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Shoulder Injuries Health Feed

Shoulder Dislocation: What Can Lead You Towards It?

Dr. Naveen Sharma 90% (10 ratings)
MS - Orthopaedics, MBBS, Joint Replacement & Sports Medicine Fellowship
Orthopedist, Jaipur
Shoulder Dislocation: What Can Lead You Towards It?

When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged. 

If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts. 

What can lead to a dislocated shoulder injury? 

  • Sharp or a very fast twist of your arm. 
  • Falling down on a hard surface. 
  • A sudden hurt or hit. 
  • It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place. 

In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation. 

What is the treatment or therapy of a dislocated shoulder? 

The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should go to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury. 

After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan. 

The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months.

5 people found this helpful

Frozen Shoulder: How Can It Be Treated?

Dr. Sachin Prakash Rathod 92% (224 ratings)
MBBS, D'Ortho, DNB (Orthopedics)
Orthopedist, Mumbai
Frozen Shoulder: How Can It Be Treated?

Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.

Common Gym Injuries Their Prevention And Cure!

Dr. Rajiv Mehta 94% (108 ratings)
Masters In Physiotherapy, BPTh/BPT
Physiotherapist, Delhi
Common Gym Injuries Their Prevention And Cure!

A workout session is often tedious and exhausting, especially for those who aren’t comfortable with strenuous exercises. And, many a time, you can experience significant pain in pursuit of a fit body - injuries, strain, and sprain become a part of your life. The most common gym injuries one might have while working out are-

  1. Muscle pull or strain- A muscle pull can injure anyone regardless of their age. This usually results from strenuous physical activity. Sometimes, overstretching can cause the muscle fibers to tear, which in turn affects the hamstring or calves. The most common symptoms include- bruising and discoloration, stiffness, localised pain.
  2. Ankle sprain- This refers to an injury to your ligaments. This occurs when you mistakenly twist the ligament while exercising. If you have a sprained ankle, you will likely notice these symptoms- bruising, swelling, stiffness and tenderness, difficulty putting weights on the ankle.
  3. Shoulder injury- Several other muscles, ligaments, and tendons hold your shoulder together, thereby making it prone to injuries during workout sessions. Weight lifting exercises like Machine Shoulder Press, Overhead Shoulder Press etc can lead to serious shoulder injuries like the Rotator Cuff injury, if you don’t follow the right technique.
  4. Tendinitis- Tendinitis is caused due to the overuse of tendons during the workout. Tendons are wide cords joining the muscle to your bones. When the tendons become inflamed, it restricts the movement of the joints, resulting in pain.
  5. Shin Splint- This injury is caused due to recurrent trauma to the connective tissues. This tissue connects the tibia bone to the muscles, and when these tissues break down or become inflamed, stiffness and pain are experienced. People who engage in long running-cycles are most likely to have a shin splint.
  6. Runner’s knee- This type of injury is common in those who spend several minutes on the treadmill. Runner’s knee is characterized by mild dull pain at the back of or beneath the kneecap, typically felt while running.

Repetitive motion, not having enough rest after completing one set of the exercise, simple wear and tear- all these result in workout injuries. Many a time, people don’t pay much attention to these injuries and continue with their daily activities. Studies reveal that overuse of body parts account for about 30% of all injuries. Ignoring these injuries may lead to serious health conditions in the long run.

A few precautionary measures can be adopted to prevent such injuries-

  1. If you’re running on the treadmill, make sure you have full control over your movement and the speed of the machine. Most treadmills these days come with a clip that you can attach to your clothes so that if you lose control and fall off the treadmill, the machine will stop immediately and prevent you from sustaining any grievous injury.
  2. Wear proper shoes that support your feet and are comfortable to move around. Watch out for slippery, uneven floors. Athletic shoes are specially designed to fit your feet well for this purpose.
  3. Don’t start your workout session by lifting heavy weights. Start with mild, warm-up exercises (stretching, Jumping Jacks, free-hand squats) to allow your body to become accustomed to the environment.
  4. Maintain a healthy body weight. This is essential because an overweight person is more likely to get affected by injuries to the joint bones, fractures etc.

How are these common injuries treated?
Injuries sustained during workout sessions need to be looked after. Urgent medical intervention is recommended in such cases so that the pain does not hinder your movement and routine activities for long.
The most effective and preferred choice of treatment to cure gym injuries is the RICE technique.

  1. Rest (R)- Make sure you don’t put too much pressure on the injured area. Refrain from any physical activity and allow your injury to heal.22481
  2. Ice (I)- Apply ice on the injured area to reduce swelling and inflammation.
  3. Compression (C)- In order to reduce swelling, apply a compression bandage.
  4. Elevate (E)- Elevate the wound/injury to minimize swelling.

Your doctor will also prescribe a few anti-inflammatory drugs and painkillers to ease the pain. You can also use a shoulder splint to keep the injured shoulder/arm in place.  In case you have a concern or query you can always consult an expert & get answers to your questions!

4977 people found this helpful

Dislocated Shoulder Injury - Can There Be Ways To Manage It?

Dr. Suraj Prakash 90% (97 ratings)
M.Ch - Orthopaedics, Fellowship in Arthroscopy & Sports Medicine, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Dislocated Shoulder Injury - Can There Be Ways To Manage It?

When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged. 

If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts. 

What can lead to a dislocated shoulder injury? 

  • Sharp or a very fast twist of your arm. 
  • Falling down on a hard surface. 
  • A sudden hurt or hit. 
  • It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place. 

In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation. 

What is the treatment or therapy of a dislocated shoulder? 

The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should go to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury. 

After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan. 

The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months. In case you have a concern or query you can always consult an expert & get answers to your questions!

2572 people found this helpful

The Thrower's Ten Program

Dr. Ritesh Kharnal 87% (601 ratings)
MSPT (Master of Physical Therapy)
Physiotherapist, Indore
The Thrower's Ten Program

A new exercise series for enhanced dynamic shoulder control in the overhead throwing athlete.

  • Why should overhead athletes use the thrower’s ten program? the answer is very simple. Overhead athletes should use the thrower’s ten program because the program works! this comprehensive program, encompasses exercises for the entire throwing arm as well as the body. The exercises in the program have been carefully chosen because when performed in combination they improve muscular strength and decrease arm fatigue thus reducing the risk of injury. We have shown the single greatest predisposing factor to shoulder and elbow injury in youth baseball players to be fatigue. 6, 8 improvement in muscular strength and power results in increased ball velocity. The thrower’s ten program has been scientifically studied and showed to significantly increase throwing velocity in high school baseball players. 1, 2 the thrower’s ten program has been published numerous times in scientific journals articles3-5.
  • The thrower’s ten program was developed by kevin wilk, dpt and Dr. James andrews in birmingham, al. These visionaries in throwing injury prevention and rehabilitation assembled a group of experts with over a 100 years of combined baseball sports medicine experience to assist them in creating the thrower’s ten program. Using data from emg studies at the american sports medicine institute (asmi) and research centers across the country, they determined the best rehabilitation exercises and movements to isolate and strengthen the muscle groups responsible for the act of throwing. 7, 9, 10, 11 collectively, we have successfully used this program over the past 27 years in the rehabilitation of thousands of injured throwing athletes and in preventative programs for countless other baseball players. The thrower’s ten program has been constantly revised and adjusted through the years to ensure that it remains the single best exercise program available for every throwing athlete.
  • Not only is the thrower’s ten program effective – it is also simple to perform. The program has been designed so that it does not require a lot of equipment or even dumbbells to successfully complete. In fact, it can be properly performed using just resistance tubing or bands. The thrower’s ten program is ideally matched with theraband’s clx consecutive loop resistance band allowing easy performance regardless of where an athlete is, without any other equipment. The thrower’s ten program can be done before throwing or play as an effective pre-performance dynamic warm-up. It can be performed in-season to maintain arm strength and flexibility; as well as after injury as part of a rehabilitation program and even prior to the season for arm development.
  • The thrower’s ten program has been shown to address the three most significant causes of shoulder and elbow problems in throwing – decreased arm strength, increased fatigue and a lack of flexibility. The bottom line is that overhead throwing athletes should use the thrower’s ten program as a safe, simple, and effective way to help them prevent shoulder and elbow injuries and enhance throwing performance.
  • The link below provides you with a video which demonstrates all the exercises in the thrower’s ten program. Perform the program pain-free and enjoy the best and healthiest season of your career.

Causes And Treatment For Frozen Shoulder!

Dr. Atul Kumar Garg 87% (11 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
Causes And Treatment For Frozen Shoulder!

Adhesive capsulitis is the medical term for a frozen shoulder, which can be caused due to a variety of reasons. Scar tissues can grow in the shoulder joint when the said joint becomes thicker. This development keeps the shoulder from rotating in a normal manner, which can lead to a frozen shoulder. The most common symptoms of this condition include severe pain and stiffness as well as inflammation. Here are the causes and ways to treat this condition.

Causes: A frozen shoulder can be caused due to a sports injury as well as an accident. Also, a hormonal imbalance can cause this condition. A weak immune system may cause inflammation in various joints of the body, which makes motion difficult. Also, diabetes can give rise to a frozen shoulder as a side effect. If you have a sedentary lifestyle and do not exercise often enough, or have just been through surgery which has led to a prolonged period of inactivity, then you can be prone to this condition. Surgery will also leave your tissue and adhesions sensitive to inflammation. Scar tissue may end up forming in very extreme cases, over a period of at least nine months. This can limit your motion.

Risk Factors: Besides diabetes, hormonal changes and inactivity, people who have been through a stroke or surgery are most susceptible to this condition. Also, patients who are suffering from thyroid disorders can end up developing a frozen shoulder too.

Physical Therapy: One of the most recommended ways to deal with this condition is with physical therapy. This kind of therapy will help you in stretching your shoulder so that you get back some motion over a period of time. This process can take anywhere between a few weeks to a few months, depending on the severity of your condition. You must ask your doctor about other treatment options if this kind of therapy does not show results even after six months of intense and regular practice. Physical therapy can also be practiced at home, once you have learnt the technique from a physiotherapist.

Medication: One of the other ways to deal with a frozen shoulder is with the help of medication. Anti-inflammatory and pain relieving medicines can soothe the discomfort. These include aspirin, ibuprofen, as well as naproxen sodium. Also, if you are undergoing a lot of pain, the doctor can administer a steroid injection in the shoulder joint.

Surgery: If medication and physical therapy do not help in treating the condition effectively, then one can go in for an arthroscopic surgery to remove the scar tissue with a small incision and other kinds of surgery for breaking the adhesions as well.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4268 people found this helpful

Nonsurgical Treatment for Rotator Cuff Tears

Dr. Atul Kumar Garg 87% (11 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
Nonsurgical Treatment for Rotator Cuff Tears

Rotator cuff is the name given to four muscles and their tendons, which keep your arms in your shoulder sockets, allowing you to lift your arms and do day-to-day stuff like combing your hair, cutting vegetables etc.

The shoulder joint is a very important joint of the body and this is why any tear that happens in the rotator cuff can be devastating.

Causes

Tears can happen in rotator cuff due to a number of factors like injury and degeneration due to age. Tears that happen due to an injury to the shoulder are called acute. Degenerative tears are tears that happen due to degeneration of the tendon over time.

Common causes of degeneration are lack of proper blood circulation, which impedes the rotator cuff’s ability to repair itself. Repetitive stress is another cause where we stress the tendon by repeating the same shoulder motions again and again while playing games like tennis, cricket etc. and doing jobs that require us to extend our arms upwards a lot. Lifting heavy objects can also lead to tears.

Symptoms

Chronic shoulder and arm pain are good reasons for you to see your doctor. If you suffer from pain in your shoulder at rest, while sleeping on the affected shoulder or pain while lifting and lowering your arm, then there is no time to wait.

The doctor will do a physical examination by moving your arm in different directions. He may follow it up with X-rays and MRI to check how big the tear is in your rotator cuff.

Treatment

Once confirmed that you indeed have a rotator cuff tear, your doctor will start the treatment. The goal of any treatment is to reduce pain and make your shoulder joint work properly again.

Nonsurgical Treatments: 

Nonsurgical treatments include rest, using of a sling to protect the shoulder and modifying your daily activities. This means you may not be able to do activities that cause shoulder pain. Your doctor can also prescribe pain and anti-inflammatory medicines. Strengthening and physical therapy bring up the rear of this type of treatment.

What you must remember is that nonsurgical treatment relieves pain and improves function in the shoulder, but does not improve shoulder strength. The size of your tear may also increase over time.

Surgery

Surgery, which attaches the rotator cuff to your bone, is done if you suffer from continuous pain and symptoms over a year or so. If you have a large tear, conservative treatments will not work and surgery will have to be resorted to. 

If you have been suffering from chronic shoulder or arm pain, waiting and watching is definitely not an option. You must visit an orthopedic surgeon at the earliest. Remember, if treatment is not started soon enough, your rotator cuff tear will get larger and will require only surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4021 people found this helpful

3 Best Exercises to Build Your Core to Prevent Injuries

Dr. Vishwas Virmani 95% (20832 ratings)
MPT, BPT
Physiotherapist, Noida
3 Best Exercises to Build Your Core to Prevent Injuries

I  Core Foam Roll

Core muscles are critical in most daily movements, and therefore are often overused and tight. Since the core muscles don’t bear weight, their limitations and tightness often go unnoticed. Use the foam roller to alleviate tension in the outer muscles of the core.

1.Lie on your left side with the foam roller under your mid-torso. Place your left arm on the floor to prop up your upper body, and stack your legs right over left with knees slightly bent to support the lower body.

2.Roll up and down your side between the mid-torso and hips. If you feel as pot that’s tender or tight, spend more time working that area. Perform the rolling movement for 15 to 30 seconds and repeat on the opposite side.

II  Standing Half Moon

Flexibility of the spine is important for good posture and mobility. This modified yoga pose improves the lateral flexibility of the spine, but also warms up all the muscles of the core.

1.Stand tall with your arms extended overhead, palms facing together, and your feet shoulder width apart. Your core should be tight and your neck long and even.

2.Gently extend your spine by bending at the waist and reaching as far right as you can, until you feel a stretch along your left side. Hold for 30 seconds, then repeat on the left side.

TIP: If you sit in a chair all day, try a seated half moon pose to relieve tightness in your lower back and shoulders.

III  Quad Rock

Tight quadriceps and hip flexors can lead to nagging injuries. The quad rock can increase the flexibility of these muscles by actively increasing their length throughout the movement.

1. Begin the stretch in a flat tabletop position with both yourhands and knees shoulder widthapart and your back flat.Rock your hips back towardyour heels while extending yourarms out in front. 

2.Reach back with your hips as far as possible. Return to the start position and rock your hips forward until your shoulders are slightly in front of your hands. Feel the stretch along the abdomen, quadriceps, and hip flexors.

1 person found this helpful

Subacromial Impingement - How It Can Be Managed?

Dr. Venu Madhav 88% (10 ratings)
MBBS, MS - Orthopaedics, Fellowship in Arthroscopy
Orthopedist, Hyderabad
Subacromial Impingement - How It Can Be Managed?

Subacromial impingement is a very common problem relating to the shoulder area, accounting for almost 50% of the shoulder pain complaints. It is a very small space covered by bones on all spaces, and in fact, only when there is inflammation in this area does the space become evident on radiographs. There are various tendons and muscles, which work together to allow for shoulder movement upwards and downwards and front and the back. With repeated movements, these tendons get impinged or pinched and so cause limited motion, pain, swelling, instability, etc.

This injury is very common in people who use the shoulder repeatedly and in similar movements, especially with sportspersons like basketball, swimmers, etc. Non-sportspeople like painters and construction workers can also sustain this injury, given the repetitive motion of the shoulder joint.

What causes subacromial impingement?

  1. Irritation and impingement of the shoulder joint due to repeated motion
  2. Acute injury or accident involving the shoulder
  3. Poor posture where shoulders are constantly in a stooped position
  4. Shoulder instability

If a person has subacromial impingement, the symptoms will include:

  1. Pain in lifting shoulder to the front and above the head
  2. Weakness in the shoulder with gradual loss of function
  3. Swelling and stiffness of the shoulder
  4. Night pain, especially with rolling the shoulder
  5. Limited movement
  6. Hemorrhage in advanced cases

As the condition progresses, the symptoms worsen and gradually can lead to calcifications in the tendon space and loss of shoulder strength. The impingement can go through 3 stages, with both age and symptoms increasing with each stage.

Diagnosis: A combination of history, clinical presentation, x-ray, and MRI are used in diagnosis. Specific tests like empty can are also useful in arriving at a diagnosis.

Management: Conservative measures like resting, ice and heat therapy, medications, and exercise are the first line of therapy. When the condition persists even after 3 to 4 months, then surgical intervention is required.

  1. Avoid activities which cause repetitive movement of the shoulder.
  2. Ice the area for 10 to 15 minutes every 4 to 6 hours through the day to reduce the inflammation.
  3. Compression also can be used which will help in pain control.
  4. Keep the shoulder elevated like in a sling to help in pain relief.
  5. Nonsteroidal anti-inflammatory medications can help control inflammation and pain, improve movement, and reduce swelling or stiffness.
  6. Exercise can be included in the daily routine as it improves the shoulder strength and flexibility.
  7. Surgery is usually considered the last resort. It is only when all the conservative measures fail, surgery is advised.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2598 people found this helpful

For the past 2 years I am suffering from shoulder injury (in my left shoulder. This happened when I was trying to bench press in the gym and since then whenever I try to bench press and shoulder press, the shoulder starts to pain and I also found that this injury restricts my arm movement and this results in lack of mobility. I also play cricket and I am a bolwer so some time while bowling it hurts. I have consulted an orthopedic as well as a physiotherapist but there is no improvement. If someone could please help as this pain is getting severe sometimes. I am also willing to consult a doctor.

Dr. Julie Mercy J David 93% (9627 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
For the past 2 years I am suffering from shoulder injury (in my left shoulder. This happened when I was trying to ben...
It is called as peri arthritis shoulder and for that you can do hot water fermentation and ice therapy at home. If you have shoulder pain then the stiffness will develop more that might make the arm to have less improvement which might make you to feel more pain the arm. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.
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