Orthopedics
The shoulder joint is comprised of 3 bones –Humerus /clavicle and scapula united by muscles and tendons which is called as ROTATOR CUFF which keep the shoulder joint to perform movements ogf the joint smoothly. A rotator cuff injury usually causes dull ache in the shoulder that worsens during night .
Rotator cuff injuries are common in those who repeatedly perform overhead motions, (painters and carpenters) and may increase with age.
Surgical intervention is required for these kind of injuries if they are troublesome and causing severe pain in the shoulder despite medications and conservative methods .
Physiotherapy exercises can improve flexibility and strength of the muscles surrounding the shoulder joint. In most of the cases with rotator cuff problems, these exercises are all that is needed to manage their symptoms.
Shoulder injuries(Rotator cuff injuries) are most often caused by progressive wear and tear of the tendon tissue over time. Repetitive overhead activity or heavy weight lifting can also damage the tendon .
Risk factors for rotator cuff injury :
During the physical examination, the orthopedician will put pressure on different parts of shoulder to localize pain and test for any restricted joint mobility or any directional movement causing pain and advice some tests for exact site of injury to plan for proper treatment . Imaging tests may include:
Conservative treatments may usually be sufficient for mild cases. If your injury is severe, you might need surgery.
Physiotherapy is usually one of the first treatment . Exercises tailored to the specific ligaments or muscles can help restore flexibility and strength of the shoulder.
In cases of severe pain unrelieved by medications and disturbing sleep or daily activities , a steroid injection may be injected into the shoulder joint.
When the conservative and injection therapies fail and there is persistant and severe shoulder pain , surgical option is considered for repair of the rotator cuff .
These include -
Shoulder pain is any discomfort you feel around your shoulder joint. The shoulder is a complex joint that allows you to throw a ball, reach for an item or give someone a high five. Because of how often you use it, your shoulder is more at risk of injury and damage, which can cause pain.
Shoulder pain is common. If you have severe shoulder pain that gets worse or lasts more than a couple of days, you may have an injury to your shoulder or an underlying condition that’s causing pain. Pain with swelling can also be a sign of an injury. Visit a orthopedician if you have severe shoulder pain that’s persistent, limits your motion or prevents you from going about your day normally.
Shoulder pain on its own isn’t a sign of a heart attack. If you have sudden, intense shoulder pain on the left side of your body and any of the following symptoms, call your local emergency services number immediately:
Symptoms of COVID-19 could include muscle weakness or aches. If you suspect you have COVID-19 or had exposure to it, complete a COVID-19 test and talk with your orthopedic surgeon.
Visit your surgeon if you:
Tears tend to occur on your dominant side, but can be on either side. Having a tear in one shoulder increases the likelihood of a tear in the opposite shoulder. You might not have shoulder pain on the opposite side, but tests may indicate a tear. The opposite may also be true: you may have a tear but have no pain or symptoms.
A rotator cuff tear can get worse without treatment. A complete tear can make it almost impossible to move your arm. Without treatment, you may have chronic shoulder pain and find it very difficult to use the injured arm.
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