conglomerate structures of the shoulder. Click on image to enlarge.
The
degenerative disorders, or inflammatory type are common at the shoulder joint that allows great mobility in all directions, with little contact between the articular surfaces but rather strengthened with a capsule that the shrouds, and with a profusion of muscles and tendons that surround and move while the arm and forearm strengthen and protect.
PAINFUL SHOULDER:
is a clinical picture of pain and limited, more or less pronounced shoulder mobility. Its onset is usually insidious and slow, the pain comes after some specific movements or night. The initial discomfort may be so mild that they are not accorded greater importance, until one day the pain worsens or becomes more marked limitation of mobility.
causes of shoulder pain can be very different (we have many bony structures, muscle and tendon), but the most common are injuries of the supraspinatus muscle tendon, tendinitis of long head of biceps, and the so-called impingement syndrome.
supraspinatus tendon, (click to see image) along with the tendons of the infraspinatus and teres minor, is the so-called rotator cuff, a structure that protects the joint and is commonly injured. When the arm is raised above shoulder level, this tendinous structure tends to rub against the bottom edge of the acromion which is just above, which causes swelling, lacerations and even breaking. They are very prone to this injury swimmers and those who do have jobs that require arms above the shoulders. The pain comes when you try to lift the arm. At night, the pain even impossible to adopt a comfortable position to sleep. Typically, the arm can be used if it rises above the hombro.El diagnosis of the condition does not pose difficulties, but the treatment itself can present problems. The rest is the key for one or two weeks, we will seek the rest of the joint and apply ice twice a day in the painful area. A good way to apply cold is with a bag of frozen peas, as it adapts perfectly to the surface of the shoulder after use, gets to the freezer until the next application.
impingement syndrome, subacromial syndrome is closely related to supraspinatus tendinitis and rotator cuff. The subacromial bursa lies between the rotator cuff and the acromion, and plays the role of almohadillaje and lubricant, if it becomes inflamed, it increases in size and creates a conflict of space for the passage of the tendons, as well as a bursa swollen, very painful. The pain is in the highest shoulder and relieved by placing the arm attached to the body and holding it with the other arm. There is pain on palpation acromial edge. This injury often occurs in tennis players, paddle and paddle and shot-putters and javelin, as well as workers engaged in efforts with the upper limbs (painters). The treatment of this injury is rest and application of cold. Do not apply heat, then increase the pain. Local infiltration in the bag , is also often effective. Once past the pain, we must start pendulum exercises with your arms.
subacromial impingement syndrome: There are three progressive stages for subacromial impingement:
- Stage I: Swelling and bleeding
- Stage II: Fibrosis and tendinosis
- Stage III:
tendon rupture is very interesting that no rotator cuff tendons become swollen, so the term "tendinitis" is considered wrong because there is no inflammatory cells in this disease is a progressive degenerative tendon phenomenon culminating in the rupture of the fibers, the correct term is "tendinosis" or "tendinopathy". Clinically characterized by pain at night and the movements of the head. The physical examination can be found subacromial crepitus and limitation of abduction (separation).
We see also: a) reduction in the subacromial space, b) subcortical cysts, c) subacromial osteoarthritis, d) advancement of the humeral head, when there is damage to the cuff, e) I subacromial has also been described as a possible because of decreased subacromial space and f) type of acromion.
If the above conditions were caused by excessive activity or overload, adhesive capsulitis, frozen shoulder "? occurs precisely for the opposite, ie lack of mobility, and excessive sleep. It is therefore recommended to the shoulder condition, move as soon as you pass acute pain, because if the capsule does not move quite often shows a tendency to establish fibrous adhesions between the walls. With a picture of shoulder pain, we tend not to move because the movement causes great pain, but may be adhesions that will become increasingly difficult to mobilize, creating a vicious cycle that must be stopped as soon as possible. To prevent adhesion formation, nothing is more effective than the arm swings. Prevention is essential, and the best is the mobilization of the shoulder. The symptoms of frozen shoulder are typical, most notably the limitation to move the arm in any direction. Precisely this inability to stretch the arm in any direction is what puts us on the track of this lesion in particular, as in the others we have described is limited mobility in one direction but not all.
will verify the inability to perform activities such as combing hair, putting on a jacket, fastening a bra in the back, and in general for all shoulder movements. The most effective treatment of frozen shoulder shoulder movement is trying to do with him daily activities and exercise routine, sometimes not easy to fight the pain, but we must try. This exercise routine: http://orthoinfo.aaos.org/topic.cfm?topic=A00495 is preventive and therapeutic. They are easy exercises, which fortunately can be done at home without special equipment sets. You have to make daily, unhurried, gently, should repeat each exercise five times and gradually increase the weekly frequency to a maximum of 25 times.
Exercises for People with Painful Shoulder Syndrome.
