The shoulder is the largest, most complex, and most mobile joint in the body. Therefore shoulder problems are become one of the most common afflictions of modern times. Fortunately, there are many ways of helping people feel better.
Four muscles and their tendons, collectively known as the rotator cuff allow the shoulder to move as it does. The rotator cuff also plays a role in stabilizing the arm bone to the shoulder blade.
But the truth is that shoulder pain doesn’t always come from the shoulder. Examples include pain referred from arthritis of the neck, diseases of the chest such as pneumonia and diseases of the abdomen like gall bladder problems can cause pain to be referred to the shoulder. Even ectopic pregnancies have caused shoulder pain.
Finally, heart conditions can also cause pain to the shoulder, particularly on the left side. Therefore a thorough examination from specialist’s physical exam is important. There are cases where patient had shoulder pain that is caused by a lung cancer. This combination is called Horner’s syndrome.”
The true shoulder pain fall into 3 categories which are;
Tendinitis or bursitis – With repetitive motion, the bursae (small fluid-filled sacs) surrounding the shoulder joint can become inflamed. This condition is called bursitis.
Injury or instability – Keeping your arms extended above your head; chronic compression, ie forcing the shoulder into its socket; muscle imbalance- if one of the muscles is extra weak, that can cause the rotator cuff to function poorly.
Arthritis – This condition is usually caused by the aging process.
There are few tips that can be used to prevent or reduce the shoulder pain such as;
Try to limit the number of overhead reaches.
If you’re wheelchair-bound, tuck your arms a bit closer to your body as you push.
Avoid repetitive motion.
Work on rotator cuff strengthening. Range-of-motion exercises are important
Use the correct posture in your daily activities.
One tip that might help if you have chronic shoulder pain and have a “frozen shoulder” is to use a broomstick for stretching and range-of-motion exercises.
Some medication treatments for shoulder pain
Oral anti-inflammatory medicines are sometimes, but not always, helpful. Patients may require a steroid injection. For people who don’t respond to medicines, injections, and physical therapy, another option is surgery. Any type of surgery should be done by a skilled shoulder surgeon. The shoulder is one of the most complex joint so make sure whoever works on your shoulder is an expert with shoulders.
A medical procedure called percutaneous needle tenotomy may make many rotator cuff surgeries unnecessary. In this procedure, a small needle is introduced using local anesthetic and ultrasound guidance. The needle is used to irritate the tendons of the rotator cuff and induce inflammation. Then, platelet-rich plasma, obtained from the patient’s whole blood is injected into the area where the tendons have been irritated. Platelets are cells in the blood that contain many growth and healing factors. This stimulates the production of new strong tendon tissue.