders to help make sure that you get back the full use along with a return to normal activities as soon as possible and you will regain full use of your shoulder in a reasonable time period.
But, if you still have pain, listen, it is a signal to try to tell you something is still wrong with your shoulder.
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