Posts Tagged ‘Shoulder Pain’
Shoulder Pain: The Treatment
Despite all the different diagnoses are very similar treatments since the causes are virtually the same.
In acute phase, when there is severe pain and just started the process, advised to rest his arm in a sling, but in any case be very long (more than 48-72 hours), since the immobilization predisposes to the development of capsulitis.
If possible because the pain is not severe, will not be used restraint and were initiated early so-called pendulum exercises, in which the actual weight of the patient’s arm is used to facilitate movement.
On many occasions, and if no contraindications recommend the use of analgesics and / or oral anti-inflammatory.
Thermotherapy, is the application of cold in the first 48 hours in acute, cold and / or heat in the evolution over time, is an easy and valuable aid in treatment.
An effective treatment in many cases it is infiltrated with local anesthetic steroids in the vicinity of the tendon. If given good results can be applied to three or four separated by 7-15 days. Depending on the intensity of pain and the medical criteria that you perform, you can call to infiltration primarily or after a period of rehabilitation.
Rehabilitation treatments involve the application of certain devices that relieve the pain by different mechanisms (shortwave, microwave, ultrasound, laser, etc.). And the conduct of certain exercises and manual therapy designed to prevent loss of mobility and / or recover lost, and to strengthen certain muscles that help offset the deficit (poleoterapia, kinesitherapy, massage).
Only in cases with little or no response to previous treatments raise the surgery:
- Currently arthroscopy allows diagnosis and treatment of many of these processes. In general is to extend the subacromial space through the section of bone spurs, ligament and tip of acromion to prevent rubbing of the tendon. When there is rupture of the suture can proceed even though in many cases, due to poor condition or location of tendon rupture, the result is usually not very favorable. The increased space instead it usually improves the pain.
- Other times you can not perform arthroscopy and conducted an open surgery by performing a similar action.
- In cases of advanced adhesive capsulitis not responding to intensive rehabilitation treatment, it can be mobilized under anesthesia technique in which the force lost mobility in the anesthetized patient to start rehabilitation next day and not lose it recovered.
- Other times you perform a medial approach by arthroscopy or open surgery in which we flush all formed adhesions impeding the movement.
Shoulder Pain : The Diagnosis
- This diagnosis after an examination by a doctor about a history of falls, occupational and sports activities, age, etc.. And on symptoms (pain at night and moving the arm in some or all movements, loss of strength or mobility, inability to lift the arm, etc.)..
- The scan performed to verify this data is very important.
- This is set quite closely what the problem is often used although some additional tests such as:
- or X-rays: They do not provide much information but allow other diseases. They are useful to see the calcifications.
- or ultrasound: Valid for the study of tendon problems and bursae.
- or MRI: Allows good study of the structures of the shoulder and quite accurately.
In general, if diagnosed and treated early especially, the prognosis is good, obtaining complete improvements even in cases of significant breaks.
In cases of massive cracks in non-operated patients age, the functionality that is acquired, albeit limited, becomes sufficient to perform most daily activities such as cleaning, clothing or food.
What most improved prognosis is early mobilization, albeit painful, always directed and prescribed by a physician. Please start to move quickly and try to maintain and recover lost or everyday activities painful.
As there is degenerative relapses possible to avoid them we must learn to protect the shoulder in sleep, housework and work. Avoid sleeping with arms raised, repeated movements with the arm away from the body and unsupported, and above all the tasks above head level and even more if they involve efforts. It is advisable to conduct daily exercises to strengthen weak muscles and to maintain and sometimes improve shoulder mobility.
The practice of some sports like swimming, tennis and other intensively release or who have experienced any of these problems should be avoided or carefully controlled to avoid further damage to the tendon.
Posted in Health Info, Healthy Tips, Shoulder Pain | 
Tags: Diagnosis, prognosis, Shoulder Pain, X-rays | 
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