Friday, January 19, 2018

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Shoulder Pain: Signs and Symptoms

Are you suffering from shoulder pain?  Why live with it?

Instead let's try and find out the ways and means of relieving the discomfort associated with silt shoulder pain. 

However, the thing that you need to know is to learn more about the main causes. any problem that you may have in moving your shoulder has a specific cause behind it.  While your shoulder pain can develop slowly over days, you may often experience an intense shooting pain in your shoulder when you try to move it.  The reasons behind each kind of pain may differ as well.  The shoulder is the most-free moving joint in the body.   No other joint in the body has the degrees of motion that the shoulder joint does.  It is composed of four bones:

  • the humorous (upper bones)
  • the scapula (shoulder blade)
  • the sternum ( chest bone)
  • the clavicle ( collarbone)

The humorous and scapula form a ball and socket joint, but the socket is very shallow in the shoulder.    The head of the humorous or upper arm bone is much larger than the socket, like a golf ball sitting on a tree. This bony anatomy allows free motion but does not give the shoulder inherent stability or support.

Let us now take a look at some of the most common causes of shoulder pain


Shoulder Bursitis

Inflammation to the bursa due to trauma, excessive pressure or infection in the fluid filled sac of your shoulder joint.

Signs and symptoms:

  • Discomfort to touch over the shoulder
  • Pain in the upper arm, in particular over the the outside of the shoulder
  • Pain while asleep at night
  • Having difficulty and pain sleeping on the affected shoulder
  • Having pain while lifting the arm, in particular lifting it above the head, as well as other overhead actions or activi

Shoulder Tendinitis

Tendinitis is a condition that occurs when one of the tendons that attach your muscles to the bones become inflamed.  In tendinitis of the shoulder at the tendons of the rotator cuff or tendons of the biceps become inflamed and irritated.

Signs and symptoms

  • Restrictive movement in the shoulder joint secondary to pain
  • pain in the joint with or without stiffness or swelling
  • Pain that is worse at night and early morning
  • pain when shoulder is actively moved
  • pain after activity that has use the shoulder

Shoulder sprain

A sprain is a pair of the shoulder ligaments, the tough bands of fibrous tissues that connects bones to bones.

Signs and symptoms

Most common shoulder sprain is a Grade 1, Acromioclavicular joint (AC) joint sprain.

  • Slight tenderness at the outside tip of your collarbone
  • Mild pain when you move arm or shrug shoulder joint

More severe AC joint sprain signs and symptoms:

  • Swelling at AC joint will distort the normal contour of this joint
  • AC joint will be very tender to touch
  • Significant pain to move arm or shrug shoulder joint

Shoulder impingement

Impingement refers to mechanical compression and where of the rotator cuff tendons.  This condition has many names as swimmers arc, throwing shoulder, and painful arc.  It can cause significant pain, especially if a person places his or her hand behind her back to try to move it or elevate it.  Shoulder impingement symptoms show up when there is some injury to the rotator cuff muscles.  When the injured rotator cuff muscles swell up, it causes an increase pressure inside the muscles.  As a result, the normal blood flow of the surrounding blood vessels gets badly infected.  Due to the decrease in blood flow, the muscles lose the strength and become weak.  It can also occur along with other problems of the shoulder, like bursitis and tendinitis as described above.

Signs and symptoms

  • Constant shoulder pain
  • Pain with rest as well as movement
  • Initial stage of pain is at top of edge of front part of shoulder
  • Later stage of pain moves to the lateral part of shoulder
  • Pain increases with movements of the hand
  • Pain increases when lifting arm above head or reaching up (sharp pain) will occur
  • Quick movements of the shoulder increases pain
  • Muscle weakness
  • Shoulder joint stiffness
  • Cracking or popping sensation at involved shoulder
  • Can lead to rotator cuff tear or damage to bicep muscle
  • Can lead to frozen shoulder

Labral tear

A labral tear is an injury to the cartilage of the shoulder.  The labrum is a ring of fibrous cartilage that surrounds the socket of the shoulder.  It is sometimes called Glenoid labrum.  The labrum helps to deepen the socket and provide stability to the shoulder joint.  It is also where the shoulder capsule attaches.  The labrum helps to provide shock absorption to the shoulder and cushion the joint. 

Labrum tears are usually caused from one of the following:

  • Direct contact blow to the shoulder
  • A sudden jerk or pull of the arm
  • Shoulder dislocation
  • Falling on an outstretched arm
  • Lifting a heavy object with poor technique

Signs and symptoms

  • Pain, especially with overhead arm motions
  • Catching our grinding in the shoulder
  • Sense of shoulder instability
  • Decreased range of motion
  • Loss of strength

Subacromial bursitis

This is an inflammation or irritation of the bursa, which is a small sac located between a bone and muscle, skin or tendon.  The bursa allow smooth gliding between the structures.  The subacromial bursa helps the motion of the rotator cuff and activities such as overhead work.  This movement is most often seen while playing sports as it controls the ability to throw objects or swing objects.  Bursitis is often developed secondary to injury, impingement, overuse of the muscle, or calcium deposits.

Signs and symptoms

  • Pain or motion and at rest, referred to the insertion of the deltoid muscle, about 4 to 5 inches down the outer arm
  • Occasional regional loss of active movements
  • Local tenderness, typically located in the front anterior and superior aspects of the shoulder, or the upper third of the arm
  • Acute burning pain in the shoulder
  • Pain may be described as severe pain which may interrupt sleep and prevent active movement
  • Passive arm movement is often restricted in a production (bringing arm outward) only

Adhesive Capsulitis/Frozen Shoulder

Frozen shoulder, medically referred to as adhesive capsulitis, is a disorder in which the shoulder capsule, the connective tissue surrounding the shoulder joint, becomes inflamed and stiff, greatly restricting motion and causing chronic pain.

Signs and symptoms

  • There is a strong component of night pain
  • There is a marked increase in pain with rapid or unguarded movements
  • It is uncomfortable to lie on the affected shoulder
  • Pain is easily aggravated by movement
  • The onset is generally in people greater than 35 years old
  • Global loss of active and passive range of motion
  • pain at the end of motion five
  • Loss of passive glenohumeral joint movement