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Overview

Shoulder Pain: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Shoulder pain is usually characterized by a persistent dull and nagging painful sensation that may arise from the shoulder joint itself or from other muscles, ligaments and/or tendon that surrounds the shoulder area. Shoulder pain arising from the shoulder joint itself generally worsens with the movement of the shoulder or upper arm of the person having this symptom.

There are various causes for shoulder pain and the reason may vary from person to person depending upon the physical activities that he/she is involved in. The causes of shoulder pain may be direct as well as indirect. Various diseases and other conditions such as heart problems or gallbladder diseases may indirectly lead to shoulder pain and such a condition is known as “Referred Pain”. Referred shoulder pain generally does not cause much problem during the movement of patient’s shoulder. On the other hand, direct causes of shoulder pain may be due to one or more major or minor injuries in the shoulder area. Moreover, due to aging, various degenerative changes in different parts of the shoulder can result in shoulder pain.

Some of the major causes that can result in shoulder pain are impingement, bursitis, dislocated shoulder, osteoarthritis, rheumatoid arthritis, tendinitis, septic arthritis, rotator cuff injury, frozen shoulder, sprains and strains, multiple sclerosis, dislocated shoulder, avascular necrosis, ankylosing spondylitis and others. The first step towards the treatment of shoulder pain involves thorough analysis of the patient’s medical history followed by a number of clinical diagnoses which involves imaging study by X-ray imaging, magnetic resonance imaging (MRI), ultrasound imaging and/or diagnostic arthroscopy.

Once the cause leading to shoulder pain is appropriately diagnosed; the necessary treatment is initiated under the guidance of an experienced doctor. The treatment involves medication along with physiotherapy. The doctor may also recommend a few exercises for such patients in order to improve the flexibility and/or mobility of their shoulder joint. In a few cases, surgical treatment may be recommended if it is found to be necessary.

How is the treatment done?

Once the cause of shoulder pain is found out by various clinical diagnoses, the treatment for this condition is initiated under the guidance of an experienced doctor. The treatment for shoulder pain involves various pain relief medications and physiotherapy. Medicines such as non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen may be prescribed for controlling the pain. The doctor might recommend taking rest and avoiding any strenuous physical activity that involves movement of shoulder in order to prevent any further injury. In addition to this, a few exercises may help the patients by improving their shoulder flexibility and mobility. Injecting cortisone into the affected area can help to reduce the inflammation. Applying hot and cold packs on the affected area gives temporary relief from pain. In some cases the doctor may advice for surgical treatment if the medical treatment for this condition is found to fail.

It must be kept in mind that the treatment for shoulder pain varies from person to person depending on the degree of injury or the cause of the pain. Surgical treatment for this condition is not the first option, and hence this treatment is used only if all other medical treatments for this condition fail.

In case of patients, suffering from shoulder pain due to arthritis or osteoarthritis, the treatment is slightly different. For such patients, the shoulder pain arises due to damaged shoulder joint. Surgical methods of treatment such as realignment bone surgery and joint replacement surgery are the two best methods that have been proved beneficial for treating such patients. After surgery, the patients are recommended to have rest until the condition heals.

Who is eligible for the treatment? (When is the treatment done?)

There is no age restriction as far as the treatment for shoulder pain is concerned. Patients of any age who are having a persistent dull and nagging painful sensation in their shoulder area are eligible for this treatment. It is always recommendable for such patients to go for home remedies initially. If such home remedial methods fail to give fruitful results, then the patients can seek medical help from an experienced doctor.

Who is not eligible for the treatment?

There is no eligibility criteria as such for patients to seek treatment for shoulder pain. Anybody who does not have shoulder pain is not eligible for the treatment of shoulder pain. It should be remembered that shoulder pain may arise both due to injury in the shoulder area as well as a few indirect causes and such a condition is known as “Referred pain”. Hence, a proper diagnosis is necessary for an appropriate treatment to begin. Patients having referred pain should be given treatment for the underlying cause that has led to shoulder pain. Such patients of referred shoulder pain are not eligible for treatment of shoulder pain but instead they need to be treated for the underlying cause of the pain.

Are there any side effects?

The treatment for shoulder pain is more or less safe. However, the anti-inflammatory pain killers prescribed during this treatment may bear some side effects. The common side effects include nausea, vomiting, constipation, bleeding in stomach (ulcers), headache and indigestion. The side effect of stomach upset can be reduced by taking the medicines after meal.

On the other hand, cortisone pills used to treat problems of shoulder pain, have side effects such as weight gain, elevated blood sugar levels, osteoporosis, elevated blood pressure, thinning of skin, cataracts and decreased resistance against infections. It is important to consult a doctor if any of these side effects become serious enough.

What are the post-treatment guidelines?

It should be remembered that shoulder pain may be due to both direct and indirect causes (also known as referred pain). In case of referred pain, the underlying cause needs to be treated. The post treatment guidelines for shoulder pain include giving rest to the affected shoulder, applying hot and cold packs to the affected area for temporary relief, avoiding strenuous activities that may cause further injury, taking the prescribed medicines regularly on time, physiotherapy, practising exercises that helps in improving shoulder mobility and flexibility and using braces, slings and supports that helps in keeping the shoulder in position and facilitates faster recovery.

How long does it take to recover?

The time taken for a patient of shoulder pain to recover depends upon the degree of injury received. For minor injuries like strain or sprain it takes about a week’s time for the pain to recover. Shoulder pain resulting from serious issues such as fractures, rotator cuff tear, dislocation and others may require surgical treatment and may take a few months to recover. It is important to consult a doctor if the pain persists or increases even after the treatment.

What is the price of the treatment in India?

The price of treatment for shoulder pain varies in different parts of India. The average cost of consulting a doctor regarding such issue may range from Rs. 400 to Rs. 700 (per consultation). The costs of medical as well as surgical treatments are additional. In general, the average cost of full treatment for shoulder pain may range from Rs. 4,400 to Rs. 6,500 in India. This treatment is available in almost all cities and towns of India.

Are the results of the treatment permanent?

Before the treatment for shoulder pain is initiated, it is important that the cause of the pain is properly diagnosed. For some issues of shoulder pain, they can be treated by mere home remedies and rest. However, for others if such home treatments fail to give effective results then the doctor switches to medical and/or surgical treatments if necessary. Surgical treatment is considered as the ultimate and best treatment for problems of shoulder pain. The permanence of the treatment of shoulder pain depends upon the degree of injury encountered by the patient. If in case no improvements are seen from home remedies or medical treatment, only then the doctor recommends for surgical treatment.

What are the alternatives to the treatment?

For issues of shoulder pain, surgical treatment is considered as the best treatment. However, there are a number of alternative treatments as well. The alternative treatments for issues of shoulder pain involve applying hot and cold packs, physical therapy, rest, ultrasound/heat treatment, consumption of anti-inflammatory food items, stretching and mild exercises to improve shoulder flexibility and mobility, transcutaneous electrical nerve stimulation and/or acupuncture therapy. These are mere primary treatments for issues of shoulder pain and if the conditions are not seen to improve, then the patient must consult a doctor for further medical or surgical treatments.

Safety: Symptom Effectiveness: High Timeliness: High Relative Risk: High Side Effects: Medium Time For Recovery: High Price Range:

Rs. 4,400 – Rs. 6,500

Popular Health Tips

Rotator Cuff Tear - Know The Treatment Options!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Ortho, Fellowship In Knee Replacement & Arthroscopic Surgery ( Knee & Shoulder )
Orthopedist, Mumbai
Rotator Cuff Tear - Know The Treatment Options!

Rotator Cuff Tear is one of the most common disabilities observed amongst adults above 40 years of age. Rotator Cuff is a group of four muscles that keep the Humerus (arm bone) attached to the socket of the Shoulder. The Rotator Cuff keeps the Shoulder Blade attached to the arm, and when there’s a damage (tear) in one of these muscles, excruciating pain is felt by the patient.

Kinds of Rotator Cuff Tear-

• Partial Tear: This happens when one of the Tendons amongst the four Tendons is damaged or torn.
• Full Tear: This occurs when all the Tendons are torn; this is also called Complete Tear. Severe pain is experienced in this type of tear and surgery might be required.

Symptoms-

● A person may experience excruciating pain while performing daily tasks like Combing hair, Picking up Laundry, etc.
Muscle weakness and stiffness on Shoulder.

Diagnosis of Rotator Cuff Tear-

Ultrasound is used to check the internal structure of the shoulder and the damaged muscle pattern. The waves directed into the shoulder create images of the Tendons and ligaments of the shoulder. This allows the doctor to access the severity of the damage on the shoulder.
MRI: When the doctor needs a better look at the Tendon damage, radio waves provide a better imagery than Ultrasound.

Treatment of Rotator Cuff Tear-

RICE (Rest Ice Compression Elevation): In Case of partial rotator cuff injuries with very little damage, RICE is a good treatment option to treat temporary partial damage in the shoulder. Applying cold water and moving the hands slowly helps the muscles to get into shape.

• Injections: Non-inflammatory drugs are prescribed to the patient suffering from Full Rotator Cuff injury to deal with the pain. A Tendon tear can cause extreme pain, which might give the patient some sleepless nights. Non-inflammatory painkillers temporarily numb the shoulder, allowing the patient to sleep.

• Physical Therapies: Physical therapy is one of the most sought out treatment option. Physical therapy allows a person to recover from a rotator cuff injury through exercises and mild movements of the arms and shoulders.

• Surgery: When the injury is too severe for conventional treatment and medication, a patient might have to go through some complex surgeries.

A) Arthroscopic Tendon Repair: In this surgery, the doctor makes a small incision on the shoulders and then inserts a Laparoscope type instrument (Arthroscope) into the muscles, with a camera attached on the top. This instrument allows the surgeon to see the muscle structure and also helps in re-joining the tendons.

B) Open Tendon Repair: Arthroscopic Tendon Repair can be a bit complex, that’s why an open tendon repair is preferred by most doctors. In this surgery, the surgeon makes a bigger incision and attaches the Tendons surgically.

Conclusion-
Rotator Cuff Tears is a severe problem for the locomotion of body, but it is treatable, as long as one doesn’t delay going to an experienced doctor.

3600 people found this helpful

All About Rotator Cuff Injury

FFSEM, MFSEM, DIP - SEM GB & I, MCh - Orthopaedics, MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
All About Rotator Cuff Injury

A group of tendons and muscles that surround the shoulder joint are known as rotator cuff muscles. These muscles allow the tip of the upper arm to be fixated on the shoulder socket. Rotator cuff injuries tend to occur if you perform repetitive movements overhead with professional such as carpenters, tennis players and painters are at the highest risk of this injury.

The muscles that constitute the rotator cuff are:

  1. Teres minor
  2. Infraspinatus
  3. Supraspinatus
  4. Subscapularis

The primary function of the muscles mentioned above is to work together in stabilizing the shoulder joint. A rotator cuff injury leads to problems in these muscles and may lead to impaired functioning of the shoulder.

The symptoms of rotator cuff injury are:

  1. You may experience pain when you move your shoulder
  2. An inability to lift your arm overhead
  3. You may hear clicking sounds while moving your shoulder
  4. You may face difficulties in performing activities such as swimming and painting

Causes:
Rotator cuff injury may result from the following causes

  1. Calcific tendonitis: This condition is characterized by accumulation of calcium in the rotator cuff tendon. It results in stressing the tendon which causes you to experience pain.
  2. Rotator cuff tears: Tears may occur in the rotator cuff muscles that may be complete or partial in nature. Lifting heavy weights while doing shoulder exercises may cause these tears.
  3. Subacromial impingement: Any activity that requires you to lift your arm up causes the humeral head (arm bone head) to be pushed down below the rotator cuff. If the humeral head is not in its position, then it may result in pain.

Treatment:
This condition is treated by using various methods, such as medications and physiotherapy. NSAIDs are prescribed to treat the pain along with various physiotherapeutic exercises to strengthen the joints. In severe cases, surgery may be required to fix the injury. It is recommended to balance the shoulder muscle strength by focusing on exercises that work the rotator cuff. Any external rotation movement helps in strengthening the rotator cuff.

5465 people found this helpful

Arthritis Of The Shoulder- What Are The Symptoms and Causes?

MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics & Orthopedic Surgery
Orthopedist, Hyderabad
Arthritis Of The Shoulder- What Are The Symptoms and Causes?

Arthritis is a common ailment that affects a majority of adults across the globe. It can affect any joint in the body and cause inflammation, pain, and swelling. When arthritis affects the shoulders, it causes stiffness, pain, and lack of movement.

Signs and symptoms of arthritis of the shoulder:
The only symptom caused by shoulder arthritis is a pain, which, in turn, causes a limited range of motion. It is worth discussing these symptoms in detail:

The Symptoms-

  1. Pain: Any kind of activity concerning the shoulder aggravates the pain and it usually worsens with the passage of time. When arthritis affects the glenohumeral shoulder joint, the pain is mostly felt at the back of the shoulder and tends to get more severe with weather changes. Many patients also complain of pain present deep in the joint. On the other hand, the pain of arthritis in the acromioclavicular joint is centred on the topmost part of the shoulder. In some people, rheumatoid arthritis affects the entire shoulder when both acromioclavicular and glenohumeral shoulder joints are affected.
  2. Lack of motion: The pain caused by arthritis of the shoulder leads to a limited range of motion and it may be difficult to take part in a common day to day activities as well. People affected with arthritis of the shoulder are not able to lift their arm or comb their hair or pick up something from the ground. There could also be a snapping sound when one tries to move his or her shoulder.

But not all individuals affected by shoulder arthritis have pain and loss of range of motion. Some people having severe joint problems have very few symptoms.

Causes of Arthritis of the Shoulder!
Age is one of the most compelling causes of shoulder arthritis as it generally affects people aged over 50 years. However, it may also occur in younger individuals after experiencing a trauma or injury such as an accident or fracture or dislocation or severe infection. Arthritis of the A-C joints affects younger people while that of the G-H joint affects older people though there can be exceptions as well. Also, arthritis is genetic as well which means in a family affected with arthritis, every individual possesses a risk of being affected by it. Other causes of arthritis include:

  1. Gout: Gout is arthritis that occurs when there is an accumulation of excess uric acid.
  2. Juvenile arthritis: This kind of arthritis leads to pain, swelling and stiffness in the shoulders.
  3. Rheumatoid arthritis: This is a chronic inflammatory disease of the joints which takes place when the immune system instead of shielding the body from foreign bodies, attacks the thin membrane lining of the joints.

Although there is no treatment that can absolutely cure arthritis of the shoulder, numerous pain management options are available. It is important to talk to an expert and decide which course of action can offer maximum relief.

1 person found this helpful

Rotator Cuff Injury - Symptoms Associated With It!

FFSEM, MFSEM, DIP - SEM GB & I, MCh - Orthopaedics, MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Rotator Cuff Injury - Symptoms Associated With It!

You must have often heard about sports person, especially those associated with tennis or baseball (that involves continuous arm movement) suffer from rotator cuff injury. But what exactly is this injury? To understand the condition better, you need to know what is a rotator cuff. A rotator cuff is a group of tendons and muscles that keep the shoulder joints stable enabling a person to rotate or lift their shoulders freely.

With time, certain activities may cause a wear and tear of the rotator cuff injuring them. The injury sustained can result from a partial or a complete tear.
A partial tear of the rotator cuff may damage the tendons, but it will remain attached to the bones. However, in the case of a complete tear, the injury is more severe that penetrates deep within detaching the tendons off the bone (humerus).

Who can suffer from a Rotator Cuff Injury?
While the condition can affect anyone, people under the following situations stand a greater chance of injuring their rotator cuff.

  • People in their old age may suffer from the Rotator Cuff injury as with age the tendons and muscles may undergo a degeneration.
  • The injury may also be genetically linked.
  • The problem is found to be common among tennis and baseball players.
  • Painters, as well as carpenters who need to move their arms and shoulders continuously in a particular direction, stand at a risk of injuring the rotator cuff.

Symptoms associated with a Rotator Cuff Injury
People with a Rotator Cuff Injury may exhibit the following symptoms and associated discomfort.

  • The rotator cuff ensures the free and comfortable rotation of the arm and the shoulder. An injury will limit this rotation. As a result, a person may experience great difficulty and pain in lifting and moving the arm.
  • Lying on the affected shoulder can be a painful experience.
  • There is instability of the shoulder joints followed by weakness.
  • A person finds it difficult to carry out the basic activities such as bringing a glass of water close to the mouth or combing the hair.

Treatment

  1. Anti-inflammatory drugs and painkillers (Acetaminophen) may be used to reduce the pain and swelling associated with the injury.
  2. Physiotherapy and various strengthening exercise can go a long way to deal with shoulder weakness, stiffness, and restricted movement. However, one needs to have patience as the treatment may take time to produce the desired results.
  3. In extreme cases, the doctor may opt for a surgery.
    • Arthroscopic surgery: The procedure is simple and involves a small incision on the affected shoulder to place an arthroscope (that comes fitted with a camera and the surgical instruments) to treat the condition.
    • The doctor may also carry out an open surgery or a mini-open surgery (an amalgamation of open and arthroscopic surgery) to fix the tear.

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

3826 people found this helpful

Shoulder Problem - What Can You Do About It?

MBBS, D.Ortho, FCPS
Orthopedist, Mumbai
Shoulder Problem - What Can You Do About It?

The human body is a great marvel. You can’t imagine how each part works and the shoulder is one of the most vital parts of the body. You need your shoulders to move your arms, to write, raise hands, pick things up, do workouts, eat, wash, play golf and cricket, and what not, the list is exhausting. Such a joint overworks tirelessly and is prone to injuries and pain. Just move it consciously in different directions to check its range of motion. If it pains or the movement is restricted, you should get it checked by an experienced orthopedic.

What does your shoulder comprise of?

The shoulder is made up of a group of three bones, the clavicle, scapula, and humerus. These components are popularly known as the collarbone, shoulder blade, and upper arm bone, respectively. Four different muscles form a group and various tendons and ligaments in conjunction with the rotator cuff make room for a ball in the socket. The free movement of the ball is necessary to move the shoulder without any pain or discomfort.

When does shoulder pain appear?

When the muscles around the rotator cuff are weak, shoulder pain may occur. This is, in fact, one of the most common causes of shoulder pain and discomfort. You will feel pain or pinching sensation whenever you move your shoulders. It can be heightened at night and when you are sleeping on the affected shoulder, the pain can be even worse. This weakening of the muscles is called impingement. Over a period of time, this restricts the movement of the shoulder muscles and the shoulder ball. This is not a condition that develops overnight. It is because that you are overworking your shoulder. Aging is another factor that causes this condition. It can also result because of specific occupations, especially the ones that demand to lift heavy weights often.

How to relieve shoulder pain?

Treating shoulder pain at home is possible. But the pain that arises from playing certain sports such as tennis and specific activities such as cleaning the entire house in a day. When you know that you have stressed your shoulder, using ice and heat packs alternatively is a time-tested remedy to alleviate pain. Even rest can ease this sort of pain. You should also never raise the arm over the head when the shoulder is in pain. Bring down inflammation with ice. Never immobilize the arm with a sling. However, if the shoulder pain because of a suspected injury or unknown reasons, it is better to visit a doctor.

Is medication required?

You should rush to the doctor if you feel that the shoulder pain is slowly increasing and is persistent. Whenever you feel pain when raising your hand over the head, you need to be aware that this condition is called frozen shoulder and needs the intervention of a doctor. You cannot find solace with ice in this case.

  1. Preventive techniques: To prevent shoulder pain, you need to be a bit careful. When you are introduced to a new activity or exercise, do not overdo it. Begin slowly and increase its frequency gradually. For instance, do not play hours of tennis at the novice level. Your coach recommends warm up for the very reason, especially that every muscle of the joint should be prepared.
  2. Neck and shoulder pain: Shoulder pain does not only result because your shoulder is overworked. It can also result because of your neck. Sleep on a comfortable mattress and use pillows that are not too hard or too soft. Thin pillows are the right choice. Practice neck stretches too. Stress can also be the reason behind pain in different parts of the body and therefore, you should stay relaxed and calm in life whatever the situation may be.

To find out whether your posture is the cause of pain, analyze your habits at work and home. Do not jump to get things from a height. Specific actions such as carrying heavy weights and bowling can also cause pain and discomfort in the shoulder. Review all such activities and find the right way to tackle this. In case you have a concern or query you can always consult an expert & get answers to your questions!

2647 people found this helpful

Popular Questions & Answers

I am 36 male and have been suffering from a lower back pain and discomfort. I also get frequent neck pain and pain in between the shoulder blades.

MBBS, MD - Physical Medicine & Rehabilitation
Orthopedist, Mumbai
Please check your vitamin D3 level and sugar levels You can also give hot fomentation and local application of diclofenac cream.
1 person found this helpful

I have had a burning sensation and tingling pain in my neck and shoulders for about 2 months now off and on. When should I see a doctor?

MBBS, DNB, National Board Of Examination
Orthopedist, Faridabad
Proper posture (neck straight) don't work in one posture for long periods. Neck strengthening exercises and Cervical pillow (avoid using big pillow). Get your cervical spine x-ray done. Consult Orthopedician for further management if no improvement.
1 person found this helpful

My neck muscles and nerves are jammed and due to this sprain/ catch I have pain in upper shoulder and strains my eyes. I am not able to turn and sleep sideways. Please suggest me a tablet to get relief.

DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedist, Delhi
This pain arises from the neck. When you are sleeping straight, take a thin pillow and when you are sleeping sideways, take a cushion so that your neck remains straight. Start doing isometric cervical exercises and neck mobilisation exercises. If even after all these measures, your pain doesn't become alright, show to an Orthopaedic surgeon and get yourself investigated.

Hi, I had upper body from past 3 months and went to a doctor. He conducted tests and my Vitamin D Came out as 23.6 ng/ml and my CRP level was 94 mgm/l and ERS was 7 mm/1st hour. I developed severe neck pain and shoulder swelling 20 days back. I went to a orthopedic and he suggested tests again. My CRP is 157 and ESR is 90 and WBC count is 10000. Else my all report came as normal i.e. LFT, KFT, TYPHOID. In the neck X-ray report it was written straightening of cervical spine. Doctor suggested MRI. Report is due on Monday. My concern is my vitamin D level is low and My CRP, ESR and WBC are high and I have stiffness all over my body including pain and stiffness in neck. What could be the reason of CRP, ESR and WBC so high. Is it a sign of some serious issue like HIV or CANCER or its just due to the pain and stiffness. I am a mild smoker (3-4) in a day. I do night shifts and have a hectic schedule. I take a lot of stress and I am sleep deprived. I rarely drink alcohol.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Neck PainThis is cervical pain (neck pain) and that's the reason the pain radiates until the shoulder blades. If you keep ice that would help and along side you can do hot water fermentation. You shall use cervical collar which would help you to reduce the radiating pain ie. Due to the nerve compression. Cervical spondylosis – chronic condition with radiating pain As your rightly said you have to go for traction and also you can do IFT. Please consult the near by therapist for quick relief. Since you have pain for more than 10 years it is suggestible to go for cervical muscle strengthening exercise. Use collar will definitely be helpful for him to maintain the good posture. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Techniques In Shoulder Surgery
There are few techniques used in shoulder surgery. Its important to understand the same in detail for our understanding and knowledge.
Play video
Shoulder Pain
What Can We Expect from Nonoperative Treatment for Shoulder?
Play video
Treat Chronic Pain
Pain can be musculoskeletal like back pain, shoulder pain or knee pain. Watch out to identify yours.

I am Dr. Siddharth VermaI deal with patients suffering from chronic pain. Chronic pain is any pain which is more than 12 weeks or three months in duration and if a patient is suffering from chronic pain they require special treatment and they require physician specially trained to treat the people who have chronic pain. So this pain can be musculoskeletal, then it may be back pain or the pain of the knee. There are various structures in the back which can give rise to the pain.

I'll tell you more about it if you see our skeleton, this is a model showing the back of a human and as we can see these are the vertebral bodies or the small bones which make up the human back, and these the yellow things, these are the nerves which are coming out of the small holes which are known as the foramen.And what you see here between these two bones is a disc and this is a portion of these two bones because when a person moves he actually bends, rolls place then all this moment like this. It occurs on this joint as you can see and this disc this help us to maintain this mobility.So now what happens is with growing age this can become bulging like you can see this red buzzing portion this compresses on this root which is coming out of here. This is what may lead to the pain there may be other mechanisms also and it is very essential that qualified pain physician actually evaluates you. If you have any back pain and then physician treats you accordingly.

So there are various equipment options which are available and ranging from drugs. So you can start with drugs and go to injections in the nerve roots and then we can further do pinhole surgery. It is like we can go through the needle to that and then gradually release the patient of his or her pain.Similarly, like back pain is the treatment for those suffering from knee pain. As we can see it's also 2 bonus and then instead of the disc we have this cartilage which is present here. Muscles slide this cartilage and this thing over here is your muscle which is coming over this knee joint. If this muscle is not strong enough or if the cartilage is damaged then you may have problems with your knee.

So what do we do is that if a person comes to us with the pain of the knee then we need to access a lot of ligaments. If you see it's a very complex and complicated joint if you see there are a lot of small ligaments and it is meniscal. There is cartilage so we have to analyze where the pain is coming from, once we analyze that then we prepare accordingly. We can start with drugs, we can use substances which help to form the cartilage, we can use Prolotherapy which is a new form of regeneration therapy which helps to regenerate cartilage, or we can numb those nerves which are actually carrying this pain.So you do not worry this will not lead to any weakness.

So musculoskeletal pain after revaluation can be treated and can be managed and to get rid of your pain or to know more you can simply visit my lybrate website.
Play video
Shoulder Pain
Here are a Causes, Symptoms, and treatment of Shoulder Pain
Hello, everybody. I am Dr. Ashish Acharya specialist, and sports medicine specialist at Sir Gangaram Hospital, New Delhi. Today I am going to speak on shoulder pain.

Shoulder pain is one of the very common complaints being faced by the general masses. If you don t have an injury and still you have pain, the usual cause of shoulder pain is weakness in your muscles around the shoulder or imbalance in them which can easily be treated with certain specific medications or exercises very specific to the shoulder being conducted under the supervision of the shoulder specialist and being supervised by the shoulder surgeon. Now coming to a group of people who only complain of neck pain. Shoulder pain can and definitely in some cases present only as neck pain. Hence it is most commonly misdiagnosed as the cervical cause of pain rather than a shoulder as the main cause of the pain.

If you have neck pain persisting in spite of medications and exercise and physiotherapy and precautions being prescribed by your doctor then you should consult shoulder specialist near your area so that he can distinguish the root cause of your pain and can advise you certain specific shoulder rehab and certain specific medications which will then get rid of your the pain in the neck which is actually originating from your shoulder. I would like to emphasize that group of people who have sugar or diabetes patients. They are more prone to shoulder pain or stiffness than the general public. So they should keep their sugar level strictly under control and keep exercising for their shoulder with simple exercises like shoulder wheel or the pulley exercise which are available commonly in all the parks around your living place.

If you still have pain or persistent stiffness or decrease in movement of your shoulder in spite of regular exercise then you should consult with the doctor or the shoulder specialist near your place so that he will then give you proper medications and some other specific exercises which will get rid of your pain rather than neglecting that pain and coming to the specialist in the last stage when you have a completely stiff shoulder and we have to intervene surgical methods are advised for you.

Patients who are having shoulder dislocations should consult with proper orthopedic surgeons or a shoulder specialist even after two or three or four dislocations. As at this stage they can be managed arthroscopically minimally invasive procedure so that it will be successful at this stage but if you wait when you have 20 or 30 dislocations you are actually eroding your bone which will vacant an open, bigger, bony procedure which has a longer rehab period and which is completely avoidable if you would have come earlier after second, third or fourth dislocation.

If you have any other further queries or if you need to consult with me, then consult me through Lybrate website.
Play video
Sports Injuries - Causes & Treatment!
Hi!

I am Dr. Shrish Dutt Mishra. I am a senior orthopedic surgeon, sports injury specialist. And I am attached with Indraprastha Apollo Hospitals, New Delhi and also functioned from my center Southend Orthopaedic Centre for sports injury in Greater Kailash Part-2, New Delhi. So, today we are going to talk about sports injury. Again this part of the orthopedics is not elaborately understood and in terms of evaluation of the injury. The causes of injuries and the treatment of the injury. Not all sports injuries require a treatment and surgery. Most of the injuries are treated consecutively. They are treated starting from the first evaluation of the injury. Each sport has certain bio-mechanics. Like in football the anterior crucial ligament injury is very common. It is because that the dynamics of the sport, player and how the game goes about it. Similarly, in all the swing sport it is the shoulder, elbow, wrist injuries are very common. But the causes of these injuries are very very different.

Whenever you are treating sports injuries, the treatment of a professional sportsperson and a ledger sports person, club level sportsperson is very different. The causes, evaluation and the treatment are very different. To put it in very small terms, professionally these are the over injuries. The club level player, it is the poor conditioning and the poor technique which contribute to the injuries. So, I always said that the sports injuries are dynamic injuries. Unless you correct the dynamics, the injuries going to recur, eventually become a chronic recurrent injury and unable to the conservative treatment and the frustration of the player comes in. So, the first time the injury has to be handled where the doctor knows the dynamics of your sport.

What I mean the dynamics of sports is how you play that game. Every swing has certain mechanics attached. if those mechanics are not rightly followed, leads vague concentration of energy to a particular point. Like tennis elbow, shoulder pains, wrist pains, ligament injuries, these are very common injuries. I am personally myself sportsperson. I have played the majority of the sports. Right now I am a very low handicap golf player. So, when I handle golf injuries, it is entirely a different scenario. Fortunately, I am also attached with cricket. Right now I and my team are handling Afghanistan International Team. Where we take care of the evaluation of the players and prediction of the injuries. So, friends the bottom line in this short video is that whenever there is any pain following your sports or the pain happening during the sports or after the sports, you can obviously wait for 5-6 days, put an ice, put an anti-inflammatory gel and rest to the part. And if it becomes OK, that's Ok.

it can happen to anybody. What if your pain is persisting, if you are unable to play, please do not push yourself beyond a certain limit because that is where your injury gives it too much. Consult a sports injury specialist. He will help you with right evaluation and treatment of that injury. Point of this talk was to enlighten that remember all sports are associated with injury. There is nothing to be afraid of. Play any sport. Functionality is the prime thing of the life. So, play all the sports. Injuries do happen but if they are treated well, they are cured and you play a better sport.

Thank you very much.
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