About all

Can costochondritis cause shoulder pain: The request could not be satisfied

Содержание

Costochondritis | Rehab My Patient

Posted on 01st Jul 2018 /
Published in:
Ribs
,
Thoracic Spine

Costochondritis is when the cartilage connecting the breastbone and the rib becomes inflamed, the junction is referred to as the costosternal joint. Pain from this condition can mimic the signs of a heart attack and various other conditions relating to the heart. It can also mimic the signs of acid reflux and indigestion. Pains can also travel to the spine and between the shoulder blades. Some doctors refer to costochondritis as costosternal chondrodynia, chest pain or costosternal syndrome, or Tietze’s syndrome.

Most of the time, those who have costochondritis don’t have an attributed cause to their condition, although research tells us that poor posture is often to blame. Occasionally it can be caused by trauma.

Costochondritis Anatomy

The chest consists of the portion of the trunk located between the abdomen and the neck. It holds the lungs and the heart, as well as that of the esophagus and the large blood vessels connecting the heart. Inside of the chest wall, you will find cartilage, bones, ligaments and muscles holding all of the chest contents together. The rib cage consists of the ribs, sternum and the vertebrae. The ribs are connected
with the vertebrae in the back and to the sternum in the front. Ribs, joints between all of the vertebrae and the sternum let the bones move freely. Soft tissues, such as the muscles, ligaments and nerves, make up the chest wall.

Symptoms:

  • Pain over the sternum and upper chest
  • Usually worse after exercise
  • Worse taking a deep breath in
  • Inflammation (redness, swelling over the area)
  • Pain may be referred to the arms or shoulder

It is important for the physician to exclude more serious pathology e.g. heart or cardiovascular problems as costochondritis may feel like a heart attack. It is also not unusual to be investigated for reflux or digestive problems, which can mimic the signs of costochondritis.

  • Symptoms should ease in 4-8 weeks
  • All symptoms should disappear in 6 months
  • Having the condition once does not increase your chances of having the condition again

How to Treat Costochondritis:

  1. Stretching Exercises
    Undergoing gently, range-of-motion exercises has proven to be helpful in overcoming this condition.
  2. Nerve Stimulation
    This procedure is known as TENS, which is a device that sends a small electrical current by patches on the surface of the skin close to the area in pain. This can mask or interrupt pain signals, which will prevent them from ever getting to your brain in the first place.
  3. Physical Therapy
    Manual and physical therapists are brilliant at improving posture, improving mobility to your ribs and spine, and reducing the muscle tension that pulls on the ribs.
  4. Medication
    You doctor may prescribe you anti-inflammatories, painkillers to reduce the pain and inflammation. Low dosage anti-depressants such as Amitriptyline is often used to control chronic pain, especially for those who are struggling to sleep at night.
  5. Cold Application
    It is widely agreed that costochondritis is an inflammatory condition. So one of the best ways to treat it is with an ice pack or frozen peas. Place them over your chest, where your pain is located, wrapped in a tea towel for 5-10 minutes three times per day. This is effective in reducing the pain and inflammation. You may need to continue this for several weeks.

Tips:

  • Women and those over the age of 40 are most prone to costochondritis.
  • Encourage children to use their school bags correctly. The bag shouldn’t be too heavy or else their shoulders will slump. Show them how to carry the bag the right way.
  • Avoid any activities that trigger the pain. If tenderness and chest pain result from physical exertion, ask about safe guidelines for lifting and an exercise program.
  • Severe coughing and other strenuous activities are attributed to costochondritis.
  • Maintain good posture at work. Keep upright. Ensure your computer work station is set up correctly with the monitor at the correct height. All too often costochondritis is caused by poor posture.
  • Avoid stress as much as possible. Take steps to relax regularly through the week. Try deep breathing exercises, watching a good movie, or reading a book to de-stress.
  • You should make a gradual return to exercise, using slow stretching to avoid re-injury.

Create exercise plans for your patients

Easiest to use exercise prescription software! Start your free trial today!

Costochondritis | Physio Check

Costochondritis is a painful inflammation of the cartilage of the ribs. This cartilage is located along the front of the chest where the ribs connect to the sternum, but also along the back, where the ribs attach to the spinal column.

Costochondritis is a relatively unknown rheumatic condition. As the condition often causes pain on the chest, it is always important to rule out cardiac problems before making the diagnosis.

Description of the condition

The chest (rib cage) is formed by the ribs, the breastbone and a number of vertebrae. Along the front, the ribs are connected to the breastbone by cartilage structures. These cartilage connections are referred to in medical terms as ‘costal cartilage’. If this cartilage becomes inflamed, this is referred to as costochondritis. Inflammation of the ‘costal cartilage ‘ causes annoying pain on the chest.

Along the back, the ribs are connected to the vertebrae of the spinal column via small joints (also containing a layer of cartilage). These joints are called the ‘costovertebral’ and the ‘costotransverse’ joints. Again, if the cartilage becomes inflamed, this is referred to as costochondritis. Costochondritis along the back can cause back pain in the upper back.

Tietze’s Syndrome
Costochondritis is very similar to Tietze’s syndrome. However, there are a few important differences. When the cartilage of the ribs along the front of the body is inflamed and is accompanied by swelling, this is referred to as Tietze’s syndrome. If there is no swelling, or if the cartilage along the back side of the ribs is inflamed, this is referred to as costochondritis. Unfortunately, both terms are often used interchangeably in the literature.

Cause and origin

The cause is currently unknown. However, we suspect that the following factors play a role in the development of the conditions:

  • Physical exertion.
  • Incorrect posture (for example, a stooped posture with rounded back and shoulders protruding forwards).
  • Over-loading or trauma (for example, falling or bumping the chest).
  • Pregnancy.
  • Respiratory tract infection.
  • Emotional exertion/tension.
  • Stress.
  • Repetitive movements that expand the chest, causing pressure or tractive force on the ribs (for example, deep breaths, lots of coughing or repeated clearing of the throat).


People with a family history of rheumatic conditions have an increased risk of developing the condition. Postural abnormalities, limited muscle strength, fear of movement and a low exercise tolerance are also linked to an increased risk of developing costochondritis.

Signs & symptoms

Several cartilage connections are usually affected in the case of costochondritis. In many cases it affects the second to fifth rib. It is worth noting that generally only one side is affected.

  • Pain on the chest and/or pain in the upper back at the level of the cartilage connections.
  • The pain is often sharp and comes in waves.
  • Pressing on the inflamed cartilage makes the pain worse.
  • Coughing, sneezing or deep inhalation is extra painful.
  • The pain can radiate to the ribs, the arm, the shoulder or the abdomen.
  • Movements of the upper body cause extra pressure or tractive force on the cartilage connections. This can result in extra pain.
  • As the entire rib cage moves along with the various arm movements, certain movements of the arm can provoke the symptoms.

Diagnosis

The diagnosis is made according to the physical examination and the patient’s story.

Treatment

Unfortunately there is no real treatment. Patients are often prescribed analgesics to relieve the pain, or anti-inflammatories. Sometimes injections are administered at the site of the inflammation.

In some cases the symptoms disappear without treatment within several days or weeks. However, the condition can become chronic, causing problems for months or years. Sometimes the symptoms never go away completely.

Physiotherapy can be used to work on improved posture, thereby reducing the pressure on the painful cartilage connections. Therapy can also consist of the stretching of the pectoralis major muscle and strengthening of the rhomboid muscles located between the shoulder blades. If necessary, relaxation exercises and breathing exercises will be provided.

Advice


You can check your symptoms using the online physiotherapy check or make an appointment with a physiotherapy practice in your area.

References

Albarran, J.W. & Tagney, J. (2007). Chest Pain. Advanced assessment and management skills. Blackwell Publishing.
Haga, P., Biesen-’t Riet, J. van der & Broekema, A. (2008). Protocol syndroom van Tietze en costochondritis. Oefentherapeuten Mensendieck.
Lawless, C.E. (2011). Sports cardiology essentials: Evaluation, management and case studies. Springer: New York, Dordrecht, Heidelberg, London.
Proulx, A.M. & Zyrd, T.W. (2009). Costochondritis: Diagnosis and treatment. Am Fam Physician. 2009 Sep 15;80(6):617-20.

%PDF-1.4 %
321 0 obj> endobj
xref
321 219
0000000016 00000 n
0000005549 00000 n
0000004769 00000 n
0000005786 00000 n
0000008778 00000 n
0000009365 00000 n
0000009775 00000 n
0000009811 00000 n
0000009857 00000 n
0000010097 00000 n
0000010343 00000 n
0000010420 00000 n
0000011088 00000 n
0000011696 00000 n
0000012387 00000 n
0000013102 00000 n
0000014428 00000 n
0000015904 00000 n
0000017330 00000 n
0000018808 00000 n
0000021478 00000 n
0000021574 00000 n
0000021709 00000 n
0000021847 00000 n
0000022022 00000 n
0000022197 00000 n
0000022427 00000 n
0000022704 00000 n
0000022939 00000 n
0000023153 00000 n
0000023384 00000 n
0000023621 00000 n
0000023866 00000 n
0000024112 00000 n
0000024357 00000 n
0000024499 00000 n
0000024742 00000 n
0000024884 00000 n
0000025123 00000 n
0000025265 00000 n
0000025400 00000 n
0000025627 00000 n
0000025762 00000 n
0000025990 00000 n
0000026224 00000 n
0000026450 00000 n
0000026681 00000 n
0000026915 00000 n
0000027146 00000 n
0000027354 00000 n
0000027489 00000 n
0000027664 00000 n
0000027806 00000 n
0000027941 00000 n
0000028135 00000 n
0000028277 00000 n
0000028471 00000 n
0000028667 00000 n
0000028861 00000 n
0000028996 00000 n
0000029185 00000 n
0000029327 00000 n
0000029514 00000 n
0000029700 00000 n
0000029896 00000 n
0000030031 00000 n
0000030246 00000 n
0000030459 00000 n
0000030601 00000 n
0000030824 00000 n
0000030962 00000 n
0000031186 00000 n
0000031324 00000 n
0000031549 00000 n
0000031687 00000 n
0000031914 00000 n
0000032052 00000 n
0000032190 00000 n
0000032412 00000 n
0000032550 00000 n
0000032789 00000 n
0000032931 00000 n
0000033155 00000 n
0000033330 00000 n
0000033472 00000 n
0000033697 00000 n
0000033872 00000 n
0000034014 00000 n
0000034238 00000 n
0000034413 00000 n
0000034551 00000 n
0000034693 00000 n
0000034919 00000 n
0000035094 00000 n
0000035326 00000 n
0000035501 00000 n
0000035639 00000 n
0000035877 00000 n
0000036050 00000 n
0000036269 00000 n
0000036439 00000 n
0000036657 00000 n
0000036827 00000 n
0000036965 00000 n
0000037181 00000 n
0000037348 00000 n
0000037486 00000 n
0000037707 00000 n
0000037871 00000 n
0000038009 00000 n
0000038147 00000 n
0000038355 00000 n
0000038515 00000 n
0000038717 00000 n
0000038877 00000 n
0000039015 00000 n
0000039221 00000 n
0000039375 00000 n
0000039513 00000 n
0000039721 00000 n
0000039875 00000 n
0000040081 00000 n
0000040235 00000 n
0000040440 00000 n
0000040591 00000 n
0000040790 00000 n
0000040938 00000 n
0000041076 00000 n
0000041296 00000 n
0000041444 00000 n
0000041582 00000 n
0000041795 00000 n
0000041940 00000 n
0000042078 00000 n
0000042305 00000 n
0000042450 00000 n
0000042588 00000 n
0000042726 00000 n
0000042955 00000 n
0000043093 00000 n
0000043231 00000 n
0000043369 00000 n
0000043581 00000 n
0000043719 00000 n
0000043932 00000 n
0000044070 00000 n
0000044298 00000 n
0000044436 00000 n
0000044667 00000 n
0000044805 00000 n
0000044943 00000 n
0000045143 00000 n
0000045285 00000 n
0000045423 00000 n
0000045623 00000 n
0000045761 00000 n
0000045899 00000 n
0000046099 00000 n
0000046237 00000 n
0000046379 00000 n
0000046579 00000 n
0000046717 00000 n
0000046914 00000 n
0000047052 00000 n
0000047190 00000 n
0000047387 00000 n
0000047529 00000 n
0000047671 00000 n
0000047868 00000 n
0000048065 00000 n
0000048203 00000 n
0000048400 00000 n
0000048538 00000 n
0000048732 00000 n
0000048874 00000 n
0000049012 00000 n
0000049206 00000 n
0000049348 00000 n
0000049490 00000 n
0000049684 00000 n
0000049826 00000 n
0000050017 00000 n
0000050159 00000 n
0000050349 00000 n
0000050544 00000 n
0000050686 00000 n
0000050861 00000 n
0000051003 00000 n
0000051187 00000 n
0000051329 00000 n
0000051471 00000 n
0000051652 00000 n
0000051794 00000 n
0000051969 00000 n
0000052114 00000 n
0000052259 00000 n
0000052440 00000 n
0000052585 00000 n
0000052733 00000 n
0000052914 00000 n
0000053056 00000 n
0000053198 00000 n
0000053368 00000 n
0000053510 00000 n
0000053655 00000 n
0000053815 00000 n
0000053957 00000 n
0000054099 00000 n
0000054250 00000 n
0000054395 00000 n
0000054540 00000 n
0000054678 00000 n
0000054823 00000 n
0000054968 00000 n
0000055110 00000 n
0000055255 00000 n
0000055406 00000 n
0000057382 00000 n
0000005368 00000 n
trailer
]>>
startxref
0
%%EOF

323 0 obj>stream
x|RkA~;;mlhL7*JlWB%”+*)CO”LCxOhDA %փЂ(JAzQ(lԓ}

Costochondritis Royal Oak, MI | Van Every Family Chiropractic Center

Symptoms of Slipping Rib Syndrome

  • Clinically, patients often note sharp, intermittent, stabbing pain followed by  a  dull achy sensation for hours or days. “Slipping:” and “popping” sensations are common, and activities such as bending, coughing, deep breathing, lifting, reaching, rising from a chair, stretching, and turning in bed often exacerbate symptoms.

 

Slipping Rib Syndrome Pain Causes

  • The cartilaginous ends of these ribs come in close contact to the terminal branches of the intercostal nerves. These nerves are particularly vulnerable to even trivial trauma. The pain can be both excruciating and spontaneous, and it can even simulate a heart attack.
  • Pain from a slipping rib can travel along the intercostal nerve root and go from the chest to the thoracic area or vice versa. It can also be felt in the abdomen, shoulder or neck. It may also be precipitated by lying or turning over in bed, sitting in a car seat or armchair, bending forward, breathing deeply, coughing, vomiting, walking, abducting the arm on the affected side, eating, rotating the torso, bending the trunk, or riding in a bouncing automobile.

Rib Instability and Hypermobility

Much of the research surrounds the pediatric and young athlete treatment of slipping rib syndrome as this uncommon disorder is more common in those two groups. However, adults can also acquire slipping rib syndrome with a forcible activity to the rib area including simple coughing to chest surgery for an unrelated cause.

  • Rib joint instabilities can occur any time there is a violent force on the chest cavity, such as during athletic contact or even a thoracotomy (chest surgery). Rib joint instabilities can also occur when less force occurs over a long period of time, such as when a person has a low-level cough (bronchitis) or poor posture while hunched over a cell phone.
  • Rib hypermobility is caused by weakness of the rib- sternum (sternocostal), rib-cartilage (costochondral), and/ or rib-vertebral (costovertebral/costotransverse) ligaments, allowing the rib to be hypermobile, and it is thought to be the primary cause of slipping rib syndrome. When this occurs, the condition causes chest pain in addition to upper back pain. Without large muscles to hold the ribs in place, loose ligaments allow slipping of the rib, which causes further stretching of the ligament and results in severe pain. A simple coughing attack due to a cold may cause the development of slipping rib syndrome. Conditions such as bronchitis, emphysema, allergies and asthma cause additional stress to the sternocostal and costochondral junctions. Even sinusitis, with its associated nose blowing, can be the initial event that leads to chronic chest pain from slipping rib syndrome.

Pain with deep breathing during strenuous activity and sport

One clue that the painful conditions are due to rib joint instability is when the pain is increased with deep breathing. The thoracic cage moves up and down to allow breathing, so all the structures of the thoracic cage, including the thoracic-rib-sternal articulations, are never truly at rest.

During inspiration, the upper ribs are elevated, which increases the anterior-posterior diameter of the thorax. The opposite occurs in expiration. When a healthy individual is at rest, the diaphragm and the intercostal muscles produce inspiration. The act of expiration is primarily passive. The action of the abdominals and the accessory muscles of the trunk and lower neck is usually minimal. However, when there are injuries or more serious oxygen demands, more of the respiratory muscles including the rectus abdominis is called into action as would occur during sporting activities, exercising or trauma. This puts a greater force on the rib attachments, and when instability is present symptoms increase.

Surgical options and non-surgical options

Surgery to remove a piece of a rib or the costal cartilage, the unique cartilage found only at the ends of the ribs may be recommended if either structure is protruding. Even surgeons consider these options “aggressive.”(1)

Non-surgical treatments may include recommendations for chiropractic manipulation, cortisone or nerve block. Typically these treatments have not found great success.

Prolotherapy for Slipping Rib Syndrome and rib attachments

Prolotherapy is an injection technique that stimulates ligament and cartilage repair. Prolotherapy will strengthen the weakened ligament junctions that can cause slipping rib syndrome – the sternocostal, the costochondral or the costovertebral junctions (the places the ribs meet to form the rib cage). It will also strengthen the costal cartilage.

Doctors writing in the Journal of Back and musculoskeletal rehabilitation published research that showed positive results for Prolotherapy.

  • The doctors examined twenty-one patients who underwent Prolotherapy (group 1) and thirteen underwent conservative therapy with analgesics (group 2).
  • A visual analogue score (VAS) was recorded for measurement of pain intensity in all patients before and after injection first day, first week and fourth week.
  • Group 2 received systemic nonsteroidal anti-inflammatory drug. VAS score was recorded similarly at the same times and clinical effects were compared between the two groups.

The Prolotherapy group showed a faster recovery, including significantly reduced clinic findings.

The doctors concluded that Prolotherapy could be performed safely and is a method with favorable long term treatments for Tietze Syndrome. It may be the ideal procedure for patients with drugs side effects and adverse events especially for those with limited liver and kidney reserve or significant comorbidities.(2)

A Caring Medical case history

The patient is a 35 year-old female. She had been rushed to the hospital for the fourth time in less than a year complaining of severe chest pain. Obvious concerns were with a cardiac event. After EKGs, blood tests, x-rays, and a stay in the intensive care unit, the cause of her pain was still unknown. Everyone began to wonder if she suffered from problems of mental illness and catastrophizing thoughts.

Upon her visit to us here at Caring Medical, she explained that she was not currently having severe chest pain but did feel a dull ache in her chest. She needed one more diagnostic test, physical examination with palpitation of the chest area to determine if the pain was being caused by problems related to Slipping Rib Syndrome.

In this patient’s case, the diagnosis was made very quickly. Pressure to the left fourth thoracic rib attachment onto the sternum and the patient’s severe crushing chest pain immediately returned. Had she ever been examined in this fashion? She said she had not. The patient’s pain was caused by slipping rib syndrome.

An extremely important point illustrated by this case is that even if an x-ray, blood sample, or EKG do not reveal a cause, they do not eliminate the presence of a physical condition as the source of chest pain. It is much more likely that the chronic chest pain is due to weakened soft tissue, such as a ligament or tendon. If heart and lung tests prove normal, yet the patient claims to still be experiencing pain, the patient is often given a psychiatric diagnosis.

Depression, anxiety, and other mental illness challenges are not the etiological bases for most chronic pain. They can be associated factors involved in the problem, but they are normally not the cause.  Chronic pain should be assumed to be originating from a weakened soft tissue.

In this case, a rib was slipping out of place because the ligaments that hold the ribs to the sternum, the sternocostal ligaments, were weak. Without muscles to hold the ribs in place, loose ligaments allow slipping of the rib which causes further stretching of the ligament, manifesting itself by producing severe pain. The loose ribs can also pinch intercostal nerves, sending excruciating pains around the chest into the back. Sternocostal and costochondral ligaments refer pain from the front of the chest to the mid back. Likewise, costovertebral ligament sprains refer pain from the back of the rib segment to the sternum where the rib attaches.

1 González Temprano N, Ayuso González L, Hernández Martín S, Molina Caballero AY, Pisón Chacón J, Martínez Bermejo MA. Slipping rib syndrome. An aggressive but effective treatment. An Sist Sanit Navar. 2015 May-Aug;38(2):329-32.

2 Şentürk E, Şahin E, Serter S. Prolotherapy: An effective therapy for Tietze syndrome. J Back Musculoskelet Rehabil. 2017 May 5.

1713

90,000 Pain in the shoulder joint. Diagnostics. Treatment.

Don’t be late, timing is of the essence!

Long-term pain in the shoulder significantly spoils the quality of your life, moreover, if it is not cured in time, it threatens the health of the shoulder in the future, so you need to seek the help of an experienced orthopedic traumatologist in order to identify and eliminate the cause of the pain in time.

The causes of pain in the shoulder joint and the methods of its treatment are explained by the traumatologist-orthopedist of Medicīnas center ARS Dr.Janis DOBELNIEKS.

Worried about the shoulder

The shoulder is a complex biomechanism. The shoulder joint is the only one in the human body that performs full rotation due to its anatomical structures. As soon as something is disturbed in this mechanism, even due to a minor injury, the shoulder does not work normally. If it was not a serious injury, then it is difficult to immediately determine the causes of pain, but pain always has a provoking factor that can cause long-term pain and complications in the future.

Don’t adjust to pain

Unfortunately, often the pain does not decrease, it becomes more pronounced and interferes with sleep at night. Many people try to adapt to the situation, and if because of the pain they cannot raise their hand, then they simply try not to do it. This causes the shoulder to become tighter, and over time, extensive joint damage and other problems develop, which can result in shoulder prosthetics and disability. Self-medication with pain relievers, ointments and compresses can reduce inflammation and pain, but anatomical damage to the structure cannot be repaired.If the shoulder hurts for a long time and does not go away, then you need to go to the doctor. It is important to understand that timing is of the essence when treating shoulder pain.

  • If your shoulder suddenly begins to hurt, should start expectant tactics, reduce the load and allow the shoulder to rest. If the pain does not go away within two weeks and intensifies, this is a signal that the shoulder is seriously injured.
  • In order not to waste time on unnecessary examinations , it is recommended to visit an orthopedic traumatologist to conduct a detailed examination of the shoulder joint and begin qualified and professional treatment.

Why does your shoulder hurt?

First you need to find out what exactly is causing your shoulder pain. Often the cause of pain is not revealed in the shoulder joint itself, but in the cervical spine, where the intervertebral discs, pinching the nerve roots, cause pain in the shoulder. It spreads along the nerve, all the way down to the fingertips. If there is a feeling of numbness and pain does not depend on the load, then it is recommended to consult a neurologist.

If the cause of pain in the shoulder joint itself is caused by damage to anatomical structures or inflammation , then it never spreads below the middle third of the forearm.The painful area can be covered with the palm of your hand. One of the common causes of shoulder pain is 90,021 partial damage to the tendon of the long head of the biceps – tear , which is often the case in athletes and physically active people. A tendon can be damaged or ruptured for no particular reason, as over time it wears out and loses its elasticity. This injury is characterized by pain when performing certain movements, even without the application of force. Sports activities are often limited – volleyball, swimming, golf.The second most common cause of shoulder pain is Rotator cuff damage . The rotator cuff is the union of many muscle tendons that move the arm in the shoulder. If it is damaged, the main complaint is pain, which is expressed not only when the hand is loaded, but also at night. The tendon can be completely torn from the bone or partially torn, the function of the hand seems to be preserved, but there are certain movements that cannot be performed. The cause can be both trauma and gradual damage to the tendon.Without moving the arm, the pain gradually decreases, but by resuming the movement, the shoulder may hurt again. The third most common cause of shoulder pain is deformity at the junction of the clavicle and scapula . Often there are processes on the bone – osteophytes, which press on the muscles, creating inflammation in the surrounding tissues and pain.

In six months it may be late . At the very beginning, the damaged tendon can be sutured, and the hand can fully function. Delaying time only does harm – after 6 months, cicatricial, adipose tissue grows into the muscle and causes muscle atrophy.These are irreversible changes that cannot be corrected during the operation, since the tendon can no longer be pulled down to the place where it was previously attached. After a year, it is almost impossible to perform a skilled operation with predictable restoration of hand function.

A feeling of instability in the hand is usually the result of various injuries that are caused by improperly performed, rushing, falling, etc. Not only during sports activity, but also in everyday life, there may be a feeling that the shoulder, as it were, jumps out of its place and hurts.Around the flat surface of the joint there is a cartilaginous lip, like the edge of a plate. If one edge of the plate is knocked off, then the head of the shoulder has a tendency to slip out and create pain. This is called a bankart injury, which is often combined with injury to the tendon of the shoulder, causing shoulder instability, pain, limited mobility, daily restlessness when performing a movement, etc. To preserve the quality of life, surgery is required, and otherwise the consequences can be very serious.The more often the head of the shoulder is displaced from its place, the more the joint capsule is damaged, the stronger the pain, the more limited mobility. Over time, arthrosis and irreversible damage to the cartilage develop, when a conventional operation will no longer help, since it is necessary to restore bone structures.

Diagnostics of the shoulder joint

Radiologist-diagnostician, Associate Professor, Dr. med. MAYA RADZINA

Various methods can be used to examine the shoulder joint. The most informative for the determination of traumatic bone injury is X-ray.Ultrasonography (US) is the first and foremost method for detecting soft tissue injury, which is the only method that examines the shoulder joint in motion to ensure that the tendon is not damaged after injury, or that the limitation of mobility is caused by soft tissue swelling or damage. The quality of an ultrasound scan depends both on the specialist and on the ultrasound machine itself. For the patient, this is a quick, affordable and acceptable examination.

If an ultrasound scan reveals damage, for example, to an element of the rotator cuff, then a magnetic resonance imaging (MRI) examination of the joint follows to assess damage to deeply located tendons and cartilage.MRI shows an anatomical image of the shoulder joint, the exact distance to a specific structure. This helps the orthopedic traumatologist to accurately plan the course and scope of the operation and to perform the treatment better. The faster you visit a doctor, the easier it is to diagnose the problem, the less the risk of complications in the future.

Arthroscopic surgery

Most often, the shoulder joint is operated with an arthroscopic method. 3-6 small incisions with a length of 4-5 mm are made. Through them, a miniature camera is inserted into the shoulder joint, which is connected to a computer, and instruments with which in one go it is possible to assess and eliminate all joint damage, restore damaged ligaments and muscle tendons, and cleanse compacted tissues and salt deposits.The traumatologist monitors the progress of the operation on the monitor screen with multiple magnification. This method has significant advantages: it is low-traumatic and gentle, the incision sites heal quickly. New technologies make it possible to qualitatively and accurately assess the condition of the joint, even in places where it is impossible during a conventional surgical operation. The operation lasts up to 1.5 hours – it depends on the volume and complexity of the damage. It is performed on an outpatient basis at the ARS Day Hospital under general anesthesia.The patient can return home the next morning. The arm is freely suspended in a gusset band that protects against accidental movements.

Gentle rehabilitation

For the shoulder to be at rest, it takes 4-6 weeks to wear a scarf for the arm. Then, under the supervision of a physiotherapist, therapeutic exercises begin. Rehabilitation lasts about 3 months, pain after surgery can last up to 3-4 months. It will take 5-6 months to fully regain its shape.The hand should be especially taken care of during this period. It is better to save your hand for 2 months than not to move your whole life.

Medical center ARS
Skolas iela 5, Riga
Tel. (+371) 67 201 007
www.ars-med.lv

90,000 Shoulder pain on movement

Excessive stress on the arm, the need to lift or carry a heavy load sometimes leads to consequences in the form of pain in the shoulder. Hypothermia, intense training, unsuccessful arm movement – can also cause such pain.Such pains are understandable, they are usually tolerable and go away after a while with or without treatment. But when the pain in the shoulder becomes constant or appears at a certain position of the hand, accompanied by pain in other parts of the body, numbness, and other complaints, you should consult a doctor.

The most obvious reasons that can cause shoulder pain are diseases of the spine and shoulder joint, which is under heavy and complex stress. With osteochondrosis of the cervical spine and a herniated disc, the roots of the spinal nerves can be squeezed, the pain radiates to the shoulder, and can also be given to the arm.Inflammation of the tendons surrounding the shoulder joint, bursitis, damage to the muscles of the shoulder, deposition of salts in the tendons lead to pain in the shoulder joint. Shoulder trauma, periarthrosis of the shoulder scapula, inflammatory diseases of the shoulder joint are also causes of shoulder pain.

But sometimes shoulder pain is not related to the spine or the shoulder joint. The simplest example is angina pectoris or myocardial infarction, in which pain often radiates to the left shoulder. Diseases of the liver, pneumonia, tumors of the chest organs are also often manifested by pain in the shoulder at the initial stage.The accompanying symptoms will show that this is not a habitual stretching or hypothermia of the muscles. Without qualified medical assistance, it is not possible to determine the cause of such pain; a thorough medical examination may be required.

The specialists of the Eleos clinic are ready to assist you in diagnosing and treating the causes of shoulder pain. A neurologist, traumatologist, therapist, cardiologist will help determine the causes of pain and prescribe treatment. Specialists in physiotherapy, massage, exercise therapy, non-traditional methods of treatment will provide a full course of therapy and rehabilitation to restore working capacity and return to the usual rhythm of life.

90,000 Shoulder Pain – Spine Rehabilitation Center

Shoulder Pain – Spine Rehabilitation Center

General symptoms

Advantages of treatment in our clinic:

  • Treatment in a medical center that specializes in diseases of the spine, joints, nerves and muscles. Effective disposal of osteochondrosis, disc herniation, scoliosis, arthritis, pinched nerve and other pathologies of the musculoskeletal system.
  • Therapy is carried out by highly qualified doctors with various specializations: diagnosticians, vertebrologists, orthopedists, neurosurgeons, traumatologists, chiropractors, masseurs, physiotherapists, exercise therapy instructors .
  • Oleg Savyak’s soft author’s method is applied, aimed at fast and painless treatment of ailments without surgery and long-term rehabilitation .
  • Only proven methods of therapy are used, which have proven their effectiveness with thousands of positive reviews from doctors and patients: manual massage, several types of spinal traction, manual influence, arthrotherapy, gymnastics .

Surprisingly, the shoulder joint can withstand almost 70% of the entire load on the body. Because of this, the shoulder girdle is prone to pathological changes. In addition, due to its complex structure, shoulder injuries are often diagnosed. The main danger that lies in wait for a person suffering from prolonged pain in the shoulder joint is a complete loss of working capacity. The inability to raise a hand or any object leads to disability.To avoid such a development of events, , if pain occurs, contact the clinic of vertebrology of Dr. Oleg Savyak .

Why shoulder hurts

The causes of increasing discomfort can be divided into several groups: orthopedic pathologies, injuries and diseases provoked by external factors:

  • arthritis – inflammation;
  • arthrosis – destruction of cartilage;
  • tendonitis – tendon inflammation;
  • Herniated disc ;
  • scoliosis, kyphosis, lordosis – curvature of the spine;
  • spondylitis – an inflammatory process in the vertebrae;
  • osteoporosis – calcium leaching from bones;
  • intercostal neuralgia;
  • cervical osteochondrosis;
  • dislocations and fractures , including untreated injuries;
  • joint hypermobility syndrome – increased mobility;
  • heavy or repetitive physical activity;
  • sedentary .

These are the most common causes, but not all factors that can cause shoulder pain. First of all, make sure that there is no infectious infection and cardiovascular defect – myocardial infarction or angina pectoris.

Treatment in the Savyaka clinic

After a thorough diagnosis, if a disease of the musculoskeletal system is detected, the doctors of our clinic will develop an individual treatment regimen. Depending on the severity of the symptoms, the type of disease and its neglect, you may be prescribed spinal traction using different methods, manual therapy, arthrotherapy, massage, exercise therapy, physiotherapy and taking herbal remedies .All methods are safe and painless, have proven their effectiveness over decades of practice.

Sign up to Savyak’s clinic, live without pain!

Savyak Oleg Bogdanovich
Vertebrologist, neurosurgeon, chiropractor

  • 37 years in medicine treatment of spinal diseases;
  • 15 years of practice in neurosurgery;
  • 90 020 90 021 700 operations on the spine;

    90,020 90,021 more than 300 operations on the brain;

  • 26 years old in manual medicine;
  • in 2003 the clinic of vertebrology was opened – clinic of new technologies in the treatment of diseases of the spine and joints;
  • Academician of the Russian Academy Natural Sciences
  • Consulted and personally treated 90,021 more than 60 thousandpeople

© 2018 LLC “Clinic of Vertebrology”
License: No. LO-24-01-001215

All rights reserved, when copying
materials, a link to the source site is required.

Website promotion

207 requests in 0.619 seconds.

Shoulder-scapular periarthrosis | Spine Treatment Clinic “Vertebrocenter”

Pain and limitation of movements in the shoulder joint are a frequent companion of a person.It is difficult to wash, it is difficult to comb your hair, it is difficult to work with your hand – all this forces a person to consult a doctor, where the doctor, with a 99% probability, diagnoses humeral-scapular periarthrosis. And to what extent does this diagnosis reflect the essence of the disease? Let’s figure it out together.

The shoulder joint is the most mobile joint in the human body. Pain and limitation of movement in it immediately affect the quality of life.
Most often, pain occurs after any load on the arm, injuries, falls, but sometimes pain can occur on its own, without precursors.

What is the cause of the pain?

The so-called humeral-scapular periarthrosis is a collective concept, the diagnosis “trash heap”, which does not reflect the essence of the disease, from this diagnosis it is not at all clear what exactly hurts, where is the damage?

Arthrosis of the shoulder joint is an extremely rare disease. Why? Because there is no axial load on the shoulder joint, there is no resistance to the attraction of the earth (as in the knee, hip joints and spine joints) – we do not walk on our hands (with rare exceptions) – as a result, the effect on the hyaline cartilage in the shoulder joint is several times less.therefore, arthrosis of the shoulder joint is extremely rare.

The main cause of pain in the shoulder joint is damage to the musculo-ligamentous apparatus. Yes, yes, it is the tears or tears of muscles and ligaments that often lead to pain in the shoulder.

Also, quite often the source of pain is the so-called acromioclavicular arthrosis – this is damage to the joint between the acromial process of the scapula and the clavicle.

More rare causes are inflammation of the shoulder joint capsule (adhesive capsulitis-see.Figure below), damage to the articular lip, fracture of bone structures, etc.

There are many reasons, treatment also has its own characteristics in each case. Therefore, from how we correctly establish the diagnosis, such an effect from the treatment will be.

During the appointment, I carry out a number of special tests. One of the main ones is the Dowborn test. You can do it yourself.
If you have pain when raising your arm in the range of 60-120 degrees, damage to the muscle that participates in shoulder abduction is quite possible.If pain occurs in the 160-180 degree range, acromioclavicular arthrosis can be suspected.

In addition to examination, in diagnostics, ultrasound examination (ultrasound) and magnetic resonance imaging (MRI) help.

Treatment, as a rule, boils down to the use of non-steroidal anti-inflammatory drugs, physiotherapy (shock wave therapy copes better with these problems), the use of special exercises.