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Shoulder Injuries Tips

Shoulder Pain - How To Diagnose It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Amritsar
Shoulder Pain - How To Diagnose It?

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch/wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary 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 the case of middle to old age, injuries that can cause shoulder pain are-

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • 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 the shoulder can cause shoulder pain due to...

  • Bankart lesion

Diagnose Shoulder Pain-

Shoulder pain can be diagnosed only after a thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views
  2. Ultrasound: With 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.
  3. 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.
  4. 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-

  1. 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 fTrapezitisor Arthroscopic/Mini-open repair
  2. 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 the risk of recurrence and degeneration.

SLAP Lesions -

  1. Pain relief and physiotherapy as the first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of the labrum
  3. Biceps tenotomy or tenodesis

Arthritis -

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.

Remember "a stitch in time saves nine"

2209 people found this helpful

Dislocated Shoulder Injury - How To Cure It?

Dr. S. Mahanta 85% (10 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopedics, Fellowship Joint Replacement Surgery
Orthopedic Doctor, Delhi
Dislocated Shoulder Injury - How To Cure 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.

1844 people found this helpful

Shoulder Pain - 6 Common Causes Behind It!

Dr. Kushal Shah 89% (21 ratings)
MS - Orthopaedics
Orthopedic Doctor, Vadodara
Shoulder Pain - 6 Common Causes Behind It!

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain.

Let us get to know the six most common ones:

  1. Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 
  2. Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 
  3. Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 
  4. Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
  5. Bursitis: This condition is known to affect the fluid filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 
  6. Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.

Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.

2056 people found this helpful

Shoulder Pain - What Are The Forms Of It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Thane
Shoulder Pain - What Are The Forms Of It?

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collar bone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain. Let us get to know the six most common ones. 

*  Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 

*  Rotator Cuff Tendinitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 

*  Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 

*  Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.

*  Bursitis: This condition is known to affect the fluid filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 

*  Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.

Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.
 

1394 people found this helpful

Shoulder Impingement - What Causes It?

Dr. Navin Sahu 85% (34 ratings)
MBBS, Diploma in Orthopaedics, M.Ch - Orthopaedics
Orthopedic Doctor, Gurgaon
Shoulder Impingement - What Causes It?

Shoulder impingement syndrome is a condition of the shoulder that is characterized by a feeling of pain and weakness while lifting the arm overhead. A tendon, known as the rotator cuff tendon, attaches the tip of the upper arm to the shoulder. Impingement of the shoulder occurs when this tendon is trapped in the sub acromial space. The sub acromial space is the space near the shoulder joint where the tendon goes through.
When the tendon is trapped, it tends to scrape against the bone, resulting in excruciating pain. The pain aggravates if you are performing overhead movements such as painting or swimming.

The symptoms of shoulder impingement syndrome are:

  1. Feeling of pain while lifting the arm overhead
  2. Any lateral raising movement may also cause pain
  3. Sleeping at night may be problematic as lying on one side of the body may cause pain
  4. Clicking sounds while performing exercises such as the overhead press

Shoulder impingement syndrome can be caused by a number of factors; some of them are:

  1. Swelling of the rotator cuff: The rotator cuff tendon may swell on account of a shoulder injury.
  2. Bone spurs: If there are bone spurs in the sub acromial space, then it may narrow down the space making it easier for the tendon to rub against the bone.
  3. Accumulation of calciumIn some cases, calcium deposits tend to accumulate in the rotator cuff tendon leading to shoulder impingement.
  4. Inflammation of the bursa: The bursa is a sac filled with fluid cushions bones; inflammation of the bursa may also result in shoulder impingement

If you are suffering from a shoulder impingement syndrome, you may adopt the following strategies to deal with it:

  1. Rest: Make sure you do not perform activities that could aggravate the pain; allow the affected area to rest so that it heals faster.
  2. Medications: Medicines such as NSAIDs help in reducing the pain to provide temporary relief.
  3. Exercise: Adopt various external rotation exercises to strengthen the rotator cuff tendon and prevent shoulder impingement syndrome.
2473 people found this helpful

Shoulder Dislocation - How To Identify It?

Dr. Umesh Jain 91% (894 ratings)
DNB Orthopaedics
Orthopedic Doctor, Kolhapur
Shoulder Dislocation - How To Identify It?

A dislocated shoulder is an injury in the shoulder joint, which is the most mobile joint present in the body. A dislocated shoulder injury occurs when the upper arm bone juts out of the socket in your shoulder blade. The shoulder is capable of moving in several directions, so a shoulder dislocation can happen through either the front of your shoulder or the back of your shoulder, although most dislocations happen through the front of the shoulder.

Shoulder Dislocation Causes
Shoulder dislocations generally happen in situations involving extreme impact to the shoulders. The most common causes of dislocated shoulders include:

  1. Sports injuries: Over 75% of dislocated shoulder injuries are a result of injuries sustained from sports or sports-related activities. Contact sports, such as hockey and football, which require a lot of close ranged contact, as well as sports like gymnastics and skiing often cause a lot of dislocated shoulder injuries.
  2. Injuries not related to sports/accidents: Hard blows to your shoulder, such as a result of a vehicle accident could be a very common reason behind shoulder dislocations.
  3. Sudden fall: Any sudden impact to your shoulder which puts a lot of strain on the shoulder blade, such as falling down a ladder, or tripping on a wet surface, may also lead to shoulder dislocation injuries.

Shoulder Dislocation Symptoms

Signs and symptoms of a shoulder dislocation injury include:

  1. Extreme shoulder pain: Severe pain in the shoulder joint along with an inability to freely move the shoulder is a sure-fire symptom of a dislocated shoulder.
  2. Visible deformation: If the shoulder joint looks contorted, twisted, or grossly out of shape, it is quite certain that the shoulder has been dislocated.
  3. Soft and raw to the touch: When touched from the side, if the shoulder feels extremely mushy and you cannot feel the bone underlying it, a shoulder dislocation injury is definitely the reason behind it.
  4. Numbness and weakness: A numb feeling not only in the shoulder, but all throughout the affected upper arm is usually a sign that the shoulder has been dislocated.
  5. Swelling/bruising: This doesn’t always occur, especially if the dislocation is a minor one; however, severe swelling and bruising of the shoulder, especially if you have recently suffered a huge impact to it, is a guaranteed sign of a dislocated shoulder.
4057 people found this helpful

Shoulder Pain - How To Avert It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Thane
Shoulder Pain - How To Avert It?

Your shoulder is one of the most overused joints in the body and thus is at a higher risk of contracting an injury. Shoulder pain may lead to mobility issues where moving your arms may become extremely difficult. The shoulder consists of three parts, viz. the shoulder blade, collarbone and the upper arm bone. Shoulder pain may result from an injury to any of these areas.

The various causes of shoulder pain are:

  1. Impingement: Impingement of the shoulder muscle occurs when the top of the shoulder impinges on the rotator cuff muscles. This condition can lead to severe pain in the shoulder.
  2. Bursitis: Bursa is a fluid-filled sac that cushions the bones and helps in preventing friction. Bursitis is a disorder that results in inflammation of the bursa, thus resulting in shoulder pain.
  3. Tendinitis: Tendinitis is a condition that is characterized by gradual wear and tear of the tendon. Usually, the rotator cuff tendons in the shoulder are affected by this condition.
  4. Instability of the shoulder: Shoulder instability is a disorder of the shoulder wherein the upper arm bone dislocates from its socket. This can cause excessive pain in the shoulder.
  5. Fractures: A fracture in the bones of the shoulder results in excruciating shoulder pain.
  6. Arthritis: Arthritis is a disorder that leads to inflammation in the joints, thus resulting in pain and impaired movement of the joint.

Treatment

The treatment for shoulder pain consists of medications and physiotherapy. You may also be asked to discontinue any strenuous activity that requires shoulder movement. Medications such as NSAIDs are prescribed to help in controlling the pain. Various stretches of the shoulder are also recommended to improve shoulder flexibility and mobility.

Tips
Do exercises such as the overhead press with light weights to improve your shoulder strength. Also, make sure to include certain external rotation exercises to strengthen the rotator cuff muscles.

2480 people found this helpful

Shoulder Pain - How To Take Care Of It?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Thane
Shoulder Pain - How To Take Care Of It?

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch/wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary 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 the case of middle to old age, injuries that can cause shoulder pain are-

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • 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.

  • Bankart lesion

Diagnose Shoulder Pain-

Shoulder pain can be diagnosed only after a thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views
  2. Ultrasound: With 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.
  3. 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.
  4. 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-

  1. 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
  2. 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 the risk of recurrence and degeneration.

SLAP Lesions -

  1. Pain relief and physiotherapy as the first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis -

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.

Remember "a stitch in time saves nine"

2467 people found this helpful

Shoulder Pain - How To Get Rid Of It?

Dr. Puneet S Shah 85% (12 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics, M.Ch
Orthopedic Doctor, Nashik
Shoulder Pain - How To Get Rid Of It?

Your shoulder is one of the most overused joints in the body and thus is at a higher risk of contracting an injury. Shoulder pain may lead to mobility issues where moving your arms may become extremely difficult. The shoulder consists of three parts, viz. the shoulder blade, collarbone and the upper arm bone. Shoulder pain may result from an injury to any of these areas.

The various causes of shoulder pain are:

  1. Impingement: Impingement of the shoulder muscle occurs when the top of the shoulder impinges on the rotator cuff muscles. This condition can lead to severe pain in the shoulder.
  2. Bursitis: Bursa is a fluid filled sac that cushions the bones and help in preventing friction. Bursitis is a disorder that results in inflammation of the bursa, thus resulting in shoulder pain.
  3. Tendinitis: Tendinitis is a condition that is characterized by gradual wear and tear of the tendon. Usually the rotator cuff tendons in the shoulder are affected by this condition.
  4. Instability of the shoulder: Shoulder instability is a disorder of the shoulder wherein the upper arm bone dislocates from its socket. This can cause excessive pain in the shoulder.
  5. Fractures: A fracture in the bones of the shoulder results in excruciating shoulder pain.
  6. Arthritis: Arthritis is a disorder that leads to inflammation in the joints, thus resulting in pain and impaired movement of the joint.

Treatment
The treatment for shoulder pain consists of medications and physiotherapy. You may also be asked to discontinue any strenuous activity that requires shoulder movement. Medications such as NSAIDs are prescribed to help in controlling the pain. Various stretches of the shoulder are also recommended to improve shoulder flexibility and mobility.

Tips
Do exercises such as the overhead press with light weights to improve your shoulder strength. Also make sure to include certain external rotation exercises to strengthen the rotator cuff muscles.

4215 people found this helpful

What Can Trigger Pain In Shoulder?

Dr. Shekhar Srivastav 85% (18 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, AO Fellowship
Orthopedic Doctor, Delhi
What Can Trigger Pain In Shoulder?

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collar bone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain. Let us get to know the six most common ones. 


*  Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 

*  Rotator Cuff Tendinitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 

*  Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 

*  Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.

*  Bursitis: This condition is known to affect the fluid filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 

*  Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.
Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.
 

1210 people found this helpful
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