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Shoulder Pain Tips

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.

All About Rotator Cuff Injury

Dr. P. Sharat Kumar 90% (102 ratings)
FFSEM, MFSEM, DIP - SEM GB & I, MCh - Orthopaedics, MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
All About Rotator Cuff Injury

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

The muscles that constitute the rotator cuff are:

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

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

The symptoms of rotator cuff injury are:

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

Causes:
Rotator cuff injury may result from the following causes

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

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

4 people found this helpful

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

Dr. Sanjib Kumar Behera 87% (10 ratings)
MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics & Orthopedic Surgery
Orthopedist, Hyderabad
Arthritis Of The Shoulder- What Are The Symptoms and Causes?

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

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

The Symptoms-

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

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

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

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

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

Understanding More About Rotator Cuff Tears!

Dr. Hanume Gowda S N 85% (10 ratings)
DNB - Orthopedics/Orthopedic Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Joint Replacement
Orthopedist, Bangalore
Understanding More About Rotator Cuff Tears!

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

3363 people found this helpful

6 Reasons Behind Shoulder Pain!

Dr. Mohammad Ahmed 82% (10 ratings)
MBBS, Diploma in Orthopaedics
Orthopedist, Gurgaon
6 Reasons Behind 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. In case you have a concern or query you can always consult an expert & get answers to your questions!

3677 people found this helpful

Rotator Cuff Injury - Symptoms Associated With It!

Dr. P. Sharat Kumar 90% (102 ratings)
FFSEM, MFSEM, DIP - SEM GB & I, MCh - Orthopaedics, MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Rotator Cuff Injury - Symptoms Associated With It!

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

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

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

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

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

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

Treatment

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

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

3826 people found this helpful

Surgical & Non-Surgical Treatment For Rotator Cuff!

Dr. Sanjay Kapoor 87% (215 ratings)
M. Ch. (Orthopedic), MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Gurgaon
Surgical & Non-Surgical Treatment For Rotator Cuff!

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

3393 people found this helpful

Shoulder Pain

Dr. Sanjay Alle 86% (10 ratings)
Diploma In Orthopaedic, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Mumbai

Shoulder pain is one most common problem regularly seen in my opd. As this problem does not get cured only with medicines, patient get frustrated with pain. Physiotherapy plays very important role in the treatment.

Rotator Cuff - Surgical Options Of Treating It!

Dr. Mukesh Kumar Agarwal 89% (15 ratings)
MS - Orthopaedics, DNB (Orthopedics)
Orthopedist, Guwahati
Rotator Cuff - Surgical Options Of Treating 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.

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