Methods of treatment for pain in the shoulder joint
The shoulder joint is a unique joint in the human body, because only it has such a large amplitude of movements in all 3 planes. This allows us to move our hands in such a large range. But, unfortunately, sometimes a person loses this ability, which is associated with diseases of the shoulder joint. In such cases, the pain in the shoulder is most of all worried, which can be either barely perceptible or unbearable.
With pain in the shoulder joint, its function suffers, which often leads even to the loss of the patient's working capacity and the need to change the profession. Therefore, you need to do everything to get rid of it, and, the earlier, the better.
In this article we will look at the reasons for the pain of the shoulder joint, as well as how to get rid of the pain syndrome.
Shoulder joint has a very complex structure, therefore it is susceptible to various diseases
Why does the shoulder joint hurt?
There are a lot of reasons for developing pain in the shoulder. These include inflammatory lesions of joint components, and degenerative-dystrophic disorders, and various kinds of trauma. The following are the most common causes of shoulder pain:
- Tendonitis is an inflammation of the tendons of the muscles that attach to the shoulder area. It can have both an infectious nature and develop due to physical overloads, for example, work associated with increased activity in the shoulder joint( some sports, etc.).
- Bursitis is an inflammation of the shoulder bag. It arises for the same reasons as tendonitis. Very often, these pathologies are combined.
- Arthritis is an inflammation of the joint that can be infectious, allergic, autoimmune. An example is rheumatoid, psoriatic, rheumatic, septic purulent arthritis, shoulder damage in systemic connective tissue diseases, brucellosis, tuberculosis, reactive arthritis, complications of acute respiratory infections, viral hepatitis, etc.
- Traumatic injuries that occur quite often. All the components can be traumatized in the shoulder: intraarticular and extraarticular ligaments with development of ruptures and sprains, capsule, bones( intraarticular fractures), cartilaginous tissue that complements the articular cavity, muscles that envelop the shoulder, blood vessels and nerve fibers.
- Osteoarthritis is a degenerative-dystrophic disease that gradually destroys the intraarticular cartilaginous tissue and causes secondary changes in the joint, which can lead to the loss of its function.
- Capsule is an inflammation of the joint capsule, which is prone to chronic flow and pathological changes in the joint membrane, which leads to a significant limitation of the amplitude of movements in the shoulder and constant pain.
- Calcification of ligaments( collision syndrome), when calcium salts are deposited inside the tendons that attach to the joint. This causes the occurrence of pain in a certain position of the hand, for example, when it is withdrawn and the establishment behind the head.
- Shoulder bladder periarthritis is an inflammation of the tissues that surround the shoulder joint.
- Causes that are associated with the pathology of internal organs and other parts of the musculoskeletal system( cervical spine disease, when nerve fibers are squeezed, which go towards the shoulder, liver pathology, heart, lungs).
- Impediment-syndrome of the shoulder joint.
It's important to remember! Establishing the true cause of pain in the shoulder joint is very important, since only in this case it is possible to select, really, the right and effective treatment, to assign appropriate preventive measures.
Approaches to the treatment of pain in the shoulder
Treatment of joint pain consists of several components:
- etiotropic therapy, which aims to eliminate the cause of pain;
- pathogenetic treatment, which disrupts the mechanism of development of pathological symptoms;
- symptomatic measures that eliminate the main signs of the disease( pain, swelling, etc.);
- restorative therapy, which is used to restore all impaired functions of the shoulder and the amplitude of its movements, as well as to prevent recurrence of the disease.
To treat pain in the shoulder joint is necessary only taking into account the above 4 principles. In this case, all the pain sensations quickly pass and no longer disturb the person.
All methods that are used for this, can be divided into 2 large groups: conservative and surgical. In most cases, you can get rid of the pain syndrome with the help of conservative methods, medicinal and non-medicamentous, but sometimes the operation will help to correct the situation.
Almost all patients with pain in the shoulders are prescribed drugs from the group of non-steroidal anti-inflammatory drugs and analgesics. They in most cases allow quickly and effectively to defeat the pain syndrome. These medicines have at once 2 points of application: symptomatic( eliminate pain, swelling, redness) and pathogenetic, as they reduce inflammation( the main mechanism of the development of pain).
In modern medicine, there are a large number of representatives from this group of drugs:
- ketoprofen, etc.
All these drugs are characterized by the strength of the anti-inflammatory and analgesic effect,as well as the risk of side effects. The most effective drugs from the first generation( diclofenac, indomethacin, ibuprofen), but also the number of side effects they have more. Preparations of subsequent generations( selective and highly selective COX-2 inhibitors), which include nimesulide, meloxicam, xsefok, have less anti-inflammatory efficacy, but their administration is much safer for the patient.
Diclofenac - a powerful representative of NSAIDs, allows you to quickly and effectively get rid of joint pain
First-generation drugs are used mainly in acute pain syndrome, when you need to quickly rid the person of suffering, and the duration of their use should not exceed 14 days. Medicines of the second and third generation are suitable for long-term use, when the pain is chronic and the patient needs almost daily anesthesia.
NSAIDs exist in all dosage forms: solutions for intramuscular and intravenous injections, capsules and tablets for oral administration, ointment, gel, cream, patch for external use. Thus, the pathological focus can be influenced simultaneously from several sides, which only increases the effectiveness of the analgesic effect.
Important! Despite the fact that drugs from the NSAID group are related to OTC drugs, they are strictly forbidden to prescribe them and to select doses, because they have serious contraindications and side effects. Use these medications only on the advice of a doctor.
In cases where symptoms can not be overcome with NSAIDs, they do not resort to the use of glucocorticoid anti-inflammatory drugs. Such medications are usually not prescribed systemically for pain in the joint, unless it is caused by rheumatologic disease, and is applied locally as injections into the joint region or into its cavity.
Since these medicines have a very powerful anti-inflammatory and analgesic effect, 1 injection is enough. In particularly severe cases, 2-3 injections may be necessary. After that, in 80-90% of patients, the pain syndrome quickly passes.
The most commonly used drugs, which are based on an active substance such as betamethasone:
In particularly severe cases, the use of GCS is combined with local anesthetics. Such articular blockades relieve even high-intensity pain. As an anesthetic, novocaine or lidocaine is most often used.
Blockade of the shoulder joint allows you to quickly rid the person of pain
Blockades with local anesthetics can prevent the development of such a complication as painful contracture, when because of pain the patient limits the amplitude of movements in the shoulder joint. This eventually leads to the atrophy of certain muscle groups, which even after the elimination of pain does not allow the upper limb to move in full.Also read: How to treat shoulder chondrosis?
The effect of blockade lasts up to 1 month, after which the procedure can be repeated. At this time, other methods of treatment are used, which are aimed at eliminating the cause of the disease.
In some cases, local irritating drugs based on capsaicin( a red pepper extract), bee venom or snakes, which are applied to the joint in the form of ointments, can help relieve the pain. You can use such drugs only if the pain is caused not by inflammation, but by a degenerative-dystrophic process. Such medicinal compounds cause vasodilation in the field of application and improve the nutrition of the joint structures and periarticular tissues, which leads to a reduction in the pain syndrome.
Other conservative methods
Drug treatment is mandatory supplemented by the use of other conservative methods, which are the basis of treatment and prevention of further relapses of pain.
Special elastic shoulder bandages allow to protect the joint from damage
Providing immobilization of the shoulder joint and limiting unwanted movements is achieved by providing bed rest, applying special elastic bandages to the joint, using orthopedic products( bandages, orthoses).In case of need of rigid fixation, for example, after trauma, surgery, the doctor can apply even a plaster bandage for the necessary time.
Are appointed after the abatement of acute pain syndrome. The treatment program depends on the underlying pathology. Assign UHF, magnetotherapy, shock wave therapy, laser treatment, electrophoresis, phonophoresis, post-isometric relaxation, etc. An important condition for successful treatment is to do the procedures regularly and undergo the full course recommended by the doctor even if the pain has already receded.
Physiotherapeutic methods of treatment occupy an important place in the treatment of shoulder pain
Physiotherapy and massage
This is an integral part of the overall medical process. LFK allows to strengthen the muscles of the shoulder girdle, to increase the degree of mobility in the shoulder, to resume all the necessary amplitude of movements of the upper limb. The program of exercises should be made by a specialist, who should monitor the correctness and effectiveness of the classes. With each pathology, various exercises are selected.
Massage allows to achieve improvement of local circulation in the tissues of the joint, increase the elasticity of the muscular framework of the shoulder.
Often people resort to unconventional methods of treatment, among them the most popular folk remedies, apitherapy, hirudotherapy, osteopathy, acupuncture. It should be emphasized that there are a lot of folk recipes to eliminate pain in the shoulder joint. But before applying one of them, it is advisable to consult a doctor about its feasibility and the availability of contraindications in a particular patient.
Surgical treatment is prescribed in the case when the whole arsenal of conservative methods does not bring the desired result, the disease progresses or it can not be cured without surgery.
Pain in the shoulder joint - this is the main symptom of his defeat, and there is almost always. To get rid of the pain once and for all, it is necessary, first of all, to establish the cause. It is important not to forget about prevention, which will prevent repeated episodes of the disease.
Pain in the shoulder joint: symptoms, diagnosis and treatment
Pain in the shoulder is not always associated with the pathology of the shoulder joint. They can be reflected. Every patient should know about it and be able to distinguish between them. How can this be done? And is it possible to cope with the affected shoulder joint?
Today is our conversation about the most unique joint of the human body. If you are concerned about pain in the shoulder joint - the treatment will be different depending on the cause of their occurrence. The joint is more mobile and functional than many others. But very often we forget that it is impossible to overload the joints excessively and constantly. They do not forgive this. The situation with the shoulder joint is also the case: wrong handling is possible until a certain moment, then pain and violation of its functions appear.
But the pain can be localized in the cervical spine and be reflected. The easiest way to distinguish these pains is to move the shoulder. The true pain in it will respond with the movement of the shoulder joint, the reflected pain occurs when the neck turns.
The shoulder can be sore for many reasons, and the pain is a symptom of an obvious serious pathology. It should be immediately diagnosed and treated. Trying to do this at home - means driving the disease into an obtuse angle. Properly differentiate the pain and prescribe appropriate treatment can only a professional. Therefore, no matter how severe the pain is, contact the doctor without delay.
With strong stiffness in the shoulder - you can think and walk, everything else is done by our mobile hands.
. Why there is pain syndrome
. In the shoulder often there is soreness, when we do not follow our posture, with little physical activity or joint overload. There are pains and after untreated injuries and strains, with a rupture of muscles or tendons, with a dislocated shoulder.
Also cause tendonitis( inflammation of the tendons) and podkromialny bursitis( inflammation in the bag of the same name, located between the appendage and the shoulder joint).To cause pain in the shoulder and inflammation may infection: streptococcus, chlamydia, tuberculosis, candidiasis and many others.
Reviews of acute, burning pain in the shoulder may cause osteochondrosis of the cervical spine, and in elderly people - developing degenerative process( arthrosis), neuritis of the brachial nerve.
The peculiar pathology of the shoulder region is shoulder-scapular periarthritis, in which the cervical or thoracic nodes of the sympathetic trunk are affected. And he controls the trophic tissue of the shoulder and hand.
Often pains in the shoulder joint appear in people whose profession involves long loads on them( raised hands, standing, pushing the bar, etc.).
Doctor, of course, will help. But it is important to find a competent expert
Symptoms and manifestations of shoulder pain
Pain in the left shoulder joint( or right, less often in both) appears in such diseases:
- tendonitis - inflammation of the tendons around the shoulder joint. It appears with excessive load on the shoulder. Tendons rub against the bone, there is irritation and pain, aggravated by movement and palpation;
- bursitis - pain is not too intense, chronic. In the area of the articular bag there is swelling, you feel discomfort and can not sleep on the affected shoulder;Sharp pain when holding the hand to the side or the establishment behind the head;
- periarthritis - the pain that radiates into the arm and neck is amplified when it is lifted up or attempted to be wound behind the back. Often occurs at night stinging, aching, accompanied by the chillness of the brush. Develops muscle atrophy - "frozen" shoulder, there is a feeling of crawling, tingling, the sensitivity of the shoulder, arms and shoulder blades is disrupted. The disease is severe and can last up to several months;
- arthrosis and arthritis of the left shoulder also cause joint pain;
- myocardial infarction and angina pectoris, pneumonia and liver pathology, tumors in the thorax and cervical radiculitis give reflected pain in the shoulder;
- when depositing calcium salts its small crystals get into a subacromial bag and pains resemble a gout attack;Saline deposits can obscure the ligaments and tendons passing under the scapula and clavicle( collision syndrome).Appears more in the age of 30 to 50 years, the pain arises suddenly and torments constantly. It is difficult for a patient to withdraw his shoulder from the body by 30-90 degrees;
- traumatic injuries of cause severe pain, with falling, the upper part of the hand can simply fly out of the joint deepening or there will be a rupture of the tendon, giving the rotation to the arm.
Where salt is deposited in the shoulder
Diagnosis and treatment of pathologies
As we have already explained, pain in the shoulder zone is caused by a mass of various causes. Therefore, it is necessary to conduct qualitative diagnostics and choose a treatment strategy. You should consult a therapist and a neurologist. And if in the course of finding out the causes, diseases of the internal organs that give pains in the shoulder are found, then immediately visit the specialized doctors and begin treatment of the underlying disease.
An integrated approach to treatment is recommended: focus on the causes of the disease, pathogenetic treatment that interrupts the development of the disease, the elimination of symptoms and the restoration of joint function. If the treatment tactics are coordinated in all four directions, the pain in the shoulder joint can be eliminated fairly quickly and without complications.
For arthritis, arthrosis, bursitis , non-steroidal anti-inflammatory drugs and chondroprotectors are used. When for some reason the disease was started, and these drugs no longer produce results, you have to resort to the use of hormones and narcotic analgesics in order to reduce the suffering of the patient. Such drugs are used in the progression of malignant tumors. Preparations are administered either orally, intravenously and even as intraarticular injections. But quite often conservative treatment of deforming arthrosis of the shoulder joint is not effective. Therefore, surgical treatment is suggested, and the most effective method for today is joint replacement.
In case of bruises, tears of ligaments, ice is applied to the lesion site. Then you can resort to folk remedies: make an acetic compress at night. Wash the affected shoulder with the prepared infusion: 3 tbsp.flowers of lilac, 1 tbsp.crushed burdock root and 3 pods of hot pepper mixed with 1 liter of alcohol, infused for three days. Or ointment: 100 g of unsalted fat melt, add 1 pod of red pepper, 3 tsp.crushed sabelnik and the same number of St. John's wort.
Periarthritis is treated with analgesics, anti-inflammatory drugs, which are injected into the intra-articular capsule, do Novocain blockades, acupuncture. If the disease has a very pronounced inflammatory character, glucocorticosteroid preparations are used in the form of ointments and injections.
Yoga is a good outcome for pain in the shoulder. It relaxes the muscular mechanism of our body, which is very useful for the body and, especially for the neck and shoulders. Electrophoresis and magnetotherapy, anti-inflammatory ointments and compresses from bischofite are used.
But remember that in any case, you can not treat diseases of the shoulder joints at home. Knowledge obtained from the Internet or other sources is completely inadequate. Treatment should be individual and professional. Doing home can only prevent the diseases mentioned in the article. It involves maintaining a good physical shape, reducing intense and persistent loads on the joints. Do not overcool and injure joints. It is necessary to eat nutritionally and not forget about posture.
It is important to know: why joints crackle.
How to treat the shoulder joint with folk remedies |Recipes health
Pain in the shoulder occurs for various reasons. There are simply bruises, injuries, easy sprains. In these cases, it is enough to apply something cold to the site of the bruise, to ensure peace of hand and shoulder, take a tablet of analgin. But much more often pains in the shoulder joint arise on serious cases - they can talk about such diseases as osteochondrosis, arthritis, arthrosis, bursitis. It hurts not only the shoulder, but also the arm, the neck. With such pain, usually consult a doctor, and this is correct.
Folk remedies for the treatment of the shoulder joint
But what if the pain caught in the night or there is no possibility to go to doctors at once? Then help the traditional medicine, the purpose of which - to remove severe pain, to prevent further development of the disease. Traditional medicine will also help if the disease has become chronic. It comes to replace( even if temporary) expensive painkillers and gives a kind of respite.
Folk remedies for the treatment of the shoulder joint are various ointments, tinctures for rubbing and tinctures for ingestion. They do not work the first time, it is important to apply them regularly, persistently and for a long time.
Tinctures for grinding
Ingredients: lilac flowers - 3 table.spoons;burdock root - 1 table.a spoon;hot pepper - 3 pods;alcohol 90% - 1 liter. What to do: all mix, insist for three days.
Ingredients: cologne - 3 bottles;Valerian tincture;iodine solution;Analgin - 6 tablets. What to do: all mix, insist 7 days in the dark.
Ingredients: honey - 1 table.a spoon. What to do: warm the shoulder joint, rub the honey in circular motions, until all is absorbed.
Ingredients: lard - 100 grams;marshmallow marsh - 3 teaspoons;St. John's Wort - 3 teaspoons;red hot pepper - 1 table.a spoon. What to do: grass and pepper crushed, mixed with melted fat, smear for the night.
Components: propolis the size of a pinhead;pork fat - 50 gr. What to do: stir, rub in the place of pain.
Ingredients: ammonia 5% - 2 table.spoons;turpentine - 2 table.spoons;raw chicken egg - 2 pieces. What to do: mix and beat. To rub before going to bed.
Components: white lilac flowers, butter - 3 table.spoons. What to do: mix.
Components: St. John's Wort - 2 table.spoons;clover - 2 table.spoons;Vaseline - 50 grams. What to do: mix everything, rub it into a sore spot.
Ingredients: 100 grams of dandelion roots;olive oil( can be another vegetable) 500 grams. What to do: root the chop, pour oil, insist in the dark for a week. Rub the joint or make compresses. You can fill salads with butter.
Components: vinegar 9% - 1 table.a spoon;water - 0.5 liters;a piece of linen cloth;wool scarf. What to do: vinegar dissolve in water, moisten cloth, put on your shoulder, wrap your scarf overnight. In the morning, wash your shoulder of vinegar.
Components: one liter of water;50 grams of salt( preferably sea, but you can also usual), gauze. What to do: dissolve salt in water, put gauze there for two hours. Compress to fix with a bandage, cellophane should not be wrapped.
Components: cabbage leaf;wool scarf. What to do: sheet warmed by a couple, put on your shoulder and tie a scarf.
Components: bitter wormwood( the younger, the better);gauze. What to do: prepare the juice, moistened gauze to put on your shoulder.
Ingredients: fresh burdock leaves. What to do: apply the inner side on the affected area, wrap something warm.
Components: tincture of valerian, cotton fabric. What to do: cloth moistened in tincture, quickly put on a sore spot, wrap with polyethylene and something warm, leave for the night.
Tinctures that must be drunk
Ingredients: marshmallow grass - 1 table.a spoon;grass horsetail field - 2 table.spoons;1 liter of boiling water. What to do: mix the grass, brew with boiling water. Drink a day like tea. Drink for a month.
Ingredients: corn stigmas - 2 teaspoons;water - 200 ml. What to do: boil stigmas in water for 7 minutes, strain, drink 5 times a day for 1 table.spoon.
Ingredients: lingonberry berry - 2 teaspoons, one glass of boiling water. What to do: cranberries brew, insist 15 minutes. Drink during the day sips.
Components: Berry barberry - 20 grams, a liter of boiling water. What to do: pour the berries with boiling water, insist for 24 hours. Drink sips for a day.
Components: lemon - 3 pieces;garlic - 1 large head;alcohol 90% - 1.2 liters. What to do: chopped lemon and garlic pour alcohol, stir everything, drain. Drink 1 table.spoon before eating.
Components: juniper needles - 5 table.spoons;Onion husks - 2 table.spoons;berries of dogrose - 2 table.spoons;1 liter of boiling water. What to do: grind all the ingredients, pour boiling water, cook for 12 minutes. Take this decoction for 2 months every day several times.
Using folk remedies for the treatment of the shoulder joint, it is necessary to do light physical exercises on a daily basis, if possible, do yoga, monitor proper nutrition. Having removed sharp pains, it is necessary to appear to the doctor-expert.
Ointments and tablets
Remedy for the removal of inflammation and pain in the shoulder joint.
If the shoulder hurts when raising the arm up and the pain is moderate, the patient is given paracetamol. Do not use the dosage of the drug more than indicated in the insert to it, having previously read the instructions before using it. Increasing the dose of this drug will not help you get rid of the pain if it does not pass. In order to feel comfortable, go to the doctor - he will prescribe a different drug. If the shoulder is very sore, the doctors prescribe such medicines:
Corticosteroids will help to remove inflammation. They stop the inflammatory processes in the joints, helping the patient to get rid of the pain. Pain in the shoulder when raising the arm is caused by brachial arthritis or other disorders. Corticosteroids help to get rid of discomfort for several weeks. During this period there is a restoration of the affected inflamed tissues and soreness passes.
Important! It is necessary to remember about such side effects when using drugs: weight gain, the appearance of acne, increased appetite and sudden mood changes.
With prolonged use of these drugs, side effects increase. There is glaucoma, thinning of the epidermis, bruising, weakness in the muscles and increasing pressure, all symptoms pass after the course of treatment with corticosteroids ends.
Inflammation of the shoulder joint requires serious treatment.
In the event that the measures taken do not bring the desired result, if the patient took medication in the form of tablets, he is recommended to undergo an injection. Such measures are effective in the disease of bursitis or tendonitis, they help the patient to increase the range of operation of the shoulder joint.
A safer drug for treating problems with shoulder joints is hyaluronate. It is not fully understood, therefore it is used quite seldom in therapy. Doctors claim the effectiveness and safety of this appointment, so after research, it may be used more often.
Physiotherapy and surgery
If a patient has a shoulder pain, the doctor directs him to a physiotherapist for treatment. This direction takes place with pain arising when the arm is raised up. The physiotherapist appoints special exercises to ease the condition or appoints a patient a course of massage.
Treatment of the causes of pain in the shoulders consists of laser therapy or electrostimulation of nerves through the skin. The pain is weakened or passes completely through the stimulation of nerve fibers. Such treatment is carried out with the help of affecting the affected tissues with a weak electric current. This restores the affected tissue and alleviates the pain syndrome.
When these therapies did not give results, the doctor was prescribed a surgical procedure. For example, a tendon dissection in tendinitis.
Folk methods of treatment
Treatment of shoulder pain with folk remedies takes place in different ways and depends on the cause of the disease. If pain occurs after physical exertion, after training or after hard work, apply a cold compress to the sore spot. Make it necessary from ice wrapped in a piece of cloth, you can use frozen foods. The compress is held on the shoulder for about 10 minutes or increases this time to half an hour.
Important! Using ice, you need to try to prevent the hypothermia of the joint. This will only exacerbate the situation and require intensive therapy.
Also used are compresses made of honey and yeast, infusions of herbs with anti-inflammatory action, wiping with vinegar and other means.
Treatment with folk methods yields results with moderate injuries, with complex injuries they will be ineffective. You should consult your doctor for advice and prescription of effective drugs.
Can not ignore discomfort in the shoulders, even if the pain is moderate, such an attitude will lead to the development of complications. Due to the fact that the symptom is caused by various diseases, doctor's consultation and examination are necessary, it is on this that further treatment and its effectiveness depend, the use of folk remedies in many cases does not give the desired results. The prognosis of treatment is favorable with timely treatment in the clinic and adequate medical care.