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Treatment of Joint And Muscle Problems
Joint Dislocation Treatment
Knee Care Procedures
Joint Replacement Surgery
Arthritis And Pain Management Treatment
Treatment of Joint Dislocation
Treatment Of Disk Slip
Ligament Reconstruction Surgery
Joint Pain Treatment
Treatment of Hearing Disorders
Frozen Shoulder Physiotherapy
Treatment Of Meniscus Injury
Cervical Traction Procedure
Treatment of Shoulder SLAP (Tear) Lesions
Elbow Replacement Surgery
Rotator Cuff Injury Treatment
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Patient Review Highlights
A nagging achy pain in the shoulder is something that all must have experienced, especially aged people. Some choose to ignore it while for others, the pain may be so debilitating that it interferes with daily routine considerably. Making an appointment with an expert orthopedic doctor should be your priority. Meanwhile, here are some easy to follow tips to manage shoulder pain:
- Applying ice- Shoulder pain is normally caused due to inflammation of the tendons, and since ice is the natural reliever of inflammation, you can get some relief with the application of ice. It can slow down blood flow to the affected region and thereby reduces the pain. You should apply ice for about 20 minutes and try to keep your shoulders at an elevated position.
- Paying attention to the neck- It is no surprise that the shoulders and neck are closely positioned, and they always have an impact on each other. Sometimes, shoulder pain is caused by neck pain, and both of them can be relieved by practicing gentle neck stretches at home. You should also replace old mattress and pillows and opt for thicker pillows for the desired level of support.
- Keeping the elbow by your side- This could aid to your aching shoulders. You may use an armrest or arm sling in case of extreme pain in the shoulders. But it is worthy of mention here that using this equipment for long hours is not at all recommended.
- Relieving stress- The most effective means of treating shoulder pain is to get to the root of the problem. Stress may be the cause of your shoulder pain, and therefore, you should allow some rest to the shoulder by refraining from exercise and physically strenuous activities. You should also try to review your daily activities such as sleeping positions, motions, and habits that may have an adverse impact on the shoulders.
- Warming up- You may use a heating pad to keep the shoulders warm and do some gentle exercise if it doesn’t cause any discomfort. This will warm up the muscles for a wide range of activities and improve circulation.
- Strengthening the rhomboids- The muscle located in between the shoulders is termed as rhomboids. These muscles are essential for normal shoulder movements, and it is important to keep them stronger to hold the shoulders in the right position and support the weight of the arms and perform pushing and pulling effectively.
Experiencing shoulder pain is an issue, but with these effective measures targeted at relief, you may manage it easily and take part in all the activities that you love to.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Anyone can get shoulder pain, and the cause might be simple to serious. You may get shoulder pain because of minor injury, carrying too much weight on the shoulders, poor posture, and any underlying health condition. Sometimes the pain comes and goes on its own without any need of taking medicines, but at times, it becomes difficult to treat them.
Conditions which may lead to shoulder pain may include rotator cuff disorders, instability of shoulders, frozen shoulder, broken arm, broken collarbone, and acromioclavicular joint problems.
The following are a few common causes-
1. Rotator cuff disorder:
A rotator cuff is a group of tendons and muscles which surround the shoulder joint. Tendons are hard and rubbery cords that link muscles to bones. The rotator cuff holds the joint in the right position so that it can move in a desired and controlled way. There are different types of rotator cuff disorder, and each of them leads to various symptoms. But common aspects of the problem include:
- Pain which starts worsening during activities involving the arm above shoulder level. This may include brushing the hair.
- Pain occurring on the front side of the shoulder which tends to worsen during the night
- Ache that occurs on the front and side of the shoulder
Different types of rotator cuff disorders and their characteristics are as follows:
- Tendonitis and bursitis- Tendonitis refers to the swelling of tendon while bursitis is inflammation of the bursa. Bursa is the fluid-filled sacs that are typically placed on the joints and in between bones and tendons.
- Tears- A torn tendon or muscle cause possible weakness and severe pain in the arm and shoulder. Some people also feel a popping sensation when they move the shoulder.
2. Shoulder instability
The shoulder is a type of ball and socket joint and shoulder instability takes place when the ball part of the shoulder fails to fit in correctly in the socket. It can range from catching or slipping feeling to total shoulder dislocation where the ball entirely comes out of the socket.
3. Frozen shoulder
Also referred to as adhesive capsulitis, frozen shoulder is a painful and persistent stiffness present in the shoulder joint. This makes it very difficult for carrying out the full range of normal shoulder movements. Frozen shoulder takes place when there is swallowing, thickening, and tightening of the flexible tissue which surrounds the shoulder joint. This doesn’t allow enough space for the upper arm bone or humerus in the shoulder joint and makes shoulder movement painful and stiff. A person affected with frozen shoulder may find it difficult to carry out the daily chores such as driving, exercising, and sleeping in a comfortable position. Some people may find it absolutely impossible to move their shoulders at all. The symptoms of frozen shoulder can vary to a great extent, but it starts advancing at a gradual pace.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Elbow pain and discomfort can be an outcome of a myriad of reasons. Thus, the symptoms of an elbow pain may differ depending on the factor or the medical condition causing the pain. In most of the cases, an elbow pain restricts the movement of the arm affecting a person's ability to lift things or to hold onto something.
- The elbow pain may also be associated with stiffness, and swelling in the elbow joints (often seen in people with Arthritis of the Elbow).
- In some, the elbow pain may be such that a person is unable to open a door, straighten the wrist. They face difficulties in even making a fist, (common in people with a Tennis Elbow).
- In the case of Cubital Tunnel Syndrome, in addition to the elbow pain, there may be weakened hand grip and muscle wastings. The weakness may also affect the ring finger as well as the little finger. In extreme cases, there may be a claw-like deformity affecting the hand.
- In people with the Ulnar Collateral Ligament (UCL) injury, the associated symptoms may include pain mainly concentrated in the inside of the elbow. Further, there may be irritation of the ulnar nerve resulting in numbness in the little as well as the ring finger. The elbow may also appear to be unstable.
- Like the UCL injury, the Little League Elbow may cause pain, swelling, and stiffness on the pinky side of the elbow (inside of the elbow).
To evaluate and determine the exact cause of the elbow pain, a doctor may carry out the following diagnostic tests.
- Blood tests: In the case of arthritis, a blood test may help in a more accurate diagnosis.
- A doctor may also perform some imaging tests such as
- An X-ray of the elbow.
- A CT Scan and an MRI to see if there are any damages or injury to the ligaments, cartilages or tendons.
- A bone scan may come in handy in the case of stress fractures.
The treatment for elbow pain primarily depends on the condition that triggers it.
- In the case of arthritis of the elbow which causes pain and inflammation, the use of Nonsteroidal anti-inflammatory drugs (NSAID), analgesics and corticosteroids provide great relief from the associated symptoms.
- Many people with elbow stiffness (there is a weakness, with people unable to even bend or straighten the elbow) benefit from physiotherapy which goes a long way to relieve the pain and strengthen the elbow.
- PRP (Platelet-rich plasma) injections may be used to treat elbow pain. The blood of the affected person is collected and centrifuged to obtain the platelet-rich plasma. The platelets are then injected into the affected site to speed up the recovery process.
- The use of cold compress and painkillers can also help to reduce the pain and the swelling. For better results, follow this with a hot compress.
- In extreme cases, a person may need an elbow surgery to treat the diseased condition. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Shoulder pain while lifting overhead objects might be a result of strenuous activity involving tendons impinging bones of the shoulder. Impingement syndrome is also called swimmer’s syndrome.
What causes it?
It is caused by activities involving tendons and bones of the shoulder, for example strenuous activities, such as swimming, tennis and gym activities involving muscles of the shoulder. Even reaching for overhead objects and painting might aggravate impingement syndrome. If not treated at the right time, the syndrome might become extremely painful as the tendons begin to tear.
General pain in the shoulder is one of the most common symptoms, especially while reaching for overhead objects or using shoulder and arm muscles in general. If it occurs for a prolonged period of time, then it might actually lead to a tendon tearing and leading to a rotator cuff tear. This would overtime lead to decreased ability to use the arm muscles and the bicep muscles might tear as a result of prolonged negligence, despite swimmers syndrome. A doctor would recommend a physical exam and x-ray to rule out possibilities for bone abnormalities and arthritis.
How to prevent and treat it?
Those who have extreme shoulder pain and have been diagnosed with swimmer’s shoulder are referred to a physiotherapist with whom, regular sessions help restore mobility of the affected areas. The physiotherapist recommends the patient numerous stretching exercises to practise, preferably under a hot shower. In addition to physiotherapy, a doctor will prescribe powerful painkillers which have to be administered orally on a regular basis.
These oral painkillers have to be taken under the guidance and prescription of a doctor as they will have a host of side effects such as acidity and should be taken post meals. In case of ineffectiveness of orally administered painkillers, cortisone based injections might be given, but it is a double-edged sword as the effectiveness of these injections decrease over time and it might make the muscles and tendons weak. If you wish to discuss about any specific problem, you can consult an Orthopedist.
Osteoporosis wreaks havoc in many senior citizens, especially women. This is a disorder that systematically weakens the bone and can fracture the spine and the hip. If not treated early, it poses a serious threat to mobility. While medicine is a prerequisite to treating this condition, exercise goes a long way in helping patients of osteoporosis. Regular exercise can improve balance and strengthen the muscle. This being said a doctor should be consulted for a fitness assessment and bone density test before going ahead with any exercise routine.
What is the right exercise for you?
Exercises are recommended depending on the degree of osteoporosis a person is suffering from. Some exercises may not be suitable for a person while some can greatly help. It is therefore suggested that a doctor or physiotherapist is consulted before starting any exercise. Here is a list of exercise that doctors often suggest:
- Strength training: Strength training aims at strengthening the spine and other muscles. It includes the usage of free weights and lifting own body weight. In case the exercise involves the usage of weight machines, utmost care should be taken to ensure that the spine does not get twisted. Resistance training, on the other hand, should be designed in such a way that it fits the tolerance and ability to cope up.
- Flexibility exercises: When the joints are allowed to go through the range of motion, it helps in muscle function. Stretching, for instance, should only be done when the muscle is warmed up. Care should be taken that stretching is done gently which is devoid of any bouncing. The spine should not be flexed. Any exercise that demands to bend towards the waist should also be avoided. An experienced physiotherapist should be able to suggest which stretching exercise is suitable for patients with osteoporosis.
- Aerobic training: Aerobic training necessarily means that the bone supports the body weight. This exercise helps the bone from mineral loss and is good for body balance strength and flexibility. Some aerobics that can be easily performed by patients with osteoporosis include dancing, stair climbing, cycling and walking. These exercises also help in blood circulation and cardiovascular diseases.
- Exercises you must avoid: High-impact body activity exercises such as jogging, jumping and running should be strictly avoided in order to avoid bone fracture and weaken muscle. Unlike exercises with controlled movements, these exercises can twist the spine and cause severe immobility in movement.
- Twisting: For patients with osteoporosis, an exercise that involves forward bending resulting the waist to come down should be avoided. Exercise such as this can cause compression fractures leading to restriction in physical movement for a temporary to longer duration. Any sort of bending and twisting, therefore, should be avoided. If you wish to discuss about any specific problem, you can consult an Orthopedist.