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Shoulder Pain Health Feed

Rotator Cuff Injury - Can It Lead To Severe Shoulder Pain?

Dr. Shailesh Mishra 85% (40 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics, DNB - Ortho, Fellowship In Knee Replacement & Arthroscopic Surgery ( Knee & Shoulder )
Orthopedist, Mumbai
Rotator Cuff Injury - Can It Lead To Severe Shoulder Pain?

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.

Rotator cuff tendinosis, Frozen shoulder and Tendon sheath inflammation are more common in Diabetic patients. Essential part of treatment of these conditions include diabetes control and physiotherapy. However in chronic and refractory cases Arthroscopy may be required. Many times chronic rotator cuff tendinosis ends up in rotator cuff tear as a result of minor trauma.

Hi, I have fluttering in my shoulder and arms sometimes, when I just suddenly backward my neck. What should I do?

Dr. Julie Mercy J David 91% (10769 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Hi, I have fluttering in my shoulder and arms sometimes, when I just suddenly backward my neck. What should I do?
Shoulder pain & armIt 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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Dear Doctor, I have knee pain on both knees and squatting is difficult. To get up, step in and step out of vehicles are difficult. Long driving also brings joint pain on shoulders. Consistent shoulder pain is also there. I don't have cholesterol or sugar or BP. Uric acid level is 7.3. Please advise me the best way to get rid of the ailments shown above. Yours faithfully M Mohamed Kunhi.

Dr. Subhash Subramanian 89% (16 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Thrissur
Dear Doctor,
I have knee pain on both knees and squatting is difficult. To get up, step in and step out of vehicles a...
Your uric acid level is slightly increased. Along with these from your symptoms, imay be your knee has degenerative changes. Means cartillage (meniscus) in your knee is affected. To correct pain and prevent meniscal tear have to take medication both externally and internally. It is a curable condition. For your Uric acid level, at this level we can manage it by mild modification in your diet plan. At least drink 2 and half liter of water every day. Avoid heavy intake of animal proteins also helpful.
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3 Best Exercises Managing Frozen Shoulder!

Dr. Kapilchand Narra 86% (21 ratings)
B.P.T, M.P.T
Physiotherapist, Hyderabad
3 Best Exercises Managing Frozen Shoulder!

Frozen shoulder (also known as adhesive capsulitis) is a condition in which the shoulder is stiff, painful, and has limited motion in all directions. A person suffering from a frozen shoulder can be pretty uncomfortable.

Frozen shoulder treatment should be done immediately once it has been detected. Stretching exercises are considered as the best-frozen shoulder treatment exercises. A proper warm up becomes very necessary before any exercise. Making the area warm by using a heating pad is one of the warm-up methods. However, a warm shower covers it all. Physiotherapy for frozen shoulder includes various exercises that should be first confirmed by a doctor. There are a number of exercises for frozen shoulder.

Some very important frozen shoulder exercises are listed below:

  1. Pendulum Stretch: To start with, you can do the pendulum stretch. This dictates that the shoulders should be in a state of relaxation, initially, following which the arm which is affected should be allowed to hang down slightly. Once this is done, the arm is to be swung in a small circle i.e. about a foot in diameter. This is to be done consistently so that there can be a gradual improvement in the condition. As there is an improvement, the size of the circle can be increased and once the shoulder can take sufficient weight again, minor weights (up to five pounds) can be used.
  2. Finger Walk: A simple exercise which can be done almost anywhere is the finger walk. What this exercise entails is that the person stands about three-fourths of an arm’s length away from a wall and then places his or her fingers on the wall itself, at around the level of the waist. The fingers are to crawl or walk up the wall till the point that it becomes a little uncomfortable. While this is just one repetition, after the fingers have been lowered, it is to be done again. In order to have the best results in combating frozen shoulder, the finger walk exercise is to be repeated about twenty times in a day.
  3. Towel Stretches: Towels do not serve a greater role apart from drying up post a bath or over the course of a visit to the spa, right? Well, this is not really true due to the fact that they can be used to even help with frozen shoulder! Indeed, towel stretches done by holding the towel with each hand across one’s back. The arm which is normal should then pull the affected arm so it is stretched. As is the case with the finger walk, about 20 repetitions a day is ideal for good results.

If one goes a step forward and follows a regime of with all these exercises, the person suffering due to frozen shoulder will be back to normal in almost no time at all!

My age is 45, I am suffering (7 to 8 years long) shoulder pain because of cervical problem, also stuffiness in hand, shoulder .back. Neck. Is this medicine useful in above problem.

Dr. Subir Saha 91% (159 ratings)
BPTh/BPT, DMS
Homeopath, Kolkata
My age is 45, I am suffering (7 to 8 years long) shoulder pain because of cervical problem, also stuffiness in hand, ...
You take homoeopathic medicne cimiçifuga-200 &Radium brome 200 1drop 3 times daily for 7 days and needs physio therapy.
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I have been taking omnacortil 5 mg for the past 5 years due to lupus and ILD. Also I am suffering from osteoporosis on my left wrist. Is there any other alternative medicine. I am 34 years old mother of two kids and full time working. Also I suffer from severe pain in my shoulder and back. Please advice.

Dr. K Shanmuganandan 89% (237 ratings)
Rheumatologist, Chennai
I have been taking omnacortil 5 mg for the past 5 years due to lupus and ILD. Also I am suffering from osteoporosis o...
Hi lybrate-user Thanks for the query you have osteoporosis due to steroids Please consult through Lybrate for analysis.
1 person found this helpful
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Shoulder Pain - 6 Reasons Behind It!

Dr. Shailendra Patil 83% (10 ratings)
MBBS, Diploma In Orthopaedics, DNB - Orthopedics, Fellowship In Joint Replacement & Arthroscopy
Orthopedist, Mumbai
Shoulder Pain - 6 Reasons 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.

4 people found this helpful

Rotator Cuff Tear - Know More About It!

Dr. Arun Gupta 83% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS
Orthopedist, Agra
Rotator Cuff Tear - Know More About It!

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.

Meri age 34 hai. 2 saal se dono ankle, dono knee, or lower back pain hai. Test or X-ray Mai calcium kids kmi hai. Ankle ki bone bd gai hai. Ab right shoulder mai bhi pain hone lga hai. Hair lose bhi bhut jiyada hone lga hai. 3 month se Bonefast cap, Nervisun NT, GUdvok TB. Le rhi hu. Exercise bhi kr rhi hu. Koi Aram nhi hua. Please help.

Dr. Julie Mercy J David 91% (10769 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Meri age 34 hai. 2 saal se dono ankle, dono knee, or lower back pain hai. Test or X-ray Mai calcium kids kmi hai. Ank...
Physiotherapy Management:You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Knee Pain: As arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Simple Knee ExerciesSpecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Knee pain more than 2 weeks:if your knee is paining since 2 weeks, then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
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Mri report tells that my C4 -5 and c5- c6 diffuse disc osteophyte seen causing thecal indentation with bilateral exiting nerve good indentation. Having sexier pain in right shoulder blade n head sometimes in right ,and sometimes left.

Dr. Julie Mercy J David 91% (10769 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Mri report tells that my C4 -5 and c5- c6 diffuse disc osteophyte seen causing thecal indentation with bilateral exit...
This 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.
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