Most of us are trying to cope with shoulder pain that occurs due to various reasons in daily life. Orthopedics and Traumatology Specialist Op.Dr.İbrahim Rızvanoğlu shared important information for Elmaelma.com readers on 5 important issues that we need to pay attention to in order to protect the health of the shoulder, which is the most mobile joint of the body, and to avoid any pain. Here is what you need to know about shoulder pain and issues that threaten shoulder health!
Causes and Treatments of Shoulder Pain;
-Muscle pains: It is the most common cause of shoulder pain, and it can be caused by falls and impacts, or it can be seen in people who use their arms and shoulders frequently without any trauma or after sudden-reverse movements. It can generally be treated with painkillers, muscle relaxants and creams.
-Labrum (Capsule) tears: There are fibrous tissues called labrum that surround the shoulder joint and prevent the shoulder head from coming out of its socket. It usually manifests itself with sudden onset sharp pains in people who are involved in sports or when the shoulder is forced with a reverse movement. Labrum tears; Depending on the location and size of the tear, it may cause pain only or dislocation of the shoulder with pain. Small tears that do not cause shoulder dislocation but only cause pain can be corrected with medications or physical therapy. If the tear is large or causes dislocation, treatment is only possible with arthroscopic (closed) operations, and non-surgical treatments cannot yield results.
-Muscle compression: There is a certain distance (space) between the outermost end of the collarbone (acromion) and the upper part of the arm bone (humeral head). The muscles that pass through the space towards the arm and move the shoulder pass. This distance can sometimes be structurally narrow, and sometimes it can be narrowed by the thickening of the overlying bone due to frequent use of the shoulder or strain. The stenosis puts pressure on the muscles, causing pain and limitation of movement. The joint distance should normally be 10 mm or more. Muscle compression between 6 mm and 10 mm is diagnosed and treated with non-surgical solutions.
This problem can be eliminated by methods such as pain relief creams and pills, injections into this distance (subacromial injection), resting the shoulder and physical therapy. If this distance falls below 6 mm, surgical treatment is required. If muscle compression is not treated, it causes the muscle to wear and tear by rubbing against the bone over time.
-Muscle tears: Tears in the muscles that move the shoulder can cause both pain and limitation of movement. In young people, it often occurs due to trauma. In the middle and advanced age group, injury and weakening, and then a tear may develop over time due to continuous use without trauma. We almost always treat these tears with closed surgeries.
Arthroscopic (closed) surgeries: It is applied by opening 3 or 4 holes around the shoulder and entering with a camera and hand tools. With these surgeries, conditions such as muscle compression, muscle tear, intramuscular chronic edema and labrum (capsule) tear (shoulder dislocations) can be treated. The operation takes about 1 hour and the patient can be discharged after only 1 night in the hospital.Although the recovery period varies according to the patient and the disease, it varies between 3 weeks and 6 weeks.
– Dull shoulder: Most of the time, it progresses with sudden onset limitation of movement, which occurs spontaneously for no reason and manifests itself with adhesions (fibrosis) within the joint. Shoulder movements are completely restricted and the shoulder hardly moves. Usually between 1 year and 3 years, the adhesions dissolve on their own and the process is completed when the shoulder regains its old movements.Nerve blockade (supra scapular nerve block) can be applied to people who want to speed up the process and have it painless.
-Nerve Block (supra scapular nerve block): It can be performed under local anesthesia (by local anesthesia) in outpatient conditions. With a device called a stimulator; There is a nerve (supra scapular nerve) that passes behind the shoulder and regulates the pain, edema and movements of the shoulder. A pre-prepared drug mixture is applied to the nerve. Thanks to the drug, the feeling of pain and edema of the shoulder decreases and its movements increase. The blockage treatment, which can be applied in 15 minutes and one session is sufficient for the treatment, does not have any danger, risk or side effect.