A healthy sub-shoulder bursa resembles a glued foil bag, a sick one – a thickened bag filled with fluid. This change occurs when the rotator cuff is weakened or damaged. Then, when the arm is raised above the shoulder line, the bursa conflicts with the brachial process, and there is a painful narrowness (structures rub against each other).
The shoulder is frozen
This is what is said about the thickening and stiffening of the articular capsule, which results in a significant limitation of the range of movements in the shoulder joint. Avoiding hand movements due to pain may contribute to the ‘freezing up’ of the shoulder.
- Other (extra-shoulder) causes of shoulder pain syndrome
- rheumatic diseases,
- degenerative changes in the cervical spine,
- cervical spine discopathy (with radiculopathy),
- tumors (e.g. lung apex, metastases),
- brachial plexus damage,
- ischemic heart disease,
- thoracic outlet syndrome (TOS)
The doctor checks the restriction of mobility in the joint and the possible signs of arthritis:
- swelling, redness,
- pain when touched,
- warming the skin around the shoulder.
- They may order additional tests, such as X-rays, ultrasound (ultrasound), or magnetic resonance imaging.
The treatment of shoulder pain syndrome consists of the use of non-steroidal anti-inflammatory drugs and the administration of topical glucocorticosteroids by injection (not always). Physiotherapy is a necessary stage of treatment, which will enable full recovery:
- laser therapy,
- and regular exercise of joint mobility.
In the case of shoulder pain syndrome, treatment with medicinal leeches (hirudotherapy) is also used. In extreme cases, it is necessary to undergo surgery. The shoulder joint is the most mobile joint in your body. It allows you to raise your arm, rotate it and reach over your head. It can rotate in many directions. However, this wide range of motion is possible at the cost of less stability.
Shoulder instability occurs when the head of the humerus is pushed out of the acetabulum. This can happen due to sudden injury or excessive wear. Once the shoulder is dislocated, it becomes prone to recurrence. When the arm is loose and slips out of place, this condition is called chronic shoulder instability. Your shoulder joint is made up of three bones: the humerus, scapula, and collarbone.
The head of the humerus fits into a shallow recess on the scapula. This depression is called the acetabulum. Strong connective tissue, called an articular capsule, is a system of ligaments that holds the head of the humerus in the center of the articular socket.