Shoulder pain syndrome: symptoms and treatment of shoulder diseases
Under the name of painful shoulder syndrome hides not one, but many diseases affecting the shoulder. The cause of pain and limitation of the range of motion of the hand can be muscle overload, tendon injury or inflammation of the subbar calcaneal spur. The method of treatment depends on the determination of the causes of pain.
Shoulder pain syndrome can have a variety of causes. Shoulder-how important it is in everyday life we realize when we can not do ordinary activities. If any of the elements of its structure begins to function worse, there are problems limiting hand movements.
Shoulder pain syndrome – symptoms
The main symptom of shoulder pain syndrome is pain. Sometimes it is initially small, appears only when you raise your hand above the shoulder line. Over time, it intensifies and also teases with other limb movements.
It should be remembered that pain does not always have to be associated with motor activity. Often appears at night, when we try to fall asleep on the sick side. It also happens that it appears suddenly, e.g. after performing a sudden movement, and is so sharp and strong that we keep the hand in one position all the time to avoid suffering.
Pain may be accompanied by swelling of the shoulder area. If we ignore these two symptoms, a third is added-a significant limitation of the range of movements in the shoulder joint. Regardless of whether the pain appeared suddenly, or gradually increased, we should report to the orthopedist. The key issue is to determine its cause.
Shoulder pain syndrome – causes
The source of the ailment are most often:
- muscle overload,
- postural disorders,
- tendon injuries,
- subbar calcaneal inflammation,
- rheumatic diseases (RA, osteoarthritis)
- neurological diseases (inflammation of the cervical and brachial plexus).
In determining the cause help the doctor imaging studies:
- X-ray (X-ray),
- ultrasonography (USG),
- magnetic resonance imaging (MRI).
Overload of the shoulder muscles
Causes: it occurs during activities that require raising the hand above the shoulder line, which we do not do on a daily basis (e.g. washing windows) or carrying heavy objects.
The cause of the problem can also be repetitive, monotonous movements, sleeping in an uncomfortable position, violent jerking of the hand, too intense exercise. The result of muscle overload during exercise can be their contracture-all the time they are tense, and this causes pain.
It consists in stopping the actions that cause the aggravation of the ailment, taking painkillers and muscle relaxants, and using manual therapy. It is better not to delay with it, because the longer the contracture lasts, the more difficult it is to eliminate it, and the rehabilitation takes longer.
Damaged shoulder tendons
The source of pain in the shoulder can be damage to the tendons of the rotator cuff, which consists of 4 small muscles (epigastric, epigastric, perineal, inferior). These tendons surround the head of the humerus and are fused with the articular bag.
Most often occurs damage to the tendon of the pectoralis major muscle, for example, when throwing the ball with your hand raised above the shoulder line. But the cause of pain can also be an injury to another tendon in the shoulder area-the biceps tendon. It is easy to stretch them even during such a trivial action as reaching in the car for a purse lying on the back seat.
Stretch marks, tendon ruptures accumulate and can cause chronic shoulder pain and even tendon rupture.
When the rupture is complete, surgery is usually necessary. Most of the procedures are performed by arthroscopic method. Their purpose is to reconstruct damaged tendons. In the case of the biceps tendon, it is often cut, shortened and attached to the bone in another place.
Partial damage can be better treated by syringing the tendons with high-density lipoprotein (PRP) under ultrasound control, not forgetting the very important role of properly conducted motor rehabilitation.