Painful shoulder syndrome

Painful shoulder syndrome

Description painful shoulder syndrome

The word syndrome generally refers to a disease that manifests a set of typical symptoms and the main symptom of this syndrome is pain in the arm often associated with movement disorders in the shoulder.

Pain in the shoulder can arise from many causes, which can basically be divided into three groups, depending on where the pain origin – that is, what is its cause.

Firstly, it is pain arising due to internal disorders of the shoulder joint.

Furthermore, the pain can be caused by disorders of tissues that surround the shoulder joint.

Very often the cause of painful shoulder due to difficulties that arise elsewhere on the body, therefore outside the shoulder joint itself, it is called. Referred pain. Such reasons there are very many. These include pain in the arm for problems with the spine, especially the neck, then it may then be necessary to lung disease or diaphragm.

Find out what it is called. Rub and determine the exact origin of shoulder pain is sometimes really difficult. Why this is so, when all the possibilities of what medicine has today? Pain is generally a sign of irritation of nerves, meant to alert us that in the painful area something goes wrong and usually dangerous for our body. Many nerves that lead report pain in the shoulder and neck tightly intertwined also muscles here have a very close relationship, so sometimes distinguish the origin of the pain is because of this tight linkage difficult. This process is further supported by the fact that the affected structure can not even accurately view and it is called. Malfunction that arises no readily apparent cause.

Before we get to the individual causes of pain in the shoulder, it is necessary to briefly mention his anatomy in order to understand its function.
Arm – shoulder girdle – is a complex series of structures, not just the shoulder joint. The vane is formed, on which, after its upper outer side stored shallow hole of the shoulder joint, which is extended along the edges of cartilaginous rim – labrum. Fits well into the head of the humerus.

Another part of the shoulder girdle is called. Acromioclavicular joint, which is the connection between the outer edge of the clavicle and the tip of the blade – acromion.
Another joint that belongs here, so. Sternoclavicular between the chest and collarbone. Connects the entire shoulder complex to the rib cage and through the spine (it is only through joint arthroplasty, otherwise the arm to the rest of the body is bound tightly just muscles).

Each joint has joint capsule, fibrous sac which is clamped around the edges of articular surfaces.

Around the shoulder and other joints of the shoulder girdle are varied muscles and their tendons. It is often called. Rotator cuff. It is said that the group of muscles tendons 4 – rotators, which are clamped on the head of the humerus. Its purpose is to stabilize the head in the hole and is also responsible for movement in the shoulder, through which we raise the arm above 60 degrees.

Around the muscles near the joints they are also known. Exchange – gravity sacs filled with fluid.They are there to alleviate friction in areas exposed to substantial movements, which undoubtedly is the shoulder joint.

The most common reason for the origin of pain in the shoulder impingement syndrome (syndrome subacromial distress), and inflammatory or degenerative origin.

Following the so-called. Capsulitis – inflammation of the joint packaging, the acromioclavicular joint disorders.

The shoulder often carry the pain of the cervical spine.

Impingement syndrome occurs when the area under the tip of the blade – acromion to multiple processes, resulting in a narrowing of the space subakromiálního. Most often arises acute or chronic overload shoulder when Gravity pouch are positioned adjacent muscles and tendons impinge on the lower edge of the acromion and thus leads to their trauma. But the causes may be a number: swelling Stock Exchange during its inflammation, seepage, cracks, bruising in the accident, degenerative calcification of ligaments, etc.

Rotator cuff injury often occurs in older athletes, who after a rest period, returning to the sport.Rotator cuff is already degenerated changes and so when sudden swing movement will not last and it breaks up.

When overloading the muscles in the shoulder region formation occurs minor injuries which are accompanied by inflammation. If no load interruption and these tissues are repeatedly stressed tendons swell at first, but gradually leads to their thinning and may burst. Chronic tendonitis also leads to depositions of calcium salts and “ossification” tendons, all these degenerative changes lead to reduced quality of the affected tendon.

Risk factors painful shoulder syndrome

Pain in the shoulder can develop a variety of reasons, but most often it is overloading the shoulder, maybe in sports or other strenuous activities. Results in the formation of minor damage to muscles, tendons and joint structures that result in acute, with constant irritation chronic inflammation that causes pain sensations.

If you run a job, resulting in the emergence of pain in his shoulder, change it.

Difficulties also usually follow after the accident arm.

Just like the other joints of the body and the shoulder joint is subject to degenerative changes that cause arthritis joint.

Painful shoulder syndrome prevention

As usual, based on the avoidance of risk factors.

Unnecessarily overload the arm, make sure its adequate recovery after strenuous activity (chopping wood).

Reduce permanent overloading arm lifting and carrying heavy loads.

Practice in to hold the spine and acquire good posture. It is very useful for example Pilates.

Symptoms painful shoulder syndrome

The main symptom is, as already mentioned, pain and gradual limitation of motion in the shoulder.This pain may be present constantly or may be triggered by only a certain movement generally occurs at night. Sometimes swelling occurs.

Despite the fact that some diseases to their similar symptoms can cause problems in determining the correct diagnosis, many of them have, after all, to some extent typical signs.

When impingement syndrome is typically painful stretched out and most typically in the range 60-120 °. Is it because in this range of motion in the shoulder joint is relatively tight and if there is any swelling appears at upažování such pain that it often can not be done at all. Difficulties grow gradually, the force at the shoulder decreases with time pain occurs even at rest. Typically, the arms were at night, especially during crushing.

Injuries to the rotator cuff is often preceded by long-term pain below the acromion, when pushed sensitive big bump in the humerus, while crack is also restricted movement of the arm and in the range of 60-120 ° at upažování.

When disability biceps tendon (tendopatie m. Biceps) is pain at the front side of the joint, especially during front raises.

If there is a restriction upažování combination of movements (abduction) external dialing (external rotation) and then the front raises (flexion), it is called. Capsular pattern. This restriction alerts us to inflammation of the joint capsule. The affected person experiences considerable pain and usually at night.

Treatment of painful shoulder syndrome

It consists in removing the burden that caused pain – shoulder rest.

Furthermore, administration of drugs to relieve pain (analgesics) and signs of inflammation (NSAIDs), both in tablet and in ointment form.

It started rehabilitation, which aims to preserve the momentum of the shoulder joint, to be used only physiotherapy but also called. Physical therapy – magnetic therapy, laser therapy, ultrasound therapy and shock.

The surgical management is treated as a final possibility, but only in certain cases. Sick must be motivated, because time after surgery is followed by a long-term rehabilitation, whose success lies only in its motivation and active approach to physiotherapy.

These are states such as severe arthritis in the joint pažním, greatly limiting its momentum, spontaneous rupture of the biceps tendon in young individuals soon after the incident, a chronic inflammation of the subacromial Exchange, calcific tendinitis that does not respond to therapy and more.

How to help treat painful shoulder syndrome

If your shoulder hurts, because you have more zasportovali or pinched pile of wood, you just leave it at some time in peace, after a few days rest the shoulder but should warm up slowly to “unset”.

You anoint him one of the many OTC products in the form of an ointment to relieve your pain.

Effective is also an ice pack – shoulder for 10 minutes attach the bag of crushed ice

Avoid sleeping on the affected shoulder, pack it for a pillow

Complications painful shoulder syndrome

If the boom is not devoid of unnecessary burdens, are gradually limiting movement in the shoulder joint, whose basis it formation of adhesions around the joint and so. Contractures (permanent position of the joint capsule in a certain position) cases – is developing so. Adhesive capsulitis, or“frozen shoulder” guided by limiting the mobility of the arm. Is limited both active (the one who themselves carry) and passive (arm is gripped and made to move without the active work of the muscles) movement and especially stretched out, arms dialing externally, and arms extended anteriorly (ie. The joint formula). In this case, the first step of treatment efforts to limber up and strengthen the shoulder joint, if it fails then accesses the operation.

Other names: stiff arm syndrome, Impingement syndrome, subacromial Exchange, periarthritis humeroscapularis

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