Shoulder Pain
Shoulder Pain Basic Problem in Todays World
Symptoms:
- Pain in shoulder upper arms, near neck area
- Pain while rotating shoulder joint
- Shoulder pain while lifting things,doing work and sleeping at night
- Restricted shoulder movements
Causes:
- Frozen shoulder/adhesive capsulitis
- Rotator cuff injury
- Joint arthritis
- Tendinosis
- Trauma
Treatment :
- Trial with medicine and physiotherapy
- Intra articular shoulder joint injection
Adhesive capsulitis, also known as frozen shoulder, is a condition associated with shoulder pain and stiffness. There is a loss of the ability to move the shoulder, both voluntarily and by others, in multiple directions. The shoulder itself; however, does not generally hurt significantly when touched. Muscle loss around the shoulder may also occur. Onset is gradual over weeks to months. Complications can include fracture of the humerus or biceps tendon rupture.
Frozen shoulder is mostly age related,self limiting disorder ,If no improvement with physiotherapy then injection of anti-inflamatory agent is required to decrease shoulder joint inflammation. Physiotherapy can be continued there after
A rotator cuff tear is an injury where one or more of the tendons or muscles of the rotator cuff of the shoulder get torn. Symptoms may include shoulder pain, which is often worse with movement, or weakness. This may limit people’s ability to brush their hair or put on clothing. Clicking may also occur with movement of the arm.
- Tendinosis/Tear in supraspinatous/ infraspinatous/ subscapularis or some times biceps muscle results in pain and restricted joint movements.
- Inject with PRP or prolothreapy intraarticularly helps in increasing healing power of body at local site, increasing collagen fibers and lessen the tendinosis. It may take 4- 6 weeks.
- Radiofrequency ablation.