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Shoulder Pain Tips

Shoulder Pain - 6 Most Common Causes Of It!

Dr. Suman Kumar Nag 84% (10 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Sports Medicine
Orthopedist, Raipur
Shoulder Pain - 6 Most Common Causes Of It!

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the 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.

Shoulder Pain - How To Treat It?

Dr. Rajat Jangir 88% (10 ratings)
MS - Orthopaedics, Diploma In Sports Medicine
Orthopedist, Jaipur
Shoulder Pain - How To Treat It?

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

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc.. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are-

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to...

  • Bankart lesion

Diagnose Shoulder Pain-

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

  1. X-rays: Through an x-ray one can view the shoulder in many different views
  2. Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain-

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions --

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

Arthritis --

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Remember "a stitch in time saves nine"

4061 people found this helpful

Cupping Therapy As A Treatment In Present Day Medication!

Dr. Izhar Hasan 92% (247 ratings)
MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
Cupping Therapy As A Treatment In Present Day Medication!

The Value of cupping therapy as a treatment in present day medication

ABSTRACT

Cupping therapy pulls toxins, pathogenic elements, blood poison, dead lymph and cell flotsam and jetsam from profound inside the tissues to the surface. These crippling operators are then more effortlessly removed from the body. The stores disseminate from a couple of hours up to a little while, contingent upon the measure of stagnation and the patients post treatment exercises. The nature of the pathogenic components changes as indicated by the seriousness of the patient's blood stasis; which associates with the nature, seriousness and sort of condition they have. It can show up from a light pink to a dim purple, yet is normally a shade of red. Regularly modest raised knocks will show up. In some cases a reasonable liquid will be attracted to the surface. These are largely consequences of sickness and toxins being expelled from profound inside the tissues. For the most part, the expert will see the best measure of stores being attracted to the surface in the initial couple of medicines. The stores will decrease in force as the more profound issues are settled and the stagnations and toxins have been dug up and flushed out by means of the bodys' own circulatory frameworks, removal from the pores and sweat.

Although the marks look painful, they are not. Patients usually feel an immediate sense of relief.

Keywords: Cupping therapy, Toxins

INTRODUCTION

Since antiquated occasions, complementary and alternative medicine (CAM) have assumed a critical job in human wellbeing and welfare. Cupping treatment gets its name from the cups that are utilized to convey the treatment. Cupping has turned out to be progressively accessible to general society in the ongoing years. "Cupping Therapy is an old restorative treatment that depends after making a nearby suction to assemble blood stream with the end goal to advance mending". Cupping is a conventional idea thought to help in medicinal conditions and has turned out to be progressively more famous in specific situations. It is as yet drilled in country zones as it was rehearsed a huge number of years back, yet as of late has been recognized in the western culture. Cupping treatment is rehearsed worldwide and among various societies to oversee pain and other medical issues. Pain can be enduring and consistent with the patient inclination inconvenience, trouble and frequently anguish if the seriousness is high. Pain that can't be overseen by customary restorative consideration, is the most widely recognized explanation behind looking for remedial options in contrast to traditional medication and the more serious the torment, the more incessant is the utilization of such treatments.

DEFINITION OF CUPPING THERAPY

Cupping therapy is therapy of alternative traditional medicine. Due to utilization of cups, it is called as cupping therapy. Hijama is alternative name of cupping therapy. It is Arabic word, which means ‘to suck’.

HISTORY OF CUPPING THERAPY

There is reason to trust the practice dates from as right on time as 3000 BC. The Ebers Papyrus , composed  1550 BC and one of the most established therapeutic course readings in the Western world, portrays the Egyptians ' utilization of cupping, while at the same time making reference to comparable practices utilized by Saharan Peoples. In ancient Greece, Hippocrates (400 BC) utilized cupping for interior malady and basic issues. The method was profoundly suggested by Muhammad and henceforth very much drilled by Muslim researchers who explained and built up the technique further. Continuously, this method in its various structures spread into medication all through Asian and European human advancements. In China, the most punctual utilization of cupping that is recorded is from the popular Taoist chemist and botanist, GeHong (281-341 A.D.).

AIMS AND OBJECTIVE

Cupping treatment ends up prevalent day by days. Many physicians interested to practise this therapy. But very short information they fear to practise. Keeping this fact in mind this article is written to provide basic information of cupping therapy to all research scholar and physicians.

METHODS OF CUPPING

Cupping can be wet or dry. In dry cupping cups are set on flawless skin and the point is to just expel blood and liquid from the site of aggravation to the surface of the skin. Wet cupping, otherwise called phlebotomy, is the point at which mini incisions are made with an exceptional sort of lancet on the locale of the skin where the cup is connected.

The point is to evacuate shallow blood that streams into the cup which is believed to be brimming with poisonous and harmful substances. Cupping is performed by making a vacuum in the cup set on the skin by either applying a warmed cup on the skin which devours the air inside it (fire cupping) or by utilizing a suction pump (suction cupping). In flame cupping the expert may utilize a cup made of glass, metal or wood (bamboo). The cups are then warmed by consuming liquor splashed cotton inside the cups. The cup is then set looked down level on the skin as the warmth makes suction on the skin. Suction cupping utilizes a suction pump to direct the let some circulation into of the cup after it is connected to the skin.

DURATION OF CUPPING

The cups are left in place anywhere from 10 to 15 minutes depending on the nature of the individual’s condition. However duration of cups left may vary patient to patient and severity of the disease.

A general course of treatment involves four to six sessions in intervals starting from 7 to 15 day gaps.

INDICATIONS OF CUPPING THERAPY

1. Musculoskeletal and autoimmune disorders: Cupping can eliminate pain causing substances, prostaglandins, inflammatory mediators and cytokines. 

  • Neck pain, cervical spondylosis
  • Back pain (lumbago) and lumbar disc herniation 
  • Lumbar disc prolapse unless surgery is indicated 
  • Fibromyalgia and fibrositis 
  • Neck and shoulder pain, stiffness, spasm
  • Skeletal pain, myalgia
  • Knee osteoarthritis, Rheumatoid arthritis
  • Shoulder back myofascitis 
  • Post fracture pain, sprain, traumatic strain
  • Muscles spasm
  • Tendonitis 
  • Carpal tunnel syndrome
  • Sciatica 
  • Ankylosing spondylitis
  • Addisons disease 
  • Autoimmune anaemia

2. Cardiovascular diseases: Cupping eliminates excess intravascular fluids, excess lipids, vasoconstrictors and aetiology concerning substances. 

  • Hypertension (through removing excess serum fluids and vasoconstrictors) 
  • Edema (through removing excess fluids and clear interstitial spaces 
  • Myocardial ischemia and arrhythmia 
  • Rheumatic fever 
  • Vascular thrombosis 
  • Coronary artery diseases (narrowing of the arteries) 
  • Abnormal heart rhythms

3. Gynaecological disorders: 

  • Amenorrhoea 
  • Dysmenorrhoea
  • Leucorrhoea 
  • Infertility 
  • Haemorrhage (vaginal bleeding) 
  • To stimulate the ovaries 
  • Menstruation problems

4. Haematological disorders: Cupping clears blood from fragments of haemolysed cells, liberated Hb, excess iron 

  • Sideroblastic anaemia (to excrete excess iron) 
  • Thalassemia (to excrete excess serum iron, fragmented cells and ferritin)
  • Polycythemia

5. Dermatological disorders: Cupping clears toxic blood from fragments of abnormally high IgE and other diseases 

  • Psoriasis
  • Atopic dermatitis 
  • Acne vulgaris
  • Leucoderma/vitiligo 
  • Cellulitis 
  • Idiopathic urticaria

6. Endocrinal/metabolism disorders: Cupping eliminates accumulated substrates and metabolites from body and induces blood clearance; induce immunity boosting and pharmacological potentiation. 

  • Hypothyroidism 
  • Hyperthyroidism 
  • Obesity 
  • Prevents diabetes mellitus complications 
  • Osteoporosis 
  • Gout and gouty arthritis 
  • Hyperlipidemia 
  • Hormonal imbalance

7. Neuropsychiatric disorders: Cupping removes pain causing substances, prostaglandins and aetiological concerning fluids from the body. 

  • Headache
  • Migraine 
  • Anxiety 
  • Depression 
  • Obsessive compulsory disorders
  • Insomnia 
  • Dementia 
  • Trigeminal neuralgia 
  • Laziness, lassitude and somnolence

8. Respiratory and ENT disorders: Cupping removes pathology concerning substances and boost immunity. 

  • Allergic rhinitis 
  • Bronchial asthma 
  • Tonsillitis 
  • Motion sickness 
  • Sinusitis 
  • Otitis media
  • Bronchitis

9. Gastrointestinal disorders: 

  • Constipation 
  • Irritable bowel syndrome (IBS) 
  • Gastritis 
  • Ulcerative colitis 
  • Gastroesophageal reflux disease (GERD) 
  • Intoxication (toxins, food and drugs administration

10. Miscellaneous: 

  • Cellulitis
  • Diabetic foot (excrete abnormal, harmful metabolites, increase immunity, and improve local circulation in foot) 
  • Influenza, epidemic flu as cupping enhances the natural antiviral immunity 
  • Prevents parkinson disease progress 
  • Frozen shoulder 
  • Varicose veins 
  • Blockages and congestion

CONTRAINDICATION OF CUPPING THERAPY

  • Bleeding disorders such as haemophilia or who are being treated with anticoagulants
  • Active inflammation, burns, infection, and open wounds.
  • A child
  • Pregnant
  • Menstruating

SIDE EFFECTS OF CUPPING THERAPY

  • None if done by expert

SPECIAL NOTE

This particular method of wet cupping is a specialty treatment and must be performed by trained and qualified Unani physician.

CONCLUSION

Cupping therapy treatment allows the practitioner to determine with the aid of suction cups whether the position of the symptoms is the true location of the disease. Additionally, we can detect which organ is defective and in need of treatment. With the many forms of cupping therapy health care provider should review the literature and make their selection of cupping method and points based on treatment studies.

2 people found this helpful

Shoulder Pain - Causes, Diagnoses & Treatment

Dr. Sachin Singh 92% (354 ratings)
MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
Shoulder Pain - Causes, Diagnoses & Treatment

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

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc.. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are-

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to...

  • Bankart lesion

Diagnose Shoulder Pain-

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

  1. X-rays: Through an x-ray one can view the shoulder in many different views
  2. Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain-

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions --

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

Arthritis --

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Remember "a stitch in time saves nine".

2779 people found this helpful

Shoulder Dislocation: Causes And Treatment

Dr. Suhel Khan 86% (10 ratings)
MBBS, Diploma In Orthopaedics, DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Pune
Shoulder Dislocation: Causes And Treatment

A shoulder dislocation is a shoulder injury which is characterized by the upper arm bone popping out of the socket of your shoulder blade. The shoulder joint is the most mobile among all the joints in the body, making it the most prone to dislocation. The dislocation of the shoulder joint can either be partial or complete depending on the injury. In a partial dislocation, the head of the upper arm is partially shifted out of the socket whereas in a complete dislocation, the head comes out of the socket in its entirety.

Symptoms-

The symptoms of shoulder dislocation are:

  1. Swelling or bruising of the affected area.

  2. Deformed shoulder.

  3. Excruciating pain in the shoulder region.

  4. Mobility of the joint is greatly reduced.

Apart from these symptoms, there may be tingling, numbness and weakness in the affected region.

Causes-

There can be multiple ways in which a shoulder can be dislocated because of its ability to move and swing in all the directions. The fibrous tissues that connect the bones of your shoulder may also get stretched or torn. These injuries occur due to a sudden blow or a strong force exerted on the shoulder joint.

It is caused by:

  1. Trauma to the Shoulder Joint: Hard blows to the shoulder joint such as one suffered from a vehicle accident can lead to shoulder dislocation.

  2. Sports Injuries: In contact sports such as hockey and football, the sudden forceful contractions of the shoulder region may lead to dislocation of the shoulder.

  3. Falls: Tripping or falling from an elevated place and landing on the shoulder can cause shoulder joint dislocation.

Treatment-

The treatments for shoulder dislocation are –

  1. Medication: Medications such as pain relievers can be prescribed by the doctor to reduce pain.

  2. Surgery: Surgery of the shoulder joint can help in treating chronic shoulder dislocations. Surgery is also required if the blood vessels or the nerves along the shoulder joint are damaged.

  3. Immobilization: This process involves attaching a sling or a splint to the affected area to prevent it from moving. This allows the shoulder joint to heal and recuperate faster.
2497 people found this helpful

Shoulder Pain - Know Causes Of It!

Dr. Umesh Kulkarni 83% (11 ratings)
MBBS, MS - Orthopaedics, Diploma In Orthopedics
Orthopedist, Nashik
Shoulder Pain  - Know Causes Of It!

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

Let us get to know the six most common ones


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


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


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


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


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


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

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

3774 people found this helpful

Shoulder Pain - Know The Causes And Treatment!

Dr. Atul Mishra 86% (16 ratings)
Fellowship In Joint Replacement, MS - Orthopaedics, MBBS
Orthopedist, Delhi
Shoulder Pain - Know The Causes And Treatment!

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

The various causes of shoulder pain are:

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

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

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

4292 people found this helpful

PRP Therapy - How Can It Help With Sports Injuries?

Dr. Rahul Bade 88% (10 ratings)
MBBS, DNB (Orthopedics)
Orthopedist, Pune
PRP Therapy - How Can It Help With Sports Injuries?

Sports activities can lead to severe injuries, and the treatment administered differs, based on the severity of the injury. Muscle injuries are often healed using platelet-rich plasma. Called PRP in short, this therapy gained an immense popularity almost a decade back.

How does it work?

Blood is composed of cellular elements and plasma. PRP is the blood with concentrated platelets and is rich in bio-reactive proteins. This also contains factors that are vital to accelerating growth. PRP aids in faster tissue regeneration and repair. Bones, tendons, and ligaments are the connective tissues in the body, and they need to heal together, which is what this therapy promotes.

A regenerate therapy for faster healing

This therapy is performed by taking out a small amount of blood from the patient’s body. The platelet concentration is augmented by placing it in a centrifuge, and the growth factors are also promoted. Then this plasma is injected into the affected area. It is injected straight into the damaged area. This therapy suits all sorts of sports injuries, arthritis, inflammation, plantar fasciitis, knee ligament injuries, tennis elbow, patella tendinopathy, and Achilles tendinopathy. Joint pain that is caused by an acute injury, early partial tendon tears, and any chronic degenerative disease, too, can be cured with PRP.

Conditions that can be cured with PRP

When athletes are involved in sports activities, a few joints are constantly used. As a result, the tendons experience microscopic tear, and it takes a lot of time for these tendons to heal because the blood supply is not adequate here. When you get injected with the PRP, the nutrients and growth factors required are supplied and it helps in faster healing. Here are a few injuries that can benefit from PRP. It is often seen that celebrities suffering from the condition use this regenerative therapy.

  • Rotator Cuff injuries: Sports injuries can occur commonly in the shoulder joints, where lots of actions can take place. With the arm motion more repetitive in sports such as baseball or basketball, this condition can be seen repetitively. Accidents, too, can result in rotator cuff injuries. When the rotator cuffs suffer from a partial tear of tendons or inflammation, PRP injections can offer the solace. However, if rotator cuffs experience severe damage, then only surgery can be helpful.
  • Plantar Fasciitis: When the sports require a lot of footwork, an injury may result. Runners are often found suffering from a sports injury. People who stand on feet for long hours too can face this condition. This condition responds well to PRP injections. However, if not treated for long or left unattended, a surgery becomes the sole option for relief.
  • Tennis Elbow: The forearms are often used in sports like tennis. The tendons, due to continuous usage, can tear. The repetitive stress on these tendons can also lead to inflammation. Not only sports people but even cooks, painters, carpenters, and assembly line workers can find this a trouble. PRP injections offer the required growth factors to heal the tendons and help to get back to normal life faster.

With hordes of regenerative therapies available, consult a professional to choose the best for you. Also, your physician should be the right person to decide if it is time for a surgery.

2845 people found this helpful

Shoulder Pain - 6 Common Reasons For It!

Dr. Manav Luthra 92% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Kanpur
Shoulder Pain - 6 Common Reasons For It!

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collar bone or the clavicle, as well as the shoulder blade called the scapula.

A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain. Let us get to know the six most common ones. 

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

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

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

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

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

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

3753 people found this helpful

Shoulder Dislocation!

Dr. R K Mathur 83% (10 ratings)
MS - Orthopaedics, DNB (Orthopedics), MNAMS - Orthopaedics, Fellowship in Joint Replacement
Orthopedist, Jaipur

A shoulder dislocation occurs when the bones of the upper arm snap out of your shoulder blade, generally after suffering a major injury. The joints of the shoulder are the most flexible body joints, thereby, making them more prone to dislocation. In most of the cases, a dislocated shoulder can be fixed within a few weeks’ time with the help of proper diagnosis. There is a high chance of suffering from dislocations over and over again. A dislocated shoulder, if not treated immediately, can lead to further complications such as damage to the blood vessels and nerve around the affected area or tearing of the associated muscles or ligaments.

What can cause a shoulder dislocation

You can experience a dislocation in your shoulder joints due to the following reasons:

  1. Shoulder dislocation can occur if you play any kind of contact sports such as football or hockey. You are more susceptible to a dislocated shoulder if the sports or physical activities you engage in regularly involve the risk of suffering from falls such as gymnastics or volleyball.
  2. A dislocated shoulder is a common occurrence if you have suffered a major motor vehicle accident that might have affected your shoulder.
  3. You can also suffer from a dislocated shoulder if you have survived a fall in the recent past such as tripping from a ladder or similar injuries.

Symptoms of a dislocated shoulder

You are suffering from a dislocated shoulder if you exhibit the following signs and symptoms:

  1. Abnormal enlargement of the affected area or bruising
  2. Severe pain around the shoulder area due to a recurrent muscle spasm in the shoulder joints
  3. Extreme pain while moving the joint
  4. A sense of numbness or a tingling sensation near the affected area, for example, in areas around the neck or the arm
  5. Visibly deformed shoulder joints

Treatment for shoulder dislocation

The treatment for shoulder dislocation depends on the severity of the injury. The following treatments can be implemented with suggestion from the doctors:

  1. If you had recurrent instances of dislocated shoulders, your doctor might suggest a surgery to remedy the damaged blood vessels and nerves around the area.
  2. Depending upon the intensity of the pain, the doctor might implement a general manoeuvre procedure to relocate your shoulder bones. After the procedure is conducted, you will feel your pain significantly reducing.
  3. Your doctor can also recommend you to wear a sling around your shoulder area to regulate the movement of the shoulder joints for the first few days to about 3 weeks, depending upon the intensity of the pain.
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