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Shoulder Pain Tips

PRP Therapy to Heal Pain

Dr. Uttam 89% (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

7 Non Surgical Treatments For Shoulder Arthritis!

Dr. Murali Krishna 91% (108 ratings)
DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Visakhapatnam
7 Non Surgical Treatments 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. If you wish to discuss about any specific problem, you can consult an orthopedist. In case you have a concern or query you can always consult an expert & get answers to your questions!
2797 people found this helpful

Subacromial Impingement - How It Can Be Managed?

Dr. Venu Madhav 91% (10 ratings)
MBBS, MS - Orthopaedics, Fellowship in Arthroscopy
Orthopedist, Hyderabad
Subacromial Impingement - How It Can Be Managed?

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

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

What causes subacromial impingement?

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

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

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

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

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

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

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

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

2597 people found this helpful

6 Best Ways Shoulder Pain Can Be Managed?

Dr. Venu Madhav 91% (10 ratings)
MBBS, MS - Orthopaedics, Fellowship in Arthroscopy
Orthopedist, Hyderabad
6 Best Ways Shoulder Pain Can Be Managed?

The hand movement is to a large extent controlled by the shoulder. It is a ball and socket setup where the shoulder bone has a socket, into which the upper arm bone fits in like a ball. Due to excessive movement or repetitive strain, the shoulder can be subjected to a lot of strain and stress. Shoulder pain is one of the most common symptoms, especially in sportspersons who use the hands repeatedly, like swimmers, basketball players, volleyball players, etc.

The pain in the shoulder could be due to various conditions, such as:

  1. Dislocation: Due to repetitive movements, the shoulder can get dislocated and cause pain. This could be an acute injury or due to repeated instability.
  2. Rotator cuff tear: The point of rotation for the shoulder joint can suffer a tear, leading to rotator cuff tear, which is a very common cause of shoulder pain.
  3. Labral tear: The ligament which connects to the upper arm bone to the shoulder socket can tear up, again leading to pain.
  4. Tendinitis: There could be calcium deposits within the tendon space, which also can cause shoulder pain. The severity depends on the extent of calcification.
  5. Arthritis: Due to old age or due to regular wear and tear, there could be arthritis of the shoulder joint, leading to pain. This could be worse at night.
  6. Frozen shoulder: In addition to limited movement, there is also shoulder pain with frozen shoulder.

Depending on the cause, the shoulder pain intensity can vary, the duration can vary, it can be at night or day, can be intermittent or constant. In addition to pain, there could also be:

  1. Inability to lift hand above the shoulder
  2. Inability to carry objects
  3. Swelling of the shoulder along with stiffness
  4. Deformity of the joint

Shoulder pain can be very limiting and needs to be managed. From minimally invasive to surgical options, the following are some options.

  1. Rest: For the pain to subside, the inflammation should subside and so rest is the first line of therapy.
  2. Ice/Heat: Icing the shoulder for 10 to 15 minutes every 4 to 6 hours is a great way to remove the inflammation and provide relief from pain. This can be alternated with a heated pad if one gets relief.
  3. Massage: Massage with herbal or pain oils is another effective way to manage pain. The herbal oils soak into the skin and provide relief from the pain.
  4. Exercise: Exercises to improve shoulder joint strength prove to be really effective but should only be done under supervision.
  5. Anti-inflammatory medications: Care should be taken they are not used long term, to avoid other effects.
  6. Cortisone injections: Given into the shoulder joint, these injections help reduce inflammation.

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

2681 people found this helpful

Shoulder Pain

Dr. Vikas Gupta 85% (16 ratings)
MBBS, MS - Orthopaedics, Hand Surgery Fellowship
Orthopedist, Delhi
Play video

What Can We Expect from Nonoperative Treatment for Shoulder?

2 people found this helpful

Shoulder Pain Treatment in Hindi - कंधे के दर्द का इलाज

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Shoulder Pain Treatment in Hindi - कंधे के दर्द का इलाज

हमारे शरीर में कंधे के महत्त्व से तो सभी परिचित ही हैं. क्योंकि कंधे से हम रोजाना कई तरह के काम करते हैं. इसलिए कंधे की मजबूती और इसके सेहत का ध्यान रखना पड़ेगा. जब भी आपको जब कंधे में कुछ समस्या होती है, तो कंधे को हिलाने-ढुलाने में बाधा उत्पन्न होने लगती है. कंधे में दर्द के दौरान आपको दर्द और बेचैनी के अलावा जीवन में कई परेशानियां हो सकती हैं. कंधे के हिलने-ढुलने व घूमने की सीमा रोटेटर कफ द्वारा निर्धारित की जाती है. रोटेटर कफ चार टेंडन्स से मिलकर बना होता है. टेंडन वे रेशेदार ऊतक होते हैं, जो हड्डियों को मांसपेशियों से जोड़ते हैं. अगर रोटेटर कफ के आस-पास के टेंडन्स क्षतिग्रस्त या उनमें सूजन आई हुई है, तो बाजुओं को सिर को ऊपर की तरफ उठाने में दर्द या कठिनाई अनुभव हो सकती है. उम्र बढ़ने के साथ-साथ कंधों में दर्द होने की संभावना भी बढ़ जाती है. विशेष रूप से 60 साल से ज़्यादा उम्र में यह समस्या आम हो जाती है, क्योंकि उम्र के साथ-साथ कंधे के आस-पास के ऊतक नष्ट या खराब होने लगते हैं. आइए कंधे में होने वाले कुछ दर्द के उपचारों को समझें ताकि इससे छुटकारा पाया जा सके.

1. कम्प्रेशन पहनें
कंधे के दर्द से परेशान व्यक्तियों को हमलोग अक्सर कम्प्रेशन पहने देखते हैं. कम्प्रेशन का काम है दर्द वाले क्षेत्र पर प्रेशर डालना. इससे सूजन को दूर करने में मदद मिलती है. कम्प्रेशन बांधने से आप आरामदायक भी महसूस करते हैं. इसके अलावा अपने कंधे के पास तकिये को रखें और उसपर अपने प्रभावित कंधे को रख दें इससे आपका इलाज जल्दी होगा.
2. कोल्ड कंप्रेस
कंधे के दर्द को दूर करने के लिए कोल्ड कंप्रेस भी बेहद प्रभावी है. दरअसल ठंडा तापमान उस क्षेत्र को सुन्न करने में मदद करता है जिससे कि सूजन और दर्द दोनों गायब हो जाते हैं.
3. हॉट कंप्रेस
जैसा कि ऊपर कोल्ड कंप्रेस के बारे में बताया है ठीक उसी हौट कंप्रेस भी कंधे के दर्द का इलाज करता है. इसके इस्तेमाल से सूजन और दर्द में आप राहत महसूस कर सकते हैं. इसका इस्तेमाल दर्द शुरू होने के 48 घंटे बाद हौट कंप्रेस का इस्तेमाल करें.
4. सेंधा नमक
सेंधा नमक मैग्नीशियम सल्फेट से बना होता है जो कंधे के दर्द को दूर करने में मदद करता है. इससे रक्त परिसंचरण सुधरता है और कंधे की मांसपेशियों को आराम मिलता है. ये शरीर की थकान को दूर करता है.
5. हल्दी का इस्तेमाल
हल्दी कंधे के दर्द से राहत दिलाने के लिए बेहद अच्छा घरेलू उपाय है. हल्दी में करक्यूमिन मौजूद होता है जिसमे एंटीऑक्सीडेंट और सूजनरोधी गुण शामिल होते हैं. इससे दर्द और सूजन को दूर करने में मदद मिलती है.
6. मसाज
मसाज का इस्तेमाल हम अपने आराम के लिए करते हैं. इसका इस्तेमाल हम कंधे के दर्द को दूर करने के लिए भी करते हैं. हल्की हल्की मसाज आपके कंधे की मांसपेशियों में तनाव और खिचाव को ठीक करने में मदद करती है. इसके अलावा ये रक्त परिसंचरण को भी सुधारने का काम करता है. मसाज के लिए जैतून, नारियल, तिल या सरसो का तेल इस्तेमाल कर सकते हैं.
7. सेब के सिरका
जब कंधे के दर्द का इलाज करने की बात आती है तो अन्य प्रभावी घरेलू सामग्री है सेब का सिरका. इसमें सूजनरोधी और एल्कलाइज़िंग गुण भी मौजूद होते है जो दर्द और सूजन को दूर करने में मदद करते हैं.
8. अल्फाल्फा से
तमाम जडीबुटीयों में अल्फाल्फा भी एक प्राकृतिक उपाय है जो दर्द और सूजन के लिए बेहद फायदेमंद है. ये पूरे शरीर का रक्त परिसंचरण ठीक करता है जिसकी मदद से सूजन कम होती है.
9. अदरक का उपयोग
अदरक में मौजूद एंटीऑक्सीडेंट और सूजनरोधी गुण, कंधे के दर्द से निपटने में काफी उपयोगी साबित होता है. इसके साथ ही ये रक्त परिसंचरण को सुधारता है जिससे कंधे के दर्द का इलाज तेज़ी से होता है. आप इसके इस्तेमाल से भी कंधे के दर्द से निजात पा सकते हैं.
10. लैवेंडर के तेल का प्रयोग
कंधे के दर्द में अक्सर हम लैवेंडर का तेल का भी इस्तेमाल करते हैं. ये थकी हुई मांसपेशियों के लिए बेहद प्रभावी आवश्यक तेल है. इसके इस्तेमाल से आप दर्द और सूजन दोनों को दूर करता है.
 

3 people found this helpful

How Physiotherapy Helps Manage Shoulder Impingement?

Dr. Ajay Rao 85% (31 ratings)
MBBS, DNB - Orthopedics, Fellowship in Upperlimb and Limb Reconstruction (Australia)
Orthopedist, Bangalore
How Physiotherapy Helps Manage Shoulder Impingement?

Shoulder impingement occurs due to bursitis, tendinitis or bony impingement. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours. 

How it may affect your daily life?
Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should consult a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury.

Symptoms of shoulder impingement:

  1. You will have difficulty in completing tasks which involve your back.
  2. There may be a weakness in your shoulder muscles.
  3. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult.
  4. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible.

Diagnosis of shoulder impingement:
Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment.

Treatment of shoulder impingement:

It should not be given in partial or complete tear of the rotator cuff tendon. NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal.

Corticosteroid injection is helpful in relevant pain as it reduces inflammation. It should not be given in partial or complete tear of the rotator cuff tendon.

In the shoulder, they are particularly useful in the management of:

  1. Rotator cuff disease (degenerative tendonosis, impingement, subacromial bursitis)
  2. Adhesive capsulitis (or ‘frozen shoulder’)
  3. Glenohumeral osteoarthritis
  4. Acromioclavicular joint disease (osteoarthritis or osteolysis)

Physiotherapy for Impingement:

Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include:

  1. Pain Management
  2. Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly.
  3. You will learn exercises and stretches to help your shoulder and shoulder blade move properly.
  4. Strengthening Exercises
  5. The therapist will teach you the proper posture which is an important part of rehabilitation
  6. ultrasound Massage

And in case physiotherapy fails, arthroscopic sub acromial decompression is the best treatment option. 

2694 people found this helpful

Frozen Shoulder - 4 Common Ways It Can Be Treated!

Dr. Rakesh Kumar 90% (109 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Frozen Shoulder - 4 Common Ways It Can Be Treated!

Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.

Some of the causes and risk factors for creating a frozen shoulder are as follows:

  1. If you are 40 years or older, your chances of a frozen shoulder are higher than others
  2. Recovering from a damage or surgery
  3. Hormonal imbalance
  4. Ladies are more prone to a frozen shoulder
  5. Cervical disc infection that influences the nerves around the shoulder
  6. Not moving your arm because of other pain or wounds
  7. Having a previous medical condition like diabetes or other heart diseases
  8. Open-heart surgery or spinal surgeries
  9. Poor diet and unhealthy lifestyle

The most widely recognized symptoms of a frozen shoulder include:

  1. Stiffness around the shoulder: this usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
  2. Restricted scope of movement
  3. Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)

Treatment:

  1. Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. 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.
  2. Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
  3. Acupuncture: Acupuncture is considered one of the best treatment choices for any joint and nerve related problem. The treatment is based on focusing on the trigger points of the pain and putting pressure on them via needles. The treatment is not painful and is known to produce good results in the long run.
  4. Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfaifa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder.

How To Cope With Shoulder Pain?

Dr. Gautam Das 92% (1363 ratings)
MD, FIPP
Pain Management Specialist, Kolkata
How To Cope With Shoulder Pain?

The shoulders are the strongest and the most often used areas of the body as they are connected to the neck, chest, hands and elbows. Therefore, it should not come as a surprise that shoulder pain and wear and tear of this area, including the rotor cuff and bursa, is also quite common. The shoulders may face plenty of wear and tear when it comes to the ligaments, tissue and other such elements. The shoulder joint may also get injured with repetitive actions that are involved in the life of a sportsperson, a carpenter, a painter and other such professionals.

There are a number of ways in which one can deal with shoulder pain. Here are the best measures that you can take in order to deal with the same.

  1. Increase the range of motion: One should increase the range and variety of motions so that the stiffness and soreness that primarily comes from repetitive actions, may be avoided. If you are only lifting materials, then you may also want to swing the arm at regular intervals to increase the blood flow and exercise the various nerves. Also, this will help in giving rest to the affected region of the shoulder. Rehabilitation therapy can help in introducing one to a range of motions that will give rest to the affected area and bring in new positions.
  2. Perform strengthening exercises: One of the best ways to keep pain and stiffness at bay is to create plenty of core strength in the muscles and joints of the area. You can try out various exercises as per the physiotherapist and the physical therapy exercises so that you can build strength. This will also help in keeping the pressure off of the affected area. You can add some weights to the exercise routine so that there is extra strength built up in the process.
  3. Do aerobic exercises: Aerobic exercises are known to increase the blood circulation to the area. The tendon and the bursa in particular benefit substantially from this kind of exercise. This will also bring the soreness down so that the pain and stiffness do not affect you.
  4. Try heat and ice therapy: You can use ice packs to soothe the inflammation in the affected area. This is usually recommended for acute pain and new injuries. Similarly, you can use heat packs and hot showers to soothe chronic pain as and when the same returns. However, you should be careful so that the scalding temperature does not leave burns and marks.
  5. Medication: You can also have painkillers as well as gels and ointments that can be used for topical relief. These must be taken with a doctor’s prescription.
     
1 person found this helpful

Frozen Shoulder - Physiotherapy For It?

Dr. Anuradha Sharma 88% (14321 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Frozen Shoulder - Physiotherapy For It?

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!

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