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Shoulder Pain

The shoulder is a ball and socket joint that has a number of complex mechanisms for its movement. Any discrepancy in any of the parts involved in these mechanisms can lead to pain in the shoulder. Three main bones of the shoulder joint are the humerus, clavicle and scapula, that are further cushioned by a layer of cartilage called Glenoid. Additionally, it is surrounded by a group of muscles called the Rotator Cuff Muscles. Damage to any of these structures can cause shoulder pain.

Signs and Symptoms

the main complaint of patients is pain around the shoulder along with restriction in movements. Some other symptoms that are seen to accompany the pain include-

  • Difficulty in performing daily chores such as overhead movements and changing clothes.
  • Sleeping on the affected side.
  • Swelling may be seen in muscle injuries and sports injuries.

Sometimes all range of movements on the affected side may be grossly restricted.

Shoulder Pain Causes

discomfort in the shoulder can be caused by multiple factors. The most common causes include-

  • Injury- Shoulder injuries are fairly common. From road accidents to playing games like badminton, tennis etc. any damage to the joint can cause severe and long lasting pain.
  • Arthritis- long term conditions like osteoarthritis, rheumatoid arthritis etc. can also be the reason behind pain in the shoulder joint and around it.
  • Fracture- a fracture in any of the bones involved in the joint, or those around it, can lead to pain and discomfort.
  • Lifting heavy objects and sudden jerky movements can put stress on the shoulder.

Treatment

Shoulder pain is mainly classified and treated according to its origin, whether originating in the shoulder joint or in surrounding structures. An Ultrasound examination of the shoulder goes a long way in establishing the diagnosis and dynamic assessment of the injury. It helps to diagnose conditions such as arthritis of the shoulder joint, muscle tears and inflammation, bursitis and any fluid collections in and around the joint or muscles.

Early treatment consists of physical therapy and rehabilitation of the shoulder. Conditions such as arthritis of the shoulder are treated with injections into the affected joints. Injuries to the muscles are treated with regenerative therapy to help in healing of the muscle tears.

Frozen shoulder responds very well to hydrodistension and release of the adherent shoulder capsule.

Post all these treatments, physiotherapy and strengthening of the shoulder muscles is imperative in achieving long term results.

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