What can lead to a shoulder injury?Injury of the shoulder most often manifests itself in the form of intense pains, sometimes there is swelling and disruption of the whole arm. Why? The fact is that the joint of the shoulder is the most mobile in the whole body. Due to the functionality of the shoulder joint, a person's hands are capable of performing many actions that daily help in everyday life. The shoulder is capable of moving in all planes, but with increasing load on it there are various injuries and degenerative changes.
With repeated loads on the shoulder joint, its stability is lost, and there are problems with operability. The human shoulder has its own structure, which includes a rotator cuff. In addition to bones and connective tissues, the shoulder is characterized by the presence of muscles and tendons, which perform their functions. Together they create the efficiency of the shoulder. This includes subacute, supraspinatus, subscapular and small round muscles.
What can cause an injury?
Injury may occur due to damage to the bones of the shoulder. It is known that 3 bones: the articular cavity of the scapula, the clavicle and the brachial head of the bone - affect the performance of the whole arm. Due to the strong connective tissue, all bones remain in their position. As for the cuff, then each of its muscles also has its own purpose.
The structure of the human shoulder joint
For example, the subscapular muscle helps to make rotational movements inward, and the supernumerary is responsible for raising the arm and fixing it( more precisely, fixing the shoulder joint) in a certain position. The muscle of the muscles serves as a guide, while the deltoid determines the strength of the shoulder.
If we talk about the function of the subacute component of the rotator cuff of the shoulder joint, then it is responsible for the movement directed outward.
Another muscle performs the same task, but it also helps in the movement of the arm to the torso. This is a small round muscle. Together they provide the work of the shoulder.
Shoulder joint damage: symptoms
A shoulder joint injury or injury is always accompanied by pain. Depending on the severity of the destruction of the rotator cuff of the shoulder joint, the pain can be intense and aching. Pains arise because of how serious the gap is.
It can be partial or complete. This means how much the tendon muscle is detached from its anatomical position. Symptoms often are pronounced: pain, weakening of the hand, sometimes complete loss of its efficiency.
Another feature of the shoulder joint cuff injury is that a person can not sleep on the sore side.
Damage to the rotator cuff of the shoulder joint: causes
Injury of the shoulder joint or its bruise - the causes are quite common. However, they are not the only ones. There are many other factors that provoke problems with the shoulder. The rotator cuff has muscle tendons that are not adequately supplied with blood. Thus, due to poor blood circulation, there is tenopathy. This is a kind of degenerative changes in the joints of the shoulder.
Some doctors deny this fact, because they believe that the blood supply does not affect the state of the structure of the shoulder joint. Instead, they suggest that most of the problems with the rotator cuff are related to genetics. That is, if a person has a hereditary pathology of connective tissue, most likely, he can not avoid problems with the rotator cuff of the shoulder joint. As a rule, connective tissue contains a special kind of protein.
Collagen( protein) can be of 4 types. If the percentage of protein of types 3 and 4 is increased, the development of tenopathy is accelerated. As practice shows, the disease can develop in any tendon of the rotator cuff. A person at the same time feels a lot of pain when he starts moving. If there is observed benign tendonitis of the tendon, the patient has pain, when the hand is withdrawn to the side.
If the damage to the rotator cuff of the shoulder joint falls on the scapular tendon, the pain is disturbed during the combing or when you bring the fork / spoon to your mouth. Often doctors call this a humeropathy periarthritis, which is incorrect. These are different diseases, moreover, the symptoms and treatment are not the same. Pain in the shoulder is a common symptom of many diseases of this joint. However, each pathology is treated and treated differently. Tenopathy can provoke long-term use of several antibiotics. This is one of the most common causes of the disease.
Image of a patient with a damaged shoulder
Other important causes are repeated injuries that occur in two possible variants:
- Repeated movements that tend to tendon the rotator cuff of the shoulder joint. This is typical of people with specific professions. These include athletes, dancers, teachers( they often write on the blackboard with chalk), painters( who often have to paint walls).They also fall into another risk group: a shoulder joint injury with consequences, a bankart injury( shoulder dislocation) - such traumas people with similar professions get much more often. This is due to the fact that the muscles and tendons of the rotator cuff are weakened and can easily be damaged. They usually have chronic trauma. Anatomical features. The fact is that a person can have a rotational cuff deformed or incorrectly designed from birth. Thus, over time this leads to repeated fractures and other shoulder injuries.
With age, genetic diseases do not go away. This also applies to the rotator cuff of the shoulder joint. Over the years, tendons are weakened, and even a small injury, not to mention fracture or dislocation( damage to the bank), can lead to a rupture. The shoulder in this case will require proper treatment, otherwise it will not be possible to restore anything. Therefore, if you have a predisposition to this type of disease, be sure to visit a specialist on time. Remember that a gap is possible when a person is young.
Statistics show that the average age of people suffering from rotational cuff problems is 36-55 years.
Injury of the rotator cuff of the shoulder joint:diagnosis First of all, when you visit a doctor, doctors will conduct an oral survey. They ask about the prescription of the injury, the mechanism of injury. Then the patient shoulder will have to make several movements independently.
If the fracture is partial, then movement is possible, but it gives pain. If there is a complete break, then the hand will not be able to perform certain movements. Muscles and tendons are damaged and lost their ability to work. You need to undergo roentgenography to identify the location of the injury and its severity.
In some cases, in order to clarify the diagnosis and determine the extent of damage, the patient undergoes ultrasound examination. In addition, an MRI is possible. Thus, after passing all the examinations the doctor diagnoses and prescribes treatment.
Injury of the shoulder joint: treatment of
When the acute stage of the disease occurs, it is necessary to take pain medications, because the pains are frequent and intense. If the gap was found incomplete, then the hand should provide peace. You can make a bandage so as not to injure the affected area. If the pain has decreased, then you need to strengthen the muscles, but you need to do this gradually. Physical exercises are prescribed by a doctor and, as a rule, are performed up to 8 weeks. To relieve pain and reduce swelling, apply ice.
Treatment with folk remedies involves the adoption of medicinal herbal infusions( which have a sedative and anti-inflammatory effect) and baths of pine cones.
The operation is only assigned if:
- The patient has a complete rupture that restricts hand movements.
- There was an incomplete rupture, which is accompanied by severe pain and hinders the normal activity of the joint.
- Treatment with medical products was useless.
Surgical intervention does not always give successful results. Restoration of the rotator cuff of the shoulder joint in individual cases is impossible if the tendons are completely ruptured. The operation itself is a complex process. Rehabilitation lasts a long time.
Joint of the shoulder joint: rupture and damage
This complex provides additional strength of the joint, protecting against dislocations and instability in the performance of various movements.
For a long time, the damage to the joint was not paid due attention, but the development of diagnostic methods indicated the frequent occurrence of this pathology with shoulder injuries.
Damage to the joint lip can occur with acute injuries or prolonged shoulder strain. Pathology is common among athletes, weightlifters, nuclear throwers, golfers, and also often occurs with domestic injuries. The causes of rupture of the cartilaginous lip are:
- Falls on the straight limb.
- Increased load on the shoulder joint( when lifting weights).
- A sharp, high-amplitude hand rotation.
The weakness of the "rotational cuff" may contribute to the rupture, which is again more typical for athletes due to active movements in the shoulder joint and high intensity loads.
You should always follow the rules and recommendations when performing various sports exercises, taking into account your own strengths and capabilities. It is necessary to remember the precaution in everyday life, because injuries to the shoulder can not be insured, but you can reduce the risk of their occurrence.
The manifestations of rupture of the cartilaginous lip are mostly nonspecific. They are similar to the symptoms of other injuries of the shoulder joint, but knowing the mechanism of injury, one can assume the presence of such a pathology. Competent differential diagnosis, conducted on the basis of clinical data and additional methods, will confirm the disease.
Basically, the rupture of the joint is manifested by the following symptoms:
- Pain in the shoulder area, which is strengthened when trying to raise a hand.
- A crunch, clicks in the joint.
- Restriction of movements up to blocking of a joint. Instability of the shoulder, subluxation.
- Decreased muscle strength of the shoulder girdle.
Pain syndrome and crunch in the joint can also occur during passive reduction or rotation of the shoulder. In addition, discomfort is often disturbed at rest, sometimes at night.
A physical examination is characterized by soreness in the joint region, which is amplified when certain movements are performed. This is the basis for the use of special diagnostic tests to confirm the disease.
The nature of instability in the joint depends on which part of the lip is ruptured:
- Antero-inferior - if shoulder-ligament ligaments are damaged.
- Upper - when injuring the tendon of the long biceps head.
- Rear - extremely rare case.
Loss of stability of the shoulder joint entails significant limitations in the life of patients, and after going into the habitual dislocation, does some kinds of movements and are not at all feasible.
Timely access to medical care minimizes the risk of adverse events with a shoulder injury.
After a clinical examination with the performance of diagnostic tests, you can confidently talk about damage to the cartilaginous lip. However, in doubtful cases, especially with the similarity of symptoms, there is a need for an additional examination. Patients are recommended to use such instrumental methods:
- joint ultrasound.
- Computed tomography with contrast.
The most common X-ray examination in such cases will not yield results, as it can not visualize soft tissues. However, as a method of differential diagnosis with other joint injuries( fractures, dislocations), it is used quite successfully.
After a comprehensive examination and diagnosis, the doctor will prescribe the best treatment methods for correcting joint joint damage.
To treat the rupture of the cartilaginous lip of the shoulder, it is necessary as soon as possible, until the formation of contractures or other complications( for example, tendinitis of the "rotational cuff").In this case, the best effect is provided by a combination of therapeutic agents. Therefore, a set of medical appointments for shoulder injuries include:
- Massage and exercise therapy
- Surgical methods.
Conservative treatment is indicated for mild injuries, and in severe cases, and in the absence of the proper effect of other methods, surgical intervention is recommended.
Only the physician can determine the optimal remedies, taking into account the received data on the disease and the general condition of the patient.
The use of medications can relieve pain and inflammation, and their administration is also justified during the rehabilitation phase to achieve a more rapid recovery effect. When starting treatment, they often use injections of drugs - both general and local. Often, injections are used in the joint cavity and a "rotational cuff" area to reduce pain. Then you can take pills and use ointments. In the general treatment complex, such drugs are prescribed:
- Analgesics and anti-inflammatory drugs( diclofenac, ibuprofen, nimesulide).
- Local anesthetics( lidocaine, novocaine).
The shoulder joint hurts - how and how to treat the shoulder joint
Older people( over 50) often complain that the shoulder joint hurts. The reason for this can be various deforming phenomena, resulting in a decrease in elasticity and ossification of the cartilaginous tissues, which causes severe pain during movement.
Symptoms of shoulder injury
Meanwhile, the doctor will not take up the issue of how to treat the shoulder joint until he learns the clinical picture of the disease. Symptoms that accompany pain in the shoulder will help the specialist to understand the cause of their appearance. In case of a shoulder injury, for example, the following features are distinguished:
- The appearance of a superficial hematoma at the site of the injury;
- Restriction of the mobility of the hand;
- Deformation of the joint area by palpation;
- Acute pain in right or left forearm.
Symptoms for inflammation of the shoulder joint
Another possible cause of pain in the shoulder is inflammation of the joint. In this case, soreness is accompanied by swelling and redness of the skin, the shoulder feels warmer to the touch. On the inflammatory process in the joint can also signal an increase in body temperature, weakness and increased sweating.
Than to treat the shoulder joint to improve its mobility? Regardless of the reasons, doctors, in the first place, prescribe patients receiving painkillers. Of pharmacological drugs are often used NSAIDs, as well as narcotic and non-narcotic analgesics. The latter are used strictly according to the doctor's prescription for extensive injuries of the shoulder joint, malignant tumors and hernias of the intervertebral discs.
In case of shoulder pain due to inflammation, in addition to anesthetics, anti-inflammatory drugs are also prescribed - indomethacin, nimesulide, ibuprofen, meloxicam and hydrocortisone, prednisolone. The medication can be administered in tablet form, as well as in ointments and gels for external use. In addition, the complex of therapeutic measures also includes physiotherapy and rehabilitation procedures.
Also, we should not forget about the ancient means of traditional medicine. How to treat the shoulder joint in this case? Eliminate pain in the shoulder will help long-forgotten funds based on herbs and other medicinal components.
- Gadgets. Cabbage leaf, chopped onion or salt solution apply to the sore spot for 2-3 hours, fixing the lotion with a handkerchief or elastic bandage;
- Ointment.2 tablespoons herb St. John's wort and sweet clover mixed with 50 grams of Vaseline. Rub the product on the shoulder before going to bed;
- Infusion of barberry.20 grams of dried berries barberry pour 500 ml of boiling water, let it brew for 24 hours. The resulting infusion should be drunk during the day, taking a few sips for the reception.
To avoid further visits to the doctor with complaints that the shoulder joint hurts, it is necessary to ensure the prevention of pathologies. First, exercise regularly, or at least gymnastics, in the morning. This will delay the development of osteochondrosis of the spine.
The video below suggests the technique of self-massage of the shoulder joint:
Secondly, if your work is connected with sedentary work, you should take short breaks during the working day for warm-up of the joints. Control over body weight is no less important aspect, reducing the risk of pathology of the shoulder joint at times.Read more about
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- How to treat arthrosis of the shoulder joint Dystrophic changes in the cartilaginous and adjacent to it bone tissue causes the development of arthrosis. This pathology is characterized by a chronic progressive course. ..
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When striking the shoulder area, the most likely injury is a shoulder joint injury, the symptoms of which can be varied depending on the degree of joint damage.
Often, this trauma does not go away quickly and leads to different inflammatory processes that occur in the ligaments, muscles, and even in the tendons. With a bruise, soft tissue damage and micro-fractures are possible. Negatively, this affects the bone tissue itself, which can lead to a fracture of the shoulder itself. But, despite such serious consequences, many victims ignore the bruise of the shoulder joint and continue to engage in active activities, not suspecting the consequences. That is why any trauma should be diagnosed and treated on time. This will help to avoid inflammatory processes, which then can smoothly go into serious ailments.
Most often, such a trauma goes to hay fever, bursitis, arthritis, arthrosis, tendonitis and the like. In order not to suffer from a bruise in the future, it is necessary to consult a doctor and undergo the prescribed diagnosis. The most commonly prescribed examination with ultrasound, MRI, X-ray or CT.Do with the help of various devices pictures on which the doctor already prescribes therapeutic treatment.
Four degrees of injury
No one likes to walk on the doctors, therefore, with injuries and injuries everyone prefers to be treated independently, without even thinking how serious the situation is. All the painful feelings are written off as simple stretching and damage to soft tissues. But the first signal for a person who has suffered a shoulder injury should be pain that does not go away even when the hand is in a calm state. Doctors all shoulder bruises are divided into four main degrees of defeat.
The lightest shoulder injury is the defeat of the skin. It does not affect your performance, and the pain will manifest only when certain muscle groups act. In the people such a bruise is called a simple stretching and eventually everything passes.
The second degree of a joint injury is the defeat of the ligaments and the entire shoulder. In this case, the injured person can observe a clearly visible puffiness, hematomas at the site of injury and redness. All these symptoms are expressed due to the fact that at the time of the impact the blood vessels ruptured and a hemorrhage occurred at the site of the injury. You may notice a sharp pain, which, even with complete rest, will not pass the hand.
The third degree is a trauma not only to the soft skin and stretching of the muscles, but also to the tendons. With such a trauma, you should immediately seek help from a doctor, because even a dislocation of the hand can become a consequence.
Fourth degree of injury can not be overlooked, because in this case your hand completely loses the ability to move and the shoulder does not function.
If you after the injury noticed symptoms of the second degree, namely hematoma, then it usually just by itself resolves itself with time. This takes about two weeks. But when providing timely assistance, namely, fitting a cold compress, hematomas can be avoided altogether, or it will take place much faster.
To accurately determine the extent of the injury and to recognize all the symptoms, it is necessary to consider possible variants of bruises.Back to the Table of Contents
Types and Symptoms of Contusion of the Shoulder Joint
Shoulder Dislocation. If you injured your arm in this way, the damage will be visible visually. The humerus then exits from the joint and will bulge in front or from above on the shoulder. In severe trauma, all the tendons and ligaments that attach the muscles to the bone and hold the joint will stretch, and the nerves and blood vessels will be damaged.
Especially dangerous if you get such a permanent injury and the dislocation has been repeated. At subsequent, even the most minimal bruises, it can be repeated. As a consequence of the dislocation, it is possible to notice a sinking in the shoulder joint, while it will not be possible to move it.
Rupture of ligaments. This injury consists in rupturing the ligaments, which are responsible for joining the clavicle with the scapula. In this case, there may be not only a break, but also a displacement of the clavicle. More often such traumas are observed at football players and hockey players which during game fall on a shoulder or the extended hand. Symptoms of rupture and dislocation are very similar. This includes swelling, severe pain, stiffness during movement and deformation of the shoulder joint. If you compare a healthy shoulder and a damaged one, then you will immediately see the difference.
Injury of the hand "swimmer's shoulder".The name of this bruise speaks for itself. Most often, such damage occurs with repeated incorrect movements of the shoulder joint. This happens in swimmers who do not have enough experience and perform irregular strokes, while constantly increasing the speed of movement and applying great strength.
Also injuries of this kind are football players, tennis players, basketball players, climbers and heavyweights, who are constantly lifting the jerks of gravity. But, even if you are not an athlete, it does not insure you against such bruises of the shoulder joint. Popular among builders, workers, plasterers and painters are stretches or small muscle tears that are located at the top of the shoulder, between the hand and neck. At the same time, both athletes and workers have an outflow and pressure on the bone.
Symptoms are easy to recognize. Trauma "swimmer's shoulder" does not manifest immediately, but comes gradually, after every workout or work, increasing pain. Sign is the sensitivity of the muscle in front of the shoulder and in the upper part. If you try to stretch your arm up or raise it with this damage, you will feel a sharp pain. Also, when the stages are started, it will be difficult to lie on your shoulder or make any movements, because the rotational muscle is badly damaged.
But, no matter how damaged the hand, in any case, it is not worth it to run and do not hesitate to visit the doctor.Back to the table of contents
We treat injuries to the shoulder joint
If you did the right thing and consulted a doctor and found even the slightest signs of injury, then most likely the next treatment will be prescribed. It will be complex in any way and will have a quick and positive effect. After all, the shoulder should fully recover from injury and work properly.
Most doctors prescribe to patients the usual conservative methods, which includes medication therapy.
This treatment is divided into several stages, and the first of these is the taking of analgesic drugs. They remove all inflammatory processes, help relieve pain, and accelerate the healing of tissues. As an example, you can call analgin, ketans, nimesil and similar drugs with analgesic effect.
http: //www.youtube.com/ watch? V = 2BY9KAhDVg8
Contusion of the shoulder joint can be cured with the help of ointments. Such treatment is prescribed for mild trauma. Also, the ointment can be used when the pain is no longer strongly pronounced, but the bruise has not yet passed to the end. Do not worry if you feel discomfort when applying the ointment, because it needs to be rubbed into the damaged area well, which will cause additional pain. All ointments for treatment of damages render warming up effect, restore microcirculation, remove hematomas and inflammations. As an auxiliary therapeutic action, a cooling compress can be applied to the site of the shoulder joint injury.
If symptoms of more serious degrees of injury are recommended, in addition to taking medications, also visit massage rooms. This is a great way to return elasticity to the ligaments, and to give the muscles tone. This is especially important for athletes, because they need constant endurance of the joint and normalization of the circulation.
http: //www.youtube.com/ watch? V = e391B26KphU
With first and second degree bruises with the right decision, there is practically no chance of earning any consequences. This is strengthened by strengthening exercise therapy. But the bruises of the shoulder joint of the third and fourth degree can well lead to serious diseases, especially in the case of improper treatment and diagnosis.
When the shoulder joint is bruised, the consequences in the form of inflammations, possible dislocations in the future, chronic joint diseases are what the negligent attitude towards health is threatened. Take care of your health!
Pains in the shoulder region, shoulder injuries, shoulder-scapular periarthritis.
1. Injury of the shoulder joint in young patients.
Pains in the shoulder joint area are one of the most common complaints and can be caused by both trauma and arise without any apparent cause.
The presence of a history of injury, falls on the arm, sports injuries, shoulder dislocation, the appearance of pain after joint overload - is more common for young people involved in sports, and is often associated with the presence of intraarticular damage. The most common cause of pain in the shoulder region in these patients is joint joint damage( Bankart injury) and the resulting instability of the shoulder joint. Pain usually occurs with certain types of physical activity, or certain movements. In some cases, a feeling of instability of the joint is noted, in more severe cases, a habitual dislocation of the shoulder is formed. With normal loads and movements of pain, and the restriction of the volume of movements can practically not bother.
Diagnosis: medical history, clinical tests for joint stability, MRI examination of the shoulder joint.
Treatment: in the acute period is recommended complex conservative treatment, fixation of the shoulder joint by the tutor up to 3-4 weeks, restriction of loads up to 1.5-2 months, FTL, exercise therapy. With persisting symptoms, unstable joint and repeated trauma, surgical treatment is indicated - arthroscopic plastic of the joint of the shoulder joint using biorassable anchor fixators.
- Another cause of pain in the shoulder joint , in young people involved in sports, especially power loads, or sports associated with frequent movements, may be arthrosis or instability of the clavicle-acromial joint. Typical complaints in this case are local soreness in the area of the acromial end of the clavicle, crunching and clicking during movement, pain when raising the arm or retracting more than 90 degrees, possibly developing a visible deformation in the region of the clavicle-acromial junction.
Diagnosis: medical history, clinical tests, radiography of both clavicle-acromial joints, MRI of the shoulder joint.
Treatment: In the initial stages, the treatment is conservative, with more pronounced changes, surgery - arthroscopic or open resection of the acromial end of the clavicle, arthroscopic subacromial decompression, if necessary, stabilization of the acromiologically-acromial joint.
2. Injury of the shoulder joint in older patients.
Injuries of the shoulder joint in older people occur against a background of certain degenerative changes in the joint and paraarticular tendons. The most typical mechanism of injury is a fall on the shoulder, or an elongated arm. Often, such injuries are accompanied by damage to the tendons of the rotator cuff of the shoulder, or fractures of the large tubercle, which is the area of attachment of these tendons. One of the main symptoms of such damage is persistent violation of the possibility of active deflection of the arm in the shoulder joint, pain during movement, inability to raise the arm and to get a hand behind the head or behind the back, associated with this disability. In the absence of a fracture, the performance of the X-ray of the shoulder joint of a pronounced pathology does not reveal, and the treatment prescribed in the clinic brings a temporary and incomplete effect.
Diagnosis: clinical tests, ultrasound and MRI examination of the shoulder joint.
Treatment: The first stage is complex medical treatment for 1.5-2.5 months. Fixation of the arm with an orthesis bandage for 3-4 weeks, symptomatic treatment, exercise therapy, FTL.In the future, correct recovery treatment, training with the LFK methodologist, gradual development of joint movements is necessary. If the effectiveness of conservative treatment is not effective for 2-2.5 months, or if there are clear MRI signs of damage to the tendons of the rotator cuff, surgical treatment is indicated-arthroscopic plastic tendons of the rotator cuff of the shoulder.
3. Pain in the shoulder region not related to trauma.
A fairly large group of patients noted pain in the shoulder region not associated with severe trauma.
The cause may be inflammation in the tendon and synovial shoulder bags: tendonitis, bursitis, tendovaginitis. Inflammation of the synovial membrane of the joint, leading to severe pain syndrome and limitation of the possibilities of joint movements( "frozen shoulder") - adhesive capsule .
Arthritis of various genesis, primarily of rheumatoid nature.
Arthrosis joint changes and degenerative tendon changes.
Often, the cause of pain is a change in the cervico-thoracic spine. The phenomena of osteochondrosis, hernia discs in the cervical spine, radicular syndrome, muscular-tonic syndrome, which can manifest quite pronounced pain in the shoulder region, spread throughout the arm, give a feeling of numbness in the fingers of the hand.
Diagnosis: It is necessary to collect an anamnesis, clarify the nature of the pain. Clinical examination, determination of the localization of painful points, the study of the volume of active and passive movements in the joint, testing for the function of various muscles. Instrumental methods of diagnosis include radiography, ultrasound, MRI examination of the shoulder joint, and if necessary, the cervical spine, laboratory tests, rheumatic tests.
Treatment: is predominantly conservative. The choice of treatment tactics depends on the prevailing pathology. As a rule, a restriction of movements causing pain, anti-inflammatory drugs( movalis, tselebrex, nimesil. ..), drugs that reduce tonic muscle tension( midocalsm, serdalud), neurological drugs( neuromedin, B vitamins) is prescribed. FTL( shock wave therapy, electrophoresis, magnetotherapy. ..), mass, reflexology. In some cases, local administration of steroidal anti-inflammatory drugs( diprospan, kenalogue 100), to the area of inflamed tendons, subacromial space, or joint cavity( 1-2 injections) is indicated. In the presence of rheumatoid diseases, specific therapy is necessary. As the pain syndrome decreases, more attention should be paid to regular physical exercises, strengthening the muscles of the shoulder girdle, passive and active development of movements in the shoulder joint. In some cases, if the effectiveness of such treatment is inadequate, arthroscopic treatment of the jointis recommended.
In conclusion, I would like to emphasize once again that under the usual diagnoses "shoulder-scapular periarthritis" or "arthrosis of the shoulder joint" a very diverse pathology can hide, for the successful treatment of which a full-fledged diagnostics and a differentiated approach are necessary.
Stretch of the ligament of the shoulder( treatment) - SportWiki encyclopedia
Tension of the ligament of the shoulderLigament of the shoulder joint
One of the most common shoulder injuries is the partial rupture of the tendons or more known - sprain of the ligaments. This happens with considerable mechanical overload, during the execution of heavy exercises. Usually, stretching of the ligaments of the shoulder begins with pain, as a result of inflammation of the rotator cuff and then goes on to the syndrome of the tendon tendenitis. Further, the condition progresses and subfertoid and subacromial bursitis, calcifying bursitis of the shoulder, and even, in some cases, humeroparietary periarthritis and tendonitis of the biceps, may appear.
Partial ligament rupture must be differentiated from shoulder dislocation.
Since the shoulder is very flexible and characterized by a slight stability in the individual positions, the connective tissues of the shoulder region may be subject to stretching during sports loads and during other physical work as well as during fall. In each of these cases, stretches of the ligaments of the shoulder need to undergo a course of treatment and rehabilitation, otherwise in the future it will be difficult to avoid serious complications and repetition of the problem. Chronic instability of the shoulder can occur after trauma, since the surrounding muscles and connective tissues are the retaining primary shoulder joint.
Shoulder functionStructure of the shoulder joint
The shoulder consists of several joints that work together, providing high mobility, which is necessary for many activities, including sports. To the shoulder joint are the sternoclavicular joint, the scapular-rib and the clavicular-acromial joint. The upper thoracic spine should be considered as an anatomical part, which provides mobility of the shoulder, especially during swings and when performing thrust movements. Also mobility is provided by the connective( tendon or ligament) and muscle tissue. That is why during the diagnosis and treatment, attention is paid to all the above-mentioned formations.
The shoulder has several major ligaments that can be damaged during training:
- The sternoclavicular ligament connects the clavicle and sternum. Stretches in this localization tend to occur with incidence.
- Acromioclavicular ligaments connect acromion and clavicle.
- Joint capsule consisting of several ligaments surrounding the shoulder.
- Spade-rib joint - supported only by muscles.
Any of the many muscles and tendons that provide movement and stabilization of the shoulder joint can be damaged by shoulder injury. The main muscles located in the brachial region are the trapezius, the broadest muscles of the back, the pectoral muscles, the deltoid, the anterior dentate, and the biceps and triceps. Special stress tests can allow you to quickly determine which of these muscles are stretched and damaged.
Mechanism of shoulder injury
Although the mechanics of shoulder injury can be quite complex and individual, there are several general models that can be distinguished:
- arm rotation outward or strong jerky motion;
- a blow to the front of the shoulder( may cause sprainage as a result of dislocation);
- falling on the upper part of the shoulder( can lead to sprainage as a result of dislocation of the acromioclavicular joint);
- falling on an outstretched hand;