Frozen Shoulder And Impingement

There is no way to tell how much pain a person has. No test can measurernpain intensity, no imaging device can show pain, and no instrument can locaternpain precisely. Sometimes, as in headaches, physicians find that the best aidrnto diagnosis is the patients descriptionrnof the pains type,rnduration, and location. Defining pain as sharp or dull, constant orrnintermittent, burning, or aching may give the best clues to the cause of pain.rnThese descriptions are part of the physicians pain historyrnduring the preliminary examination of a patient with a problem.

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Physicians, however, do have several technologies they use to find therncause of pain. Primarily these include:

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Electrodiagnosticrnprocedures include electromyography (EMG), nerve conduction studies, and evokedrnpotential (EP) studies. Information from EMG can help physicians tell preciselyrnwhich muscles or nerves are affected by weakness or pain. Thin needles arerninserted in muscles. A physician can see or listen to electrical signalsrndisplayed on an EMG machine. With nerve conduction studies, the doctor uses twornsets of electrodes (similar to those used during an electrocardiogram) placedrnon the skin over the muscles. The first set gives the patient a mild shock thatrnstimulates the nerve that runs to that muscle. The second set of electrodes isrnused to record the nerves electricalrnsignals. From this information, the doctor can determine if there is nerverndamage. EP tests also involve two sets of electrodes — one set for stimulatingrna nerve (these electrodes are attached to a limb) and another set on the scalprnfor recording the speed of nerve signal transmission to the brain.

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Imaging,rnespecially magnetic resonance imaging or MRI, provides physicians with picturesrnof the bodys structuresrnand tissues. MRI uses magnetic fields and radio waves to differentiate betweenrnhealthy and diseased tissue.

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A neurologicalrnexamination in which the physician tests movement, reflexes, sensation,rnbalance, and coordination.

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X-rays producernpictures of the bodys structures,rnsuch as bones and joints.

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