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Shoulder Pain Tips

Surgical and Non-Surgical Treatment for Shoulder Arthritis!

Dr. Shobhit Tandon 88% (506 ratings)
MBBS, PG-Diploma In Clinical Pathology
General Physician, Sri Ganganagar
Surgical and Non-Surgical Treatment for Shoulder Arthritis!

The shoulders are the most mobile joints in your body. Shoulder joints undergo wear and a tear over time and hence become unstable. Shoulder arthritis is one of the painful conditions affecting the shoulder joints. Arthritis not only takes a toll on the tendons and muscles, but also affects the ligaments and joints too. They usually cause symptoms such as joint pain, resulting in limited mobility.

Treatment:

Nonsurgical or Lifestyle treatments:

  1. Take rest or avoid the activities that provoke pain or change the way of your arm movements.
  2. Physical therapy boosts shoulder mobility.
  3. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin alleviate pain and inflammation.
  4. Corticosteroid injections in the shoulders can also help to ease the pain and inflammation, although temporarily.
  5. Applying moist heat or ice packs over the shoulders for about half an hour at least thrice a day brings relief.
  6. Drugs such as methotrexate can be administered in case one is suffering from rheumatoid arthritis (a chronic disease attacking multiple joints of the body).
  7. Dietary supplements such as chondroitin and glucosamine may help reduce pain.

Surgical treatments (if your pain results in disability and does not lessen with nonsurgical options)

  1. Join replacement surgery or arthroplasty involves replacing the damaged parts of the shoulder with a prosthetic (artificial) joint.
  2. Few mild forms of arthritis may be treated using the Arthroscopic procedure (minimally invasive surgery). It requires a surgeon to ease the joint pain by making small incisions to “clean out” the joint. A tiny camera fitted into the joint guides the surgeon through the surgery.
  3. Resection arthroplasty is a method that involves the surgical removal of the bone from the collar bone and substituting it with a scar tissue to treat arthritis of particular joints.

Shoulder Pain - Know About Its Symptoms And Treatment!

Dr. Vikas Gupta 90% (18 ratings)
MBBS, MS - Orthopaedics, Hand Surgery Fellowship
Orthopedist, Delhi
Shoulder Pain - Know About Its Symptoms And Treatment!

What is commonly referred to as shoulder, is a combination of different joints which involves various muscles and tendons which allow us to take part in a wide range of motion. Shoulder pain can be classified in a broad spectrum, and even though some people have shoulder pain only, others may experience the pain radiating towards the neck and upper arm.

What are the symptoms of shoulder pain?
The four rotator cuff tendons are the most commonly affected tendons in the shoulder. Besides causing shoulder pain, it may also lead to tendon tears, impingement, and instability.
Impingement occurs when the top portion of the shoulder blade exerts pressure on the soft tissues underneath. As you try to lift the arm, the acromion starts to rub or impinge on the rotator cuff tendons and leads to tendinitis and bursitis. With the passage of time, it may cause rotator cuff tear.

On the other hand, instability of shoulder takes place when the top portion of the upper arm bone is compelled out of the shoulder socket. It may occur from a sudden injury or excessive use. It can be partial or complete in which the entire ball is dislocated.

How can shoulder pain be diagnosed?
The first thing that your doctor may recommend is a plain X-ray since it can detect any narrowing of space in between two spinal bones, tumors, slipped disks, arthritis and similar diseases, narrowing of the spinal canal, instability of spinal column and most importantly, fractures. Other diagnostic tests include MRI, electrodiagnostic studies, and CT scanning.

MRI or magnetic resonance imaging is a non-invasive process which can reveal the neural elements along with the problems with ligaments and tendons. CT scanning is often used as an alternative to MRI. Electrodiagnostic studies, as well as nerve conduction velocity, are used for the diagnosis of neck and shoulder pain.

What are the treatments for shoulder pain?
The treatment of shoulder pain from soft tissue includes the use of anti-inflammatory medicines such as ibuprofen, naproxen, and ibuprofen. Sometimes, doctors also recommend pain relievers like acetaminophen. But the drugs must be administered depending on the source of the pain and antidepressants and muscle relaxers may also be used.

Local application of ice and heat therapy can help in relieving the shoulder pain. Besides, your doctor may also recommend resting the affected area and limiting activities concerning the shoulders. When these treatments are not able to give positive results, then you may need to take corticosteroid injections along with some exercises.

When the spinal cord or nerve roots are involved in causing shoulder pain, surgical procedures can be the last resort. Your doctor can be your best guide in determining which course can be the most suitable in the treatment of shoulder pain.

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

3 people found this helpful

Posture And Ergonomics - How Physiotherapy Can Help?

Dr. Hitesh Khurana 84% (40 ratings)
MPTh/MPT, Bachelor In Physiotherapy, Mater of Physiotherapy
Physiotherapist, Delhi
Posture And Ergonomics - How Physiotherapy Can Help?

Most people these days spend hours working on computers, owing to the sedentary nature of their jobs. Desk-bound office jobs require you to sit in one place for long hours. This often leads to nerve and muscle tension related to posture. A good posture refers to how you carry your body- keeping your back straight in an erect position, placing your arms and legs in the correct position so that the joints are not bent or twisted.

Unfortunately, most people do not pay attention to correct posture and end up complaining about backaches and joint pain. If you don’t keep your spine aligned, or if your feet do not touch the ground while sitting on a chair, then you may experience pain and discomfort afterwards. The pain is severe in people who work for about 8-10 hours daily while sitting in the same posture throughout.

Signs to watch out for-
Poor posture can result in mild to severe pain. The usual symptoms are-

  1. Lower back pain
  2. Stiffness and pain in the neck
  3. Muscular tension and shoulder pain
  4. Pain in the forearms and wrist
  5. Lumbar disc bulging
  6. Irritation
  7. Pain in the joints (knee and hips)

If these symptoms are not treated soon, then poor posture can lead to chronic health conditions like arthritis, spondylitis, slipped disc etc.

How does office ergonomics help manage your posture?
Most people don’t even realize the importance of maintaining a good posture. A healthy posture not only makes you feel comfortable at work but also prevents muscle-related problems. Here are a few tips to improve your posture at your workplace-

  1. Choosing the right chair is more important than you can even imagine. A chair with proper support system will prevent your back form bending too much, and thereby reduce the risk of back pain. Make sure your back is in an erect position so that your spine does not bend.
  2. Don’t keep your shoulders rounded and don’t bend your neck forward to lean on the computer screen. Otherwise you will have a stiff neck leading to spondylitis. Keeping your shoulders and head straight will prevent shoulder ache and neck stiffness.
  3. It’s important to rest your foot on the ground. If you find it difficult to reach the floor, arrange for a footrest. If the chair is too high for you, adjust it as per your convenience to prevent ill posture. Resting your feet evenly on the floor will prevent leg pain.

How does physiotherapy improve your posture?
Physiotherapy plays a great role in improving poor posture. Physiotherapy evaluates your body mechanism, mobility and strength to determine what exactly needs to be done. The commonly used techniques are-

  1. Joint Mobilization- This is a hands-on treatment technique for musculoskeletal conditions. Usually this method is targeted towards the synovial joints to achieve therapeutic effect.
  2. Dry needling- A needle is inserted gently into your skin to target the muscle that’s triggering the pain. A jump response upon inserting the needle is a good sign. It indicates that the therapy is working fine. It increases blood circulation in the targeted area and helps relax your muscles.
  3. Exercise- Moderate exercises, especially yoga and pilates, are very effective in treating posture-related pain. Yoga poses like bhujang asana, dhanurasana, padmasana stretch your muscles, spine and reduce body pain.

Other than these, frequent walking (at an interval of every 1-2 hours) can help reduce pain and help flex your muscles. Physiotherapy is a safe mode of treatment with much lesser side effects than other conventional methods. A proper diagnosis, treatment and frequent follow ups can improve poor posture and keep you active. In case you have a concern or query you can always consult an expert & get answers to your questions!

4187 people found this helpful

How Physiotherapy Is Of Importance In Frozen Shoulder?

MPTh/MPT, PGDYT, (FAGE) Fellow of Academy of General Education
Physiotherapist, Bangalore
How Physiotherapy Is Of Importance In Frozen Shoulder?

Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when swelling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast. It also occurs, if someone is recovering from surgery, experiencing joint pain or facing restraint of movement for other reasons.

A frozen shoulder can go on from a couple of months to as much as 3 years and the precise cause is unknown. Physiotherapy is often to treat this condition. It has been found that posture plays a huge part in your recovery from a frozen shoulder. The urgent goal is to get the shoulder join moving once again. The sooner this is done, the better are the odds of a quick recovery. Anti-inflammatory medicines, heat application and delicate stretching activities are performed with the assistance of a physiotherapist.

Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:

  1. To reduce pain in the shoulder
  2. To increase the flexibility and strength of the shoulder
  3. To enhance movement of the shoulder.
  4. To increase endurance of the muscles

Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:

  1. Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy, dry needling and kinesiology taping for pain can help during the painful swelling phase.
  2. Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
  3. Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.

Physiotherapy does not bring out immediate results, but gradually. Flexibility will increase gradually. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual. In case you have a concern or query you can always consult an expert & get answers to your questions!

3105 people found this helpful

Workplace Ergonomics - Ways To Help You Maintain Correct Posture!

Dr. Savitr Sastri 90% (78 ratings)
MS - General Surgery, MBBS, MCh - Neuro Surgery
Neurosurgeon, Hyderabad
Workplace Ergonomics - Ways To Help You Maintain Correct Posture!

Most professions require you to work with computers these days, and thus people tend to sit at the workplace for long hours that often leads to posture related muscle tensions and nerve issues. By following a few easy ergonomic principles at your workplace, you can keep such sufferings at bay though.

The workplace is where you spend the majority of your time in day. So it is crucial that you focus on your posture while sitting when you are working. Maintaining your posture will not only help you feel more comfortable working in front of a computer, but will also prevent back pain, muscle stiffness, and other muscle related problems.

If you are wondering what these workplace ergonomics are, take a closer look at them here.

  1. Choose the right chair: Selecting the right chair is of great importance when it comes to workplace ergonomics. The chair on which you will spend most of your day working should be supportive of your spine. This will prevent you from working in a bending position, thus reducing the risks of backaches.
  2. Focus on your shoulders and head: While working in a sitting position, your shoulders should be kept straight and not rounded forward, otherwise, it may give you shoulder pain, back pain, and neck pain. You should also keep your head straight, setting it over your spine in a way that your ears line up over your shoulders.
  3. Place the mouse and keyboard within reach: Make sure that you keep all your key objects, that you use repeatedly near you. You should minimize the amount of stretching you need to do. Not only will this reduce the risk of falling, but also prevent muscle tension from building up. When using your mouse or typing on your keyboard, make sure that you keep your upper arms near your body and keep your wrist straight.
  4. Keep the screen right in front of you: Keep your screen at your eye level so that you don't have to work in a posture where you keep your neck bent over the screen for long hours. Even maintaining proper distance from the monitor screen can be helpful in preventing eye pain and neck pain.
  5. Opting for a footrest is important too: In case you face any difficulty in reaching the floor, or even if your office chair is too high, opt for a footrest to prevent poor posture. This will help reduce the pain or any ache you may get in your legs and feet.

Muscle tension and pain due to poor workplace posture is a common phenomenon today, and focus on improving your daily posture as well as improving the workplace ergonomics are sure to prevent muscle and nerve related problems. In case you're already suffering from muscle issues due to poor posture, opt for a consultation with a neurosurgeon right away to prevent the muscle condition from deteriorating further.

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

3475 people found this helpful

Frozen Shoulder - How Physiotherapy Is The Best Option?

Dr. Mohd Alim 91% (1165 ratings)
M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
Frozen Shoulder - How Physiotherapy Is The Best Option?

Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when swelling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast. It also occurs, if someone is recovering from surgery, experiencing joint pain or facing restraint of movement for other reasons.

A frozen shoulder can go on from a couple of months to as much as 3 years and the precise cause is unknown. Physiotherapy is often to treat this condition. It has been found that posture plays a huge part in your recovery from a frozen shoulder. The urgent goal is to get the shoulder join moving once again. The sooner this is done, the better are the odds of a quick recovery. Anti-inflammatory medicines, heat application and delicate stretching activities are performed with the assistance of a physiotherapist.

Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:

  1. To reduce pain in the shoulder
  2. To increase the flexibility and strength of the shoulder
  3. To enhance movement of the shoulder.
  4. To increase endurance of the muscles

Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:

  1. Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy, dry needling and kinesiology taping for pain can help during the painful swelling phase.
  2. Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
  3. Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.

Physiotherapy does not bring out immediate results, but gradually. Flexibility will increase gradually. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual.

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

3388 people found this helpful

Benefits of Musculoskeletal MRI

Dr. Manjari Gupta 88% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Radiodiagnosis
Radiologist, Ghaziabad
Benefits of Musculoskeletal MRI

Gone are the days when bone ailments and damages were detected based on the experience and superficial conversations made by the physicians. These days with the advent of radio waves, medical science has made significant progress that has enabled a detailed overview of what exactly is going on inside your body and what should be the most relevant treatment in that regard. Magnetic Resonance Imaging or more commonly known as MRIs are a boon when it comes to diagnosing orthopedic and musculoskeletal complaints.

Common Uses of the Procedure:

MR imaging is usually the best choice for examining the:

  1. body’s major joints.
  2. spine for back pain
  3. soft tissues (muscles, tendons and ligaments) and bones of the extremities.

MR imaging is typically performed to diagnose or evaluate:

  • degenerative joint disorders such as arthritis.
  • tears of the menisci, ligaments and tendons (knee) or rotator cuff and labrum (shoulder and hip).
  • fractures (in selected patients).
  • spinal disk abnormalities (such as a herniated disk).
  • the integrity of the spinal cord after trauma.
  • sports-related injuries and work-related disorders caused by repeated strain, vibration or forceful impact.
  • infections (such as osteomyelitis).
  • tumors (primary tumors and metastases) involving soft tissues around the joints and extremities (such as muscles, bones and joints).
  • pain, swelling or bleeding in the tissues in and around the joints and extremities.
  • congenital malformations of the extremities in children and infants.
  • developmental abnormalities of the extremities in children and infants.
  • congenital and idiopathic (developing during adolescence) scoliosis prior to surgery.
  • tethered spinal cord (abnormal stretching in the spinal cord) in infants and children.

The Process:

In this process, X-rays and radio waves are subjected upon the affected region to examine the conditions of the bones, tissues, muscles and also detect the presence of tumours. This is majorly a non-invasive test and is painless. It does not use ionizing rays and therefore does not harm the body in any which way. The MRIs capture a detailed picture of the organs and the internal body structures and then transmit them onto a computer screen for the physician to monitor the inside story.

The Benefits: 

  1. MRI is an imaging technique that does not require exposure to radiation.
  2. MR images of the soft-tissue structures of the body (particularly muscles, bones and joints) are often clearer and more detailed than with other imaging methods. This detail makes MRI an invaluable tool in early diagnosis and evaluation of many conditions, including tumors.
  3. MRI can distinguish abnormal tissues from normal tissues much more accurately than most other imaging tests (x-ray, CT, etc.).
  4. MRI enables the discovery of abnormalities that might be obscured by bone with other imaging methods.
  5. The contrast material used in MRI exams is less likely to produce an allergic reaction than the iodine-based contrast materials used for conventional x-rays and CT scanning.
  6. MR images allow the physician to clearly see even very small tears and injuries to tendons, ligaments and muscles and some fractures that cannot be seen on x-rays and CT.

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

3258 people found this helpful

Homeopathic Remedies For Joint pain And Inflammation!

Dr. Garima Gupta 86% (13 ratings)
MD-Homeopathy, BHMS, DNHE, CNCC
Homeopath, Gurgaon
Homeopathic Remedies For Joint pain And Inflammation!

Are you experiencing a swollen and painful joint and are looking for an effective way to treat it? You can choose homeopathic treatment, which is considered to be ideal for joint pain and inflammation, as it does not have any side effects. When a joint swells up, gets inflamed, or damaged due to an injury, joint pain is experienced. Aging and several medical conditions such as gout, osteoarthritis, rheumatoid arthritis, general injuries, and sprains are common causes of joint inflammation and pain. A wide range of homeopathic medicines is used for the management of joint pain and inflammation.

Here is a list of the top homeopathic medicines used for this condition along with the symptoms when they are prescribed for use:

  1. Rhus Tox- This homeopathic medicine is very effective in treating joint pain. Both acute and chronic joint pains are cured by this medicine. It is used when a patient experiences marked stiffness in the joints along with intense pain. The medicine treats all kinds of joint pains, starting from rheumatic reasons to injuries caused due to overexertion. Usually, the joint pain gets better with movement and worsens if you are immobile.

  2. Sanguinaria Can and Ferrum Met- Sanguinaria Can is used for treating joint pains which occur in the shoulder. It is most effective in the case of right-sided shoulder joint pains. The right-sided shoulder of the patient may feel stiff and the pain worsens with any kind of motion. The right shoulder joint pain increases during the night. On the other hand, Ferrum Met is used in the case of left-sided shoulder pain. The patient experiences stiffness and cracking in the left shoulder joint along with great pain. The pain increases if you raise your arm and with any kind of movement.

  3. Bryonia and Ruta- These homeopathic medicines are used for the management of joint pain in the elbows. Bryonia is used when the elbow joint pain increases even without movement. It provides sustained relief. The pain is also accompanied by stiffness and swelling in the elbow joint. Ruta, is an effective homeopathic medicine which is used for elbow joint pain treatment, especially when the pain is located near the condyles. Stretching and raising your arms trigger the pain. This medicine is also used in case of inflamed and sore tendons near the elbow joint, which cause pain.

Other homeopathic medicines such as Actaea Spicata and Rhododendron are used in the case of treating joint pains in the wrist.

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

3392 people found this helpful

Benefits of Greeva Basti

Dr. Riju Lohan 92% (37 ratings)
B.A.M.S.
Ayurveda, Dehradun
Benefits of Greeva Basti

Benefits of Greeva Basti: 

1) Relieves the burden of stress and congestion on nerves, bones, and muscles of the neck and shoulders and thus relaxing and rejuvenating them
2) Improves flexibility and brings smooth movement.
3) Improves circulation around the neck and shoulder region.
4) Relieves pain and stiffness.

Indication:

PRP Therapy to Heal Pain

Dr. Uttam 91% (197 ratings)
Fellowship in Pain Management, MD, MD - Anaesthesiology , MBBS , Observer post
Pain Management Specialist, Pune
PRP Therapy to Heal Pain

PRP therapy is a novel treatment to heal the pain of tennis elbow, knee and shoulder pain.

1 person found this helpful
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