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If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.
In case of middle to old age, injuries that can cause shoulder pain are:
Acromio-clavicular Joint arthritis
Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
Superior labral anterior/posterior (SLAP tear)lesion
Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:
Diagnose Shoulder Pain
Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:
X-rays: Through an x-ray one can view the shoulder in many different views.
Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.
Treatment for Various Types of Shoulder Pain
For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.
Pain relief and physiotherapy as first step If this fails then following surgical options are available
Arthroscopic debridement or repair of labrum
Biceps tenotomy or tenodesis
In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.
It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.
Always remember 'a stitch in time saves nine'
It is a chronic and a long lasting orthopedic disorder in which you witness the swelling or inflammation of one or more joints in the body. This condition is very painful in nature and it tends to deteriorate gradually. This condition usually affects elderly people and it also worsens with age which ultimately causes stiffness of the joints and limits your routine body movements.
This is a degenerative joint disorder which leads to immense pain and discomfort in the joints of the body. This is one of the most serious forms of orthopedic disease that has been noticed. This disease involves degradation and decline in the overall quality of the bones and joints in the affected areas.
3. Lower back pain
This condition refers to periods of pain and discomfort in the lower part of your spinal area. This condition is very common nowadays and as a result of this pain, your back usually becomes tender, swollen and stiff. This pain also stops you from doing your overall routine activities.
4. Rheumatoid arthritis
It is an orthopedic disorder in which there is severe swelling in a particular joint, accompanied by small lumps on the affected area that further degrade the external appearance of the skin. In case of adults, this disorder lasts for a lifetime and worsens with time, if left untreated.
Lower back pain is a very common discomfort causing condition that occurs anywhere on the back below the ribs and above the legs. The pain is very common and it is faced by most individuals at least once during their lifetime.
The most basic measures to cure your lower back pain are exercising well, eating healthy and maintaining a good body posture at all times. Here are some of the common treatment options for reducing back pain.
Spinal Manipulation: It refers to an ancient form of therapy in which your back pain is treated externally. This form of treatment is quite similar to a massage treatment and helps to relax the muscles in the lower back area, thereby reducing the pain. It is usually done by osteopathic physicians, chiropractors, occupational therapists and physical therapists.
Neurostructural integration technique (NST): The main role of this type of treatment is to naturally reset the affected area of the body in order to allow it to regain its normal form. The results usually begin to appear after at least 2 sessions of the therapy and the effects are long lasting in nature.
Acupuncture: This is an old technique which uses small needles at strategic locations on your skin. The main aim of the acupuncturists is to re-balance the flow of energy in your body and to ensure that you have an optimal level of energy in all parts of your body. This in turn helps to regain the normal state of your lower back if the right points on the body are targeted.
Other measures: Some preventive measures which ensure that the lower back pain does not recur are as follows:
- Keep your spine straight and posture correct
- Avoid excessive bending, stretching or weight lifting
- Avoid heavy physical activities like sprinting
- Regular and light exercising