The shoulder joint is the most complex joint of the body in terms of its structure. Because it allows movement in six directions, it is extremely prone to injuries and diseases. As a physical therapy
rehabilitation specialist, we encounter painful shoulder cases very frequently in our daily practice.
What are the Causes of Shoulder Pain?
Shoulder pain may originate from the shoulder joint itself, or it may be pain reflected from another region
to the shoulder. The most common
cause of shoulder pain originating outside the shoulder joint is neck hernias. When the nerves going to the arm are compressed due to a cervical disc herniation, the patient may feel pain in the shoulder. With a good examination, it can be easily understood whether shoulder pain originates from the shoulder joint itself or from another region. Shoulder joint pain can be divided into two categories: acute and
chronic.
Acute pain occurs after impacts, falls, shoulder fractures and dislocations. Sometimes they may appear immediately after the trauma, sometimes a few days to a few weeks later. It is important not to always consider the term trauma here as a serious blow. Acute shoulder pain may also begin after a long-term strenuous shoulder activity with arms above shoulder level, such as cleaning a window, or after lifting a heavy load. These pains are usually severe and increase with any movement of the shoulder. Chronic shoulder pain develops slowly over a long period of time. This type of shoulder pain usually occurs in people who use their shoulder frequently for long periods of time. However, acute or chronic shoulder
pain may begin without any known reason.
What kind of tests may be required for shoulder pain?
Shoulder attachment Although x-ray of the bone shows the bone structure well, the majority of shoulder pain
originates from soft tissue. For this reason, x-ray is mostly requested in elderly patients where arthritis is expected. Shoulder tomography is rarely required.
The method that best evaluates the shoulder is the shoulder. It is a magnetic resonance (MR) imaging. It shows the bone and soft tissues in the shoulder extremely well. In patients with suspected nerve injury, EMG examination may be required.
What is Frozen Shoulder? How is it Treated?
Trauma, cardiovascular disease, chronic lung disease, tuberculosis, lung tumors,
diabetes, neck diseases and most importantly, long-term immobility of the arm. can lead to frozen
shoulder. Frozen shoulder (adhesive capsulitis) is more common in women. It occurs after the age of 40
. It starts insidiously with shoulder pain and stiffness. There is an increasingly noticeable
limitation of movement. The patient cannot sleep due to pain. There is sensitivity to touch
around the joint. Shoulder movements are limited. The best treatment is early mobilization of the shoulder. Once established, it is very difficult to reverse the natural course of the disease. Treatment requires active effort and patience. Patients must be willing and diligent
for this. Treatment consists of physical therapy and exercise. In cases resistant to treatment, local
injection and stretching are performed.
What Should Be Done to Get Rid of or Avoid Shoulder Pain?
• If you are not in pain, place your hands on your head, neck and back
at least once a day.
• If your shoulder hurts, do not lie on the side that hurts.
• Use your arms for support while sitting.
• Do not frequently raise your arms above shoulder level. �n.
• Do not carry heavy loads with your arms.
• If you have shoulder pain, repeat the exercises 2 times a day
5 times in accordance with your doctor's instructions.
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