Shoulder impingement syndrome, especially in women aged 40 and over, occurs when cleaning windows, items from high cabinets, etc. It is a disease that occurs after minor strains such as drinking. Although the first complaint is pain when using the shoulder, limitation of movement, rest pain, and even night pain develop over time.
If Impingement Syndrome Is Not Treated, Tears Occur in the Muscles
Contrary to popular belief, the tissue that is compressed in impingement syndrome is not the nerve, but the muscle that lifts the shoulder to the side. Therefore, if the tightness is not treated and eliminated, tearing of this muscle may occur after a while and this may cause the treatment process to be prolonged. The aim of the treatment is to eliminate tightness, relieve pain and prevent a possible muscle tear. The first method used for this is medication and physical therapy. In case of inadequacy, intra-shoulder injection applications are performed. The options in these applications are steroid (cortisone) and PRP applications. If, despite all these methods, the compression cannot be eliminated or a tear has developed, surgical treatment options are used.
Gold Standard Shoulder Arthroscopy in Shoulder Impingement
In recent years, surgical treatment of shoulder-related diseases The gold standard is shoulder arthroscopy. In shoulder arthroscopy, small incisions are made around the joint, a camera and special hand tools are entered into the shoulder, problems are detected and the problems are solved by intervention in the same session.
The most important advantages of shoulder arthroscopy are that there are very few scars due to the procedure being performed with small incisions and The risk of infection is minimal, healing is faster due to less damage to healthy tissues, and thus a quicker return to normal life.
Attention Should Be Considered to Labrum Tear in Shoulder Injuries
The labrum is the most important structure that surrounds the shoulder joint and keeps the shoulder in place.
Acute injuries of the shoulder are frequently encountered in young individuals who engage in sports. For simple injuries, shoulder rest, painkillers and edema-reducing medications, and intermittent ice application are usually sufficient. One of the most important acute injuries of the shoulder is shoulder joint dislocation. Often seen after a severe trauma In most shoulder dislocations, a magnetic resonance (MR) examination should be performed and it should be checked whether there is an accompanying labrum tear. If there is no labrum tear, the treatment is completed with physical therapy applications following shoulder rest for a certain period of time. In the presence of a labrum tear, the treatment option is arthroscopic suturing of the tear. Otherwise, recurrent shoulder dislocations may develop in smaller traumas, leading to serious painful situations and loss of workforce.
Shoulder pain may arise from the shoulder joint itself or may appear as referred pain. This condition is most commonly encountered in cervical hernias. Shoulder pain occurs when there is pressure on the nerves coming from the neck to the shoulder. Although this distinction can be made with a careful examination, imaging methods are often used.
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