 Common
Causes |
Frozen shoulder (adhesive capsulitis).
Rotator Cuff Tendinitis
Subacromial Bursitis
Bicipital Tendinitis
Acute Calcific Tendinitis
Painful Arc Syndrome
Less
Common Causes
|
Acromioclavicular
joint synovitis? R.A.
Trapezius
Tendinitis
Referred
Pain
|
From neck
From irritation of the diaphragm
From cardiac pathology
Frozen
Shoulder
|
- So called because,
the shoulder is stiff loosing all its movements.
- Common in middle
age, in persons having diabetes.
- May be precipitated
by minor or injury. May start without any cause.
- Causes pain,
stiffness and sleepless nights.
- X-ray usually
does not reveal much.
- MRI or ultrasonography
may reveal rotator cuff partial tears or other soft tissue lesions.
- Treatment is
mainly medical, consisting anti-inflammatory drugs, physiotherapy.
- In some cases
local injection of steroids in the joint by a specialist.
Acute
Calcific Tendinitis
|
This is a common
condition in which calcium is deposited in the rotator cuff tendon. The
deposition and presence of calcium in the cuff is painless. However resorption
of calcium often causes severe pain.
It occurs in middle
age and is common in people who use their shoulder joint excessively like
manual workers.
Painful
Arc Syndrome
|
|
A typical
patient presents with painful movements of his shoulder joint in
a particular arc of movement.
The
most common cause is inflammation of subacromial bursa, which is
a fluid filled sac situated between two bones forming the shoulder
joint.
Treatment
Physiotherapy along with a short course of anti-inflammatory and
analgesic therapy may prove helpful.
In
the more severe form of disease local injection of steroid and/or
surgery may be beneficial.
|
 |
Common
Treatment for Shoulder Disorders
|
Treatment
mainly consists of :
- Medication to
relieve pain, to be taken orally or injectables,
- Sling for support.
- Local application
of Heat or Ice.
- Rarely injection
in the joint proper (Only
to be given by a specialist, With due care)
Shoulder
Pain
|
|
