Shoulder Pain and Causes

Impingement syndrome: Between the arm bone and the collarbone, we call the bursa. are fluid-filled sacs. Impingement syndrome occurs when this bursa is compressed between the bones. The bursa is compressed until the arm is raised 90 degrees, and when it is lifted above 90 degrees, the pressure on the bursa disappears as the bone head will slide down. .

Rotator cuff Lesion: 4 muscles called supraspinatus, infraspinatus, subscapularis and teres minor are attached to the arm bone with a single tendon. If there is a tear in this tendon, the tear is very important as all 4 muscles will lose their function. The reason may be weak rotator cuff tendon, overuse, aging, chronic inflammation, acute trauma.

Fractures: If the collarbone is broken, shoulder movements are restricted. Arm bone fractures are most common in the shoulder.

Dislocations: The most common dislocation is glenohumeral joint dislocation. This dislocation occurs when the arm is suddenly forced back. The joint capsule is torn.

Frozen shoulder: It is the most common of the shoulder complications. It is the restriction of shoulder movements when there is no pathology in the shoulder joint. There is no defect on the joint surface. If there is a defect on the joint surface, this is calcification. Frozen shoulder includes muscle weakness, loss of elasticity in the ligament, and pain (possibly due to an inflammatory condition). It may develop due to trauma or it may develop on its own. First of all, the diagnosis should be made by the doctor with diagnostic methods such as X-ray, MRI, CT. Post If necessary, the physical therapy process is initiated for the patient. Physical therapy is administered by physiotherapists.

Patient during physical therapy:

• Relief of existing pains

• Eliminating existing limitations

• Increasing muscle strength

• It is aimed to restore the former functionality of the shoulder by evaluating its functionality in daily life .

A treatment plan is created and implemented for these purposes.

Treatment of rotator cuff lesion:

It is handled in 3 phases. In the first stage, the patient has only edema and bleeding. It usually occurs in people under the age of 25. It is a reversible situation. In the treatment, rest, nonsteroidal anti-inflammatory drug therapy, physical therapy and exercise are recommended to the patient.

There is a partial cuff tear in the second stage. It occurs in people between the ages of 25-40. may recur or recover completely. In the third stage, it is a complete cuff tear. It is generally seen in people over the age of 40 and requires surgery.

The treatment of a rotator cuff tear depends on the location of the tear and the amount of the tear.

In the evaluation of the patient:

• Pain

• Normal joint movements

• Muscle strength

• Edema

• Shortenings

• Posture

• Tenderness

• Activities of daily living

• Parameters such as work life are checked.

Rehabilitation program to the patient

• Rest

• Hot-cold application

• Active and passive normal joint movements

• Stretching

• Strengthening exercises

• Action modification

• Posture training is applied.

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