Shoulder pain – syndrome of the shoulder gap. Nipple syndrome is one of the most commonly recognized causes of shoulder pain. This ailment is usually the result of an injury, as a result of which soft structures block the mobility of the shoulder joint and it cannot function properly.
Injuries most often occur as a result of raising hands high above the head, which is why the syndrome is diagnosed in swimmers, volleyball players and tennis players. It is also a common cause of shoulder pain for construction workers, electricians and painters.
The arm structures move with the help of bursae located in the sub-shoulder space. Often, as a result of inflammation of the bursa or bone growths, there is a syndrome of tightness in the subacromial space. This hinders the smooth entry of the humerus under the shoulder process, and consequently causes severe pain when lifting the upper limb in the range of 60–110 ° (the so-called painful arch).
The primary symptom of the subacromial tightness syndrome is, of course, shoulder pain. It usually occurs in the upper and lateral parts of the arm and increases significantly with and after the upward movement of the arm. If the disease is advanced, pain occurs even while resting. There are other symptoms that can be seen in the case of sub-brachial tightness. These include: tenderness in the front and side of the shoulder, feeling stiff, reduced strength, and limited range of motion in the joint.
Shoulder pain – damage to the rotator cuff
The rotator cuff consists of four muscles and their tendons surrounding the shoulder-scapular joint. This structure is overloaded or even broken during repetitive activities with hands above the head (e.g. when washing windows or playing basketball).
A symptom of damage to the rotator cuff is shoulder pain when lifting an arm or placing a hand on your back. Pain occurs in the anterior and lateral area of the shoulder. Other characteristic symptoms of a rotator cuff tear are:
- severe pain felt deep in the shoulder area;
- worsening pain when sleeping on the side where the injury occurs;
- muscle weakness;
- reduction of the range of mobility in terms of external rotation, abduction and flexion;
- difficulties in performing everyday activities that require lifting hands, e.g. brushing or fastening a bra;
- audible crackling noises when moving the shoulder;
- possible symptoms of inflammation, such as redness, swelling or warmth in the joint area;
- inability to put your hands on your neck or head.