Shoulder pain
Shoulder pain is often excruciating, highly restrictive and long-lasting symptoms.
The shoulder pain and restricted movement of the shoulder joint is a common symptom, so think of patients in our practice and joint clinic. The incidence of chronic shoulder pain has increased significantly in recent years. For now almost every tenth patient complains of shoulder pain. The shoulder pain is not a symptom of the elderly, but can reduce those affected in all age groups and regardless of gender. Are taking the complaints seriously, because many disorders of the shoulder can be treated effectively at an early and long acting.
What are the causes for shoulder pain?
The longer life expectancy, as well as the societal shift to new sports trend is the cause of the more common shoulder problems. Inadequate preparation of the body and the musculoskeletal system before activities are also the cause of the problems such as low exercise requirements in our society.
Depending on the muscle tendon is diseased, the shoulder pain is expressed in different movements. The function of the muscles is an indication of the resulting limitations.
- Pain on lateral abduction of the arm or shoulder carry away to the front side of the arm indicate changes in the supraspinatus attention to.
- Shoulder pain on external rotation of the arm to the body adjacent the elbow point at a change in the infraspinatus muscle indicate.
- Shoulder pain on internal rotation of the arm to the body adjacent the elbow point in changing the subscapularis muscle point to a.
- Pain at the front of the shoulder internal rotation of the forearm against resistance to strengthen the point is often a disease of the long biceps tendon indicate.
The most common diagnoses are:
- Impingement syndrome (congestion syndrome)
- Tendon tear / tear of the rotator
- Calcific / calcifying tendinitis / tendon calcification
- Osteoarthritis of the shoulder
- Inflammatory diseases of the shoulder as polymyalgia rheumatica are important exclusion diagnoses.
How is the treatment of shoulder pain?
Regardless of the diagnosis is usually the symptom of pain in the shoulder with physical therapy to treat. Strong and cold therapy in new onset shoulder pain, heat and electrotherapy with lighter and even more complaints from the existing shoulder.
A targeted and effective treatment of shoulder complaints requires an accurate diagnosis in order to combat all the known causes of disease can shoulder.
How can the accurate diagnosis be made?
The shoulder specialist can be the basis of clinical history, physical examination, ultrasound, x-ray diagnosis and investigation, the MRT may determine the cause of shoulder pain.
When can a surgery for the treatment of shoulder pain be necessary?
Treatment of shoulder complaints after close to diagnosis and physiotherapy also be enhanced surgically. When surgical treatment of shoulder pain is necessary can only be said if the precise diagnosis and thus the course is known.
More information about shoulder surgery
