Shoulder pain: tendons in danger
When the pain sets in, do not wait more than seven days before consulting. The goal is to avoid, among other risks that the shoulder becomes ankylosis. You are not the victim of a bad fall, you have not made a false movement and yet your articulation makes you suffer.
“The pain from the shoulder and is often accompanied by weakness in the arm is sometimes due to osteoarthritis , more frequently by an attack tendons capping the head of the humerus" said Pain Dr. Victims of natural degeneration coupled with mechanical wear due to friction during arm lift movements, the tendons of the shoulder weaken gradually. What to do? Especially do not wait too long: "If the pain develops beyond 7 to 10 days, it is reasonable to consult to avoid an adverse development," advises this Pain Treatment Doctor.
The major risk in the context of tendon diseases is their rupture. "When two to three tendons out of four are broken, it becomes very difficult to raise the elbow above the shoulder line without using the other arm," says a doctor in Shoulder Pain Treatment Manhattan. Another complication is the "frozen shoulder" syndrome (also called retractile capsulitis), a disabling reaction caused by pain. The envelope surrounding the shoulder joint retracts, making every move painful for months.
A thorough early diagnosis avoids these setbacks. The clinical examination includes about twenty tests. That is to say that it is the responsibility of a specialist: rheumatologist, Elbow Pain Specialist, specialized surgeon or informed generalist. Radiography, magnetic resonance, CT scan, and sometimes bone scintigraphy, come in addition. Blood tests may be needed to clarify the situation.
Remedy number one: the rest
If the initial exams are of a confusing complexity, the scheme of treatment proposed on the first line is on the other hand the range of everyone since it calls upon the ... rest! The shoulder should not be immobilized, but painful movements are not recommended. A medication combining nonsteroidal anti-inflammatory drugs and analgesics is prescribed if necessary.
Physiotherapy intervenes in the second line. Objective: to prevent the joint from becoming ankylosis, as immobility can also lead to frozen shoulder syndrome. If the pain persists, the specialist proposes a local infiltration of cortisone if necessary. "This can be repeated in the rule three times," says Pain Doctor.
An anti-pain surgery
When all else fails, the surgery is called to the rescue. But most patients who consult here are considering this possibility. They have tried everything; they are at the end of the therapeutic tunnel.
Prosthesis like for the hip?
It is justified in Hip Pain Treatment and has a success rate of 85% (95% for the hip prosthesis). The difficulty probably lies in the complexity of the anatomy of the shoulder and the impossibility of replacing or repairing the tendons, often worn prematurely, unlike those of the hip. When the tendons of the shoulder are too affected, a so-called "inverted" prosthesis can however restore an acceptable function while eliminating the pain.
Repositioning via osteopathy
For Pain Doctors, the suffering of the shoulder is a sign of a bad adjustment of the bones caused mostly by a false movement gone unnoticed. We reached out to hang a curtain, we raised a bag ... This gesture, as well as a hunched posture associated with a lack of muscle tone, may cause a slight displacement of the ribs compared to the vertebrae in which they fit, destabilizing the scapula. From then on, all the articular mechanics get infected ... The osteopath can solve this problem if the shoulder is not too inflamed says in Elbow Pain Treatment. It is sometimes enough repositioning of the scapula to fix everything ... Muscular strengthening exercises help to maintain this result by restoring the favourable posture: straight back, neck stretched, shoulders carried backwards and pulled down.