Top of arm hurts: Why Does My Arm Hurt? 10 Possible Causes of Arm Pain

11.10.197223.08.2021 by alexxlab

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Why Does My Arm Hurt? 10 Possible Causes of Arm Pain

If your arm hurts, there could be a number of reasons why. Arm pain is usually described as pain, discomfort, or stiffness that occurs anywhere from your shoulders down to your fingers in one or both arms. Most often, it’s caused by an injury or overuse. But there are many other health conditions that can cause your arm to hurt.

Heart Problems

Pain in your left arm could be related to a heart condition. Angina, which is caused by decreased blood flow to the heart, can cause pain in the arm shoulder. A heart attack can cause pain in one or both arms. A heart attack happens when the oxygen supply to part of your heart is cut off due to a blockage that prevents blood from flowing into the muscle.

If you’re having a heart attack, your arm pain will probably come on suddenly.

You also may experience:

If you’re having these symptoms, call 911.

Sometimes, you can trace arm pain to a sports injury or simply using it too much. Other times, another condition could be to blame. Here are some other possible causes:

Broken bones: If your arm starts to hurt right after a physical injury, you may have fractured it. You might also have swelling, bruising, numbness, or weakness. See your doctor right away so your arm will heal properly.
Strain or sprain: An injury can cause damage to your muscles (a strain) or your ligaments (a sprain). Symptoms include pain, swelling, bruising, weakness, and muscle spasms. Both conditions will usually heal on their own, but if your symptoms are severe, you should see your doctor as soon as possible.
Tendinitis: This happens when the tendons in your shoulder or arm become inflamed. Those are bands of tissue that connect muscles to bones. One example of tendinitis is “tennis elbow.” You could feel the pain in your shoulder, elbow, or wrist. It could be a result of an injury or – more often – overuse.
Rotator cuff injury: This part of your shoulder is made up of muscles and tendons. It allows your shoulder to move or stay in place. As we age, tendons in the rotator cuff begin to wear down or tear. If you have a job where you make overhead motions over and over, you can damage it, too. Symptoms range from a dull ache and weakness in your arm to severe, constant pain. If you suspect a rotator cuff injury, see your doctor. You may need physical therapy.
Carpal tunnel syndrome: Doing the same movements over and over with your wrist can cause damage to the main nerve in your hand. It can lead to numbness, tingling, weakness, and pain.

Other Conditions

In some cases, you can’t trace your arm pain to physical injury or overuse. It could be caused by diseased arteries in the upper part of your body. It might also be the result of stress, a new medication, or another medical condition, including:

Pinched nerve: This happens when bones or tissues in your shoulder, neck, or elbow press against and compress a nerve. It causes pain, numbness, weakness, and tingling.
Herniated disk: These are little cushions between the hard bones (vertebrae) that make up your spine. They allow your back to flex or bend. If one of the disks in your neck ruptures, it could cause a burning pain, numbness, weakness, and tingling or burning in your arms.
Autoimmune diseases: If you have one of these conditions, your body’s natural defense system (immune system) attacks itself. Some of these — like rheumatoid arthritis, lupus, and Sjogren’s syndrome — can cause pain in the neck, arms, elbows, wrists, and hands.

Arm pain: causes, symptoms and treatment

Updated: January 2020

Pain in the arms is very common — the term “arm pain” can refer to many things, including pain in the shoulders, elbows, or wrists. However, most of the time, when we talk about arm pain, we mean the part of the arm between the elbow and the shoulder. Arm pain can have various causes (it can come from muscles, joints or tendons, for example), which will determine how the pain should be treated. This is why it’s important to talk to a doctor if you have persistent arm pain.

Causes of arm pain

Arm pain most commonly occurs after an injury or fall, but it can also have various other causes. The pain could come from the arm itself or could just as likely indicate a problem somewhere other than the arm.

If the pain does come from the arm itself, it may be caused by simple muscle or tendon fatigue, overexertion, or repeated and prolonged use of the arms (for example, at work or when exercising). It could also be due to tendinitis, bruising from an impact injury, a sprain or a fracture. Bone tumours can also cause arm pain, as can conditions such as arthritis that affect the joints.

The cause of the pain may also be somewhere other than the arm itself. For example, a painful arm could also be a sign of a slipped disc, a spinal cord tumour, or osteoarthritis in the spine. Arm pain can also be radiated pain from the heart or lungs. In particular, a pain in the left arm can be a sign of a heart attack or angina. For this reason, it is important to take any sudden pain in the left arm very seriously, and consult a doctor without delay.

Symptoms of arm pain

Arm pain can manifest itself in a number of ways:

A short, sharp pain that occurs during a specific movement
A radiating or shooting pain
An intense pain resulting from injury
Pain accompanied by swelling or a change in the shape of your arm
Pain that worsens when you use your arm
A feeling like an electric shock or burning, or pins and needles that do not get worse when you move your arm
A pain that comes on suddenly on exertion, spreads down the left arm and does not ease off when resting (in which case it could be a heart attack — consult a medical expert immediately)

In all cases, if these symptoms are accompanied by faintness, breathlessness, and shoulder, chest or jaw pain, call emergency services and ask for an ambulance. You should also call for an ambulance if you heard a snapping sound and the pain is severe and/or your movement is very restricted.

Diagnosing arm pain

Arm pain should be treated according to its cause. However, given the many possible causes, your doctor will first have to work out whether the pain is linked to the arm itself, or whether it is a symptom of another problem elsewhere in your body.

Most of the time, the doctor will start with a clinical examination, but other information about you such as your job, activities and previous injuries, in addition to the location of the pain and the symptoms associated with it, can help the doctor to make a diagnosis. The doctor may send you for a scan in order to confirm the diagnosis, and if they think that the pain is coming from somewhere other than the arm, some more advanced tests may be needed.

Advice and solutions: treating and relieving arm pain

Once the doctor has made a diagnosis, they can start treating your arm pain. If the pain is due to a fall or strain injury, and fractures have been ruled out, your doctor will prescribe rest for your arm, and possibly pain killers. If the pain is caused by tendinitis, the doctor will prescribe rest for your arm along with anti-inflammatory drugs and physiotherapy. If any bones have been fractured or displaced, your arm will need to be immobilised and placed in a cast, probably followed by a course of physiotherapy. If your pain is due to a heart problem, you will need to be admitted to hospital as an emergency.

Drug-free, clinically validated pain reliever: TENS technology

There are also other solutions for reducing certain types of arm pain, drug-free. This is where OMRON’s range of pain relievers come in: they use Transcutaneous Electrical Nerve Stimulation (TENS) to help you to relieve your muscle and joint pain.

HV-F021-ESL

15 Intensity Levels
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See all TENS machines

Precautions to prevent and limit arm pain

There are also some precautions you can take in order to prevent or limit the pain in your everyday life. Many arm injuries and pains can be avoided by warming up and stretching before and after exertion, and if your work requires repetitive arm movements, taking frequent breaks will reduce your risk of injury. If you have severe pain from an injury, apply ice wrapped in a cloth or towel to the source of the pain for 10 to 15 minutes.

References:

PassportSanté (2015). Arm pain. Retrieved from https://www.passeportsante.net/fr/Maux/Symptomes/Fiche.aspx?doc=douleurs-bras-symptome

Causes and Cures – Howard J. Luks, MD

Not being able to lift our arm because of shoulder pain is actually a very common problem. Some of you simply woke up and couldn’t move your shoulder. Some of you may have had an injury yesterday and now find it hard to lift or move your shoulder. There are many common reasons for this. We are going to walk through five of the most common reasons why you can’t lift or move your shoulder.

Shoulder pain can be one of the more annoying and painful conditions. For many of you, you simply woke one morning and your shoulder hurts. Often that pain in on the top of the shoulder or the side of the shoulder.

Some of you might have severe pain when trying to sleep and others might only have shoulder pain when trying to lift the arm. These are not unusual issues when it comes to shoulder pain. Most of you will not recall a shoulder injury.

Most patients do not recall a change in their workouts or a more aggressive exercise regimen. In most instances, you are 40-60 years old, and this might be your dominant or your non-dominant arm.

There are three main reasons why you can’t lift your arm.

The first is pain. A painful rotator cuff or bursa will make it very challenging to lift your arm because it hurts so much. This is also the reason why you may have severe shoulder pain why trying to sleep.

The second reason is that you injured something. If you had a severe fall or injury then you may have torn a tendon. If the tendon tears are large enough that will cause significant weakness of the shoulder.

The third reason is neurological. Parsonage-Turner Syndrome is a rare cause of shoulder pain and weakness. We are not sure what causes it, but if often follows a viral illness. It starts off with very severe pain, but no loss of motion or weakness. Within a few weeks of onset, you will notice significant weakness around the shoulder. That weakness can be so severe that you have difficulty lifting the arm.

Losing the ability to move your shoulder is such a common problem. Because of that, we are going to review the most common reasons that will cause:

Pain on top of the shoulder
loss of shoulder motion
Shoulder pain and difficulty when lifting the arm
Causes of stiffness and difficulty in moving your shoulder.

There are many problems that can occur in the shoulder that can make it difficult or too painful to lift or move your shoulder. More often than not this is due to an issue with the rotator cuff or the “bursa” which sits above the rotator cuff.

The rotator cuff and bursa are the most common cause of pain and loss of motion in the adult shoulder. Rotator cuff pain is the number one reason why you have pain on the outside or top of your arm. It is also the main reason why you may not be able to lift or move your arm.

Shoulder pain could also be brought on by injury. Believe it or not, traumatic injuries are a less frequent cause of shoulder pain. Rotator cuff injuries can be caused by chronic repetitive stress from working out, throwing or overhead sports. Rotator cuff injuries can also be caused by a fall, or perhaps even a long day gardening or painting your house. It is not unusual to lose the ability to move your shoulder after a long day of chores that you don’t typically perform.

This should not be a cause for alarm. Most people who woke up and can’t move their shoulder because of pain will recover uneventfully within a few days or weeks.

The rotator cuff is a series of four muscles that are deep to or underneath your deltoid muscle. Together those four muscles control your shoulder motion and are critically important to the proper functioning of the shoulder.

5 Most Common Reasons You Cannot Lift Your Shoulder

Here are the most common reasons why you may not be able to move your arm. While there can be neurological reasons, like Parsonage-Turner Syndrome, most of you cannot move the arm or shoulder because of pain. The most common causes of shoulder pain and loss of motion are:

rotator cuff tendonitis
rotator cuff tendinosis
rotator cuff tears
partial rotator cuff tears
calcific tendonitis
adhesive capsulitis or a frozen shoulder

The cause of your shoulder pain and the reason why it hurts will vary by age. Some problems are more common in different age groups. In younger athletes, tendonitis, or inflammation of the rotator cuff is more common.

In middle age, rotator cuff tendinosis, calcific tendinitis, AC Joint arthritis, and a frozen shoulder are more common causes of pain.

Let’s run through each of these individually.

Rotator Cuff Tendinosis

In people over 30 rotator cuff tendonitis is rare and rotator cuff tendinosis starts to become a more common cause shoulder pain which hurts when we try to lift our arm or shoulder.

Rotator cuff tendinosis, by definition, implies some degree of rotator cuff degeneration. With that degeneration comes an increase in the numbers of nerves and blood vessels. That is the body’s response to the degeneration, and that is why the pain occurs.

Too many nerves in the area produce pain with certain motions. If the pain is severe enough you will be unable to raise your arm or unable to sleep on that side.

When patients have rotator cuff tendinosis, physical therapy is generally effective at managing the pain. If the pain persists despite therapy, we now have a biological patch that may be able to alleviate the pain due to tendinosis.

Many people who cannot lift their arm due to shoulder pain from rotator cuff tendinosis will be told that they have impingement syndrome and a bone spur. This video post discusses our current thoughts on bone spurs and shoulder pain.

Other posts about rotator cuff tendinosis:

What is Rotator Cuff Tendinosis

Rotator Cuff Tendinosis Biology

Rotator Cuff Tendinosis – is a cure possible?

Partial Rotator Cuff Tears

As the rotator cuff continues to age or degenerates, a portion of the rotator cuff might separate from the bone that it is normally attached to. This is usually part of the natural progression of tendinosis.

If enough of the rotator cuff starts to separate then we have a small cleft or defect in the rotator cuff attachment. We call that a partial tear. Partial tears are not large enough to cause weakness of the shoulder. However, if you have a painful partial tear, you can have pain on top or on the side of the shoulder. In addition, you may find it very painful when trying to lift the arm overhead.

Some partial tears hurt, while others do not. Determining if your partial tear is painful is usually possible with a physical exam. Most people with partial tears of the rotator cuff are going to respond to physical therapy. If physical therapy and other non-surgical treatments do not improve your pain, then surgery to place a unique biological patch has a high likelihood of alleviating your night pain and pain with lifting your arm. See this post for more information about the patch and how it works.

Traumatic Shoulder Pain

Some of you are reading this because you fell on your shoulder and now you can not move your arm. In acute traumatic situations like this, there is a chance that you ripped the rotator cuff off from the bone. If you fell, and now have significant weakness in your arm you should see an Orthopedic Surgeon soon. This post covers what to look for if you think you had a serious shoulder injury.

The rotator cuff controls how well the shoulder functions. If your injury caused a rotator cuff tear, your complaints and symptoms may be related to the size of the rotator cuff tear. If enough of the rotator cuff has torn then it might be impossible to move your arm due to severe weakness. Many people with acute, large, traumatic rotator cuff tears will require surgery in order to restore function. In general, the treatment of rotator cuff tears depends on the cause of the rotator cuff tear and I go into more detail in these posts here and here.

Calcific Tendonitis

Calcific tendonitis of the rotator cuff can be a VERY painful entity.

You are usually very easy to diagnose in the office since the pain can at times be very significant. In this situation, calcium crystals deposit inside the tendon itself. That leads to a significant increase in the number of nerves in that area, and that causes severe pain.

Luckily, a non-surgical approach with an ultrasound-guided injection to wash the calcium out of the rotator cuff often results in pain relief in the majority of cases. Surgery is very rarely necessary for calcific tendonitis. For more in-depth information on calcific tendonitis please see these two articles here and here.

Frozen Shoulder

Adhesive capsulitis or a frozen shoulder is a very common cause pain and of loss of motion of the shoulder. A frozen shoulder causes pain all around the shoulder. The pain can be on the top of the shoulder, or the pain can be underneath the shoulder in the axilla.

In a frozen shoulder you cannot move the arm because the ligaments and capsule around the shoulder became very thick, tight and inflamed. We have a very popular post here that goes into significant detail about how to manage a frozen shoulder.

The diagnosis of a frozen shoulder is often straight-forward… since the definition of a frozen shoulder is loss of motion compared to the other shoulder.

The treatment of a frozen shoulder is generally physical therapy. On occasion, we might recommend an injection directly into the shoulder to diminish the inflammation. People who do not improve with physical therapy can consider an injection or an arthroscopy. During arthroscopy of the shoulder, the surgery is performed with small holes and cameras and the tight joint capsule is released. During that surgery, we can also remove or lengthen the tight inflamed tissue which is stopping the shoulder from moving.

Rotator Cuff Tendonitis

In people under 30 years of age, including youngsters, the most common cause of shoulder pain is because of rotator cuff tendonitis. This simply means that the rotator cuff is inflamed from performing too much activity. Often times rotator cuff tendonitis can be considered a training error at any age. A training error occurs if you add on a new activity or perform too many sets. A training error occurs if you jump in the pool and swim a mile after not swimming for a few weeks or months. In most cases of rotator cuff tendonitis due to over-training or improper training, the pain is going to go away within a few weeks as the shoulder gets used to your new routine.

In childhood (under 16), and particularly in overhead athletes, a stress fracture of the humerus is a possible cause of shoulder pain. These stress fractures actually involve the growth plates of a growing child. These fractures need to be identified early as rest results in healing. If these fractures are not identified early a young athlete could have lifelong shoulder issues. Usually, just an x-ray will suffice to diagnose these growth plate stress fractures.

In children and teenagers, rotator cuff tendonitis is usually associated with overhead sports and weight lifting. In teenagers, rotator cuff tendonitis can be caused by instability issues where the shoulder is trying to slide out of place. Instability will occur if the ligaments have become loose over time because of pitching, swimming, etc.

This is a more subtle form of instability than a youngster who was tackled or hit and dislocated their shoulder. Rotator cuff tendonitis due to instability is most commonly seen in children who are throwers, volleyball players and swimmers. By addressing the underlying instability issue with physical therapy both the instability and the secondary rotator cuff tendonitis will resolve. On occasion, surgery to address the instability can tighten the ligaments and this will also resolve the rotator cuff issue.

AC Joint Arthritis:

The AC Joint is a small joint on top of your shoulder. It is where your collar bone meets the shoulder blade. Many people notice a small bump above their shoulder. That is the AC joint. Over time that joint can suffer from arthritis. Arthritis of the AC joint is the number one cause of pain on top of the shoulder. If the pain from the AC joint is severe enough it will cause pain when trying to lift your arm or move your shoulder. Ice, heat, anti-inflammatory medications can all help ease the pain from an arthritic AC joint. Injections can be useful too. For people who do not respond or improve after these treatments surgery might be the right answer. The surgery involves clearing out the AC joint. This article on my site goes into more detail about AC joint arthritis and its treatment.

Shoulder pain when lifting the arm is very common. Most of the time it is not due to a single injury. We reviewed many of the most common causes of pain and treatments which are usually effective. Hopefully, this has helped you determine why your shoulder hurts and why it’s painful to lift that arm overhead.

Disclaimer: this information is for your education and should not be considered medical advice regarding diagnosis or treatment recommendations. Some links on this page may be affiliate links. Read the full disclaimer.

Shoulder Tendonitis | Cedars-Sinai

Not what you’re looking for?

What is shoulder tendonitis?

Shoulder tendonitis is an
inflammation of your rotator cuff or biceps tendon. Your rotator cuff consists of the
muscles and tendons in your shoulder. They connect your upper arm bone to your shoulder
blade.

Your injury may range from mild to
severe inflammation of most of your rotator cuff. When your rotator cuff tendon gets
inflamed and thickened, it is also called rotator cuff tendonitis. Your rotator cuff
tendon may get trapped under the top bone of your shoulder (acromion). It is formed by a
part of your shoulder blade (the scapula).

What causes shoulder tendonitis?

Shoulder tendonitis is often caused
by a tendon being pinched by nearby structures. The condition often occurs in certain
sports that require your arm to move over your head repeatedly. Such sports include
baseball, weightlifting, volleyball, racket sports, and certain swimming strokes.

What are the symptoms of shoulder tendonitis?

Symptoms may be a bit different for
each person. Symptoms may include:

Inability to hold your arm in certain positions
Shoulder pain or soreness

The symptoms of shoulder tendonitis
may seem like other conditions or health problems. Always talk with your healthcare
provider for a diagnosis.

How is shoulder tendonitis diagnosed?

Your healthcare provider will take
a full health history and do a physical exam. You may also need diagnostic tests such
as:

X-ray. Invisible electromagnetic energy beams produce images of internal tissues, bones, and organs onto film.
MRI. Large magnets and a computer
make detailed images of organs and structure in your body.
Ultrasonography. High-frequency sound waves create an
image of some part of the inside of your body.

How is shoulder tendonitis treated?

Treatment will depend on your symptoms, age, and general health. It
will also depend on how severe the condition is.

Treatment may include:

Rest
Nonsteroidal anti-inflammatory drugs
(NSAIDs)
Strengthening exercises
Ultrasound therapy
Corticosteroid shot (injection)
Surgery (for severe injuries or
tears)

What are possible complications of shoulder tendonitis?

If treatment is not started when
your pain and discomfort are fairly mild, problems may develop. These may include:

Pain that interrupts your sleep.
Loss of strength or motion in your affected arm.
Trouble doing things that require
moving your injured arm behind your back or overhead. This includes doing things such
as fastening zippers or buttons. Or placing objects in high places.

When should I call my healthcare provider?

Call your healthcare provider
if:

Your pain gets worse
It gets harder to move your injured
arm
Your pain disrupts your sleep
Your pain and discomfort keep you from
doing your normal activities
You have numbness or tingling into your arms or hands

Key points about shoulder tendonitis

Shoulder tendonitis is an inflammation of your rotator cuff
or biceps tendon. It often results from your tendon being pinched by nearby
structures.
You can get shoulder tendonitis from playing certain sports
that require the arm to move over the head repeatedly.
Symptoms can include not being able to hold your arm in
certain positions, and pain or soreness in your shoulder.
Diagnosis can be made from a health
history, physical exam, and tests such as X-ray and MRI.
Treatment may include rest,
medicines, strengthening exercises, ultrasound therapy, and corticosteroid
shots.
Surgery is used for severe injuries or tears.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered.
Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your provider if you have questions.

Medical Reviewer: Thomas N Joseph MD

Medical Reviewer: Kenny Turley PA-C

Medical Reviewer: L Renee Watson MSN RN

Not what you’re looking for?

Biceps tendonitis | Expert Diagnosis & Treatment

Your UCHealth specialist will take your complete medical history and injury history, and will perform a physical examination. The specialist will perform tests on your injured biceps to check function, and will also examine your shoulder for range of motion, strength and signs of instability. He/she may also order diagnostic imaging tests such as:

X-rays. Although an X-ray only visualizes bones, it may show other problems in your shoulder joint.
Magnetic resonance imaging (MRI) and ultrasound. Can show soft tissues like the biceps tendon in greater detail.

Your orthopedic and sports medicine specialist will develop a personalized treatment plan based on the severity of your tendonitis, symptoms you’re experiencing, and your desired activity level. We typically treat biceps tendonitis with nonsurgical treatments, such as:

Ice. Use cold packs for 20 minutes at a time, several times a day, to keep swelling down.
Nonsteroidal anti-inflammatory medicines. Drugs like ibuprofen and naproxen reduce pain and swelling.
Rest. Avoid activities that cause pain.
Corticosteroid injections. Can be very effective at relieving pain and reducing inflammation medicines. Your provider injects this steroid directly into your tendon.
Physical therapy. A physical therapist will teach you stretching and strengthening exercises to help restore range of motion and strengthen your biceps and shoulder structure.
Prevention. Because most cases of tendonitis are caused by overuse, you will need to avoid or alter the activities that caused your injury.

If these treatment options aren’t working well enough, your provider may recommend surgery. Surgery may be the best option if you also have a related shoulder condition that requires repair. Our orthopedic surgeons are skilled at any of the latest orthopedic procedures, including:

Biceps tenodesis. Your surgeon removes the damaged section of the biceps, and the remaining tendon is reattached to the upper arm bone (humerus).
Tenotomy. In severe cases, your surgeon releases the damaged biceps tendon from its attachment.

Arm Injuries | Cigna

Do you have an arm injury?

How old are you?

Less than 5 years

5 years or older

Are you male or female?

Why do we ask this question?

If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
If your symptoms aren’t related to those organs, you can choose the gender you identify with.
If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.

Has it been more than a month since the arm injury?

Yes

Arm injury over a month ago

Have you had arm surgery in the past month?

If a cast, splint, or brace is causing the problem, follow the instructions you got about how to loosen it.

Yes

Arm surgery in the past month

Have you had a major trauma in the past 2 to 3 hours?

Yes

Major trauma in past 2 to 3 hours

Are you having trouble moving your arm?

Pain or swelling can limit movement.

Yes

Difficulty moving arm

Can you move the arm at all?

Unable to move the arm

Have you had trouble moving your arm for more than 2 days?

Yes

Difficulty moving arm for more than 2 days

Has the pain:

Gotten worse?

Pain is increasing

Stayed about the same (not better or worse)?

Pain is unchanged

Gotten better?

Pain is improving

Do you have any pain in your arm?

How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?

8 to 10: Severe pain

Severe pain

5 to 7: Moderate pain

Moderate pain

1 to 4: Mild pain

Mild pain

Has the pain:

Gotten worse?

Pain is getting worse

Stayed about the same (not better or worse)?

Pain is unchanged

Gotten better?

Pain is getting better

Has the pain lasted for more than 2 days?

Yes

Pain for more than 2 days

Is the arm blue, very pale, or cold and different from the other arm?

If the arm is in a cast, splint, or brace, follow the instructions you got about how to loosen it.

Yes

Arm blue, very pale, or cold and different from other arm

Was the arm twisted or bent out of its normal position, even if it is back in place now?

Yes

Arm is or was out of its normal position

Is there any swelling or bruising?

Did you have swelling or bruising within 30 minutes of the injury?

Yes

Swelling or bruising within 30 minutes of injury

Has swelling lasted for more than 2 days?

Yes

Swelling for more than 2 days

Do you have weakness, numbness, or tingling in your arm or hand that has lasted more than an hour?

Weakness is being unable to use the arm or hand normally no matter how hard you try. Pain or swelling may make it hard to move, but that is not the same as weakness.

Yes

Numbness, weakness, or tingling for more than 1 hour

Do you suspect that the injury may have been caused by abuse?

This is a standard question that we ask in certain topics. It may not apply to you. But asking it of everyone helps us to get people the help they need.

Yes

Injury may have been caused by abuse

Do you think the problem may be causing a fever?

Some bone and joint problems can cause a fever.

Are there red streaks leading away from the area or pus draining from it?

Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area?

“Hardware” includes things like artificial joints, plates or screws, catheters, and medicine pumps.

Yes

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

Have you had symptoms for more than a week?

Yes

Symptoms for more than a week

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

Your age. Babies and older adults tend to get sicker quicker.
Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

Try home treatment to relieve the symptoms.
Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

Symptoms of infection may include:

Increased pain, swelling, warmth, or redness in or around the area.
Red streaks leading from the area.
Pus draining from the area.
A fever.

Pain in adults and older children

Severe pain (8 to 10): The pain is so bad that you can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain.
Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it’s severe when it’s there.
Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.

When an area turns blue, very pale, or cold, it can mean that there has been a sudden change in the blood supply to the area. This can be serious.

There are other reasons for color and temperature changes. Bruises often look blue. A limb may turn blue or pale if you leave it in one position for too long, but its normal color returns after you move it. What you are looking for is a change in how the area looks (it turns blue or pale) and feels (it becomes cold to the touch), and this change does not go away.

Major trauma is any event that can cause very serious injury, such as:

A fall from more than 10 ft (3.1 m)[more than 5 ft (1.5 m) for children under 2 years and adults over 65].
A car crash in which any vehicle involved was going more than 20 miles (32 km) per hour.
Any event that causes severe bleeding that you cannot control.
Any event forceful enough to badly break a large bone (like an arm bone or leg bone).

Pain in children under 3 years

It can be hard to tell how much pain a baby or toddler is in.

Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.

Pain in children 3 years and older

Severe pain (8 to 10): The pain is so bad that the child can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain. No one can tolerate severe pain for more than a few hours.
Moderate pain (5 to 7): The pain is bad enough to disrupt the child’s normal activities and sleep, but the child can tolerate it for hours or days.
Mild pain (1 to 4): The child notices and may complain of the pain, but it is not bad enough to disrupt his or her sleep or activities.

Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.

Adults and older children often have several symptoms of shock. These include:

Passing out (losing consciousness).
Feeling very dizzy or lightheaded, like you may pass out.
Feeling very weak or having trouble standing.
Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.

Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.

Babies and young children often have several symptoms of shock. These include:

Passing out (losing consciousness).
Being very sleepy or hard to wake up.
Not responding when being touched or talked to.
Breathing much faster than usual.
Acting confused. The child may not know where he or she is.

Certain health conditions and medicines weaken the immune system’s ability to fight off infection and illness. Some examples in adults are:

Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
Long-term alcohol and drug problems.
Steroid medicines, which may be used to treat a variety of conditions.
Chemotherapy and radiation therapy for cancer.
Other medicines used to treat autoimmune disease.
Medicines taken after organ transplant.
Not having a spleen.

With severe bleeding, any of these may be true:

Blood is pumping from the wound.
The bleeding does not stop or slow down with pressure.
Blood is quickly soaking through bandage after bandage.

With moderate bleeding, any of these may be true:

The bleeding slows or stops with pressure but starts again if you remove the pressure.
The blood may soak through a few bandages, but it is not fast or out of control.

With mild bleeding, any of these may be true:

The bleeding stops on its own or with pressure.
The bleeding stops or slows to an ooze or trickle after 15 minutes of pressure. It may ooze or trickle for up to 45 minutes.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

Call your doctor now to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don’t have one, seek care in the next hour.
You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

Call your doctor today to discuss the symptoms and arrange for care.
If you cannot reach your doctor or you don’t have one, seek care today.
If it is evening, watch the symptoms and seek care in the morning.
If the symptoms get worse, seek care sooner.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

Make an appointment to see your doctor in the next 1 to 2 weeks.
If appropriate, try home treatment while you are waiting for the appointment.
If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Put direct, steady pressure on the wound until help arrives. Keep the area raised if you can.

Postoperative Problems

Arm Problems, Noninjury

My arm hurts when I raise it

June 6, 2019

If your shoulder hurts when you raise your arm, you’ve probably wondered what exactly is causing you to have this pain that is interfering with your everyday life. You may have even wandered the internet attempting to self-diagnose in the hopes that you can treat it on your own. During your search, you come across many, many potential causes.

There are so many possible reasons your arm hurts, so it’s important to get a diagnosis so that you can begin proper treatment quickly. Do you know why your shoulder hurts when you raise it? What should you do to treat it? We’ll explore all of this and more — but first, we invite you to check out this video for more information about shoulder pain, common causes, and how Total Performance Physical Therapy can help:

What Are the Most Common Causes of Shoulder Pain and Injury?

If you’ve been suffering from chronic shoulder pain when you raise your arm, you may be suffering from a potential injury. Some minor injuries can heal on their own in two weeks with rest, ice, and over-the-counter remedies.

Some of the most common shoulder pain injuries can include:

Arthritis in your shoulder joint(s)
Frozen shoulder
Impingement
Bone spurs
Bursitis
SLAP tear
Broken bone
Dislocation
Overuse
Tear in your rotator cough
Chronic poor posture

Treating the source of your shoulder pain is important to prevent further injury.

It is important to understand why your shoulder hurts the minute it starts to hurt. Now, your shoulder pain is nothing to worry about if any of these apply to you:

This is the first time you ever felt pain in your shoulder. You just happened to reach overhead this morning and had pain. The very first day, the very first time. This could just be a weird pain that will probably go away tomorrow.

If you had surgery on your arm in the last two weeks, you’ll need to keep an eye on your pain levels to ensure that you are healing the way you are supposed to. Pain from surgery can last weeks and even months after the surgery, so if you recently had surgery on your shoulder, you may still have pain when reaching overhead. You will want to let your doctor know if this pain persists.

If you had a hard workout within the last 48 hours where you did a lot of shoulder exercises, you might be sore in the days that follow. Muscle soreness can last two days after working out, so if you recently did an arm workout within the last 48 hours, then it can be perfectly normal to have difficulty lifting overhead. If this workout was done over a week ago and you still have pain, then you need to be concerned.

If you cannot exclude yourself with one of these three things, then your shoulder pain is a reasonable cause for concern.

The first thing you need to do is find the exact cause of your shoulder pain. Finding the source and the cause of your shoulder pain will help you be able to treat it and prevent further damage to it. What could the problem actually be?

Tendinitis

Tendinitis is an inflammation of the shoulder muscles. There are several muscles of the shoulder that could be inflamed. It is important to find out which muscles of the shoulder are inflamed.

Common signs and symptoms: Pain with reaching overhead, pain with sleeping, pain with lifting an object off the floor, and shoulder muscles that are painful to the touch.

Arthritis

With arthritis, it’s common for the early stages to be apparent on an x-ray, but in many cases, arthritis is not the cause of shoulder pain in young people.

Common signs and symptoms: Constant pain that is not made better or worse with activity. Pain that is the same upon waking and pain that is the same going to bed.

Rotator Cuff Tear

Many people jump to worrying they have a rotator cuff tear at the earliest signs of shoulder pain. If you have a rotator cuff injury, physical therapy and sometimes surgery can help.

Common signs and symptoms: Pain that radiates into the side of the arm and pain with reaching overhead

Frozen Shoulder

A frozen shoulder is the result of something else going on in the shoulder. For some reason, whether it be tendinitis, a tear, or something else, you have limited mobility in your shoulder. This causes it to ‘freeze,’ and you are unable to move it.

Common signs and symptoms: You are unable to move your shoulder; it is literally ‘frozen.’ No matter what you do, you cannot push the shoulder any further.

Instability

Many people who have competed in sports that have an overhead component (swimming, volleyball, baseball, etc.) usually can have instability.

Common signs and symptoms: Usually, this type of condition doesn’t hurt. This type of shoulder condition leads to other shoulder problems, but this does not cause pain.

Dislocation

This is a traumatic event unless you are someone who can do this very easily. Anyone who can do this very easily knows how to deal with it.

If you feel that you have sustained a traumatic shoulder injury that has caused it to come out of its socket, you need to seek medical attention ASAP.

Impingement

This is a common cause of rotator cuff tears, and people frequently make the mistake of ignoring the pain, hoping it will go away on its own. While you are ignoring it or taking Advil to relieve the symptoms, it is sawing away at your rotator cuff, which can result in more time and money lost in the long run.

If you have primary impingement, there is a space (below bone on top and the arm bone) that becomes progressively occupied by bone spur formation on the undersurface of the acromion (the bone on top). This bone spurs form from either an anatomical variation in which the acromion ‘hooks’ into the subacromial space or through degeneration in which repetitive use causes microtrauma to the undersurface of the acromion, and the body responds by forming bone.

This form of impingement typically occurs in older adults or people with anatomical differences in their acromion and is corrected surgically.

Secondary impingement is more common and typically occurs in younger people aged 25-40. The reason the structures in the subacromial space are pinched is not due to bone occupying the already narrow space, but due to instability where the humerus cannot be held correctly in place and the humerus migrates up into the space, causing impingement.

Secondary impingement, where the humerus is not held correctly in the joint, can occur for a few reasons. The rotator cuff is composed of four small muscles that attach from your shoulder blade to your humerus function to hold the humerus in place.

When these muscles are overworked, say from repetitive overhead activity, or are weak, they cannot hold the humerus in place, and impingement occurs. In addition, when your shoulder blade is not positioned properly, the rotator cuff muscles are placed in sub-optimal conditions causing them to overwork and fatigue, eventually leading to impingement.

Another cause of secondary impingement that is applicable to virtually everyone is posture. If you have a slouched posture where your head is forward, shoulders are rounded, and mid-back is flexed, the shoulder blades and rotator cuff muscles are put out of place, and shoulder motion is lost. You can see this work if you try it yourself. Sit in a slouched posture and try to lift your arm overhead; now, sit up straight and try lifting your arm once again. You can see how posture affects the way that your shoulder moves just by attempting this at home. Poor posture also causes the front portion of your body to become tight and the back muscles to become stretched out and weak.

As impingement occurs, whether primary or secondary, it can lead to bigger problems down the road if it is not addressed. As the structures in the subacromial space have impinged, irritation and pain occur, leading to edema (swelling or buildup of fluid) and inflammation of the structures and the joint. The edema and inflammation, along with continued shoulder impingement, can then progress to tendinitis and degeneration of the structures. Inflammation and degeneration, along with further shoulder impingement, can lead to bone spur formation and rotator cuff tears.

What do I do once I figure out what the cause of my shoulder pain is?

Take Advil/Aleve/Anti-Inflammatories to reduce the pain and take the edge off just to function.

If you have taken Advil for more than two weeks, you are at risk for serious stomach complications. We all know someone who has taken Advil and Aleve for months (and it may even be you) and has had no problems. If you continue to take Advil to ‘take the edge off,’ you are putting yourself in danger of severe complications and not just with your shoulder, it is with your stomach, and the damage that happens cannot be reversed.

You’re taking Advil because you don’t have time or money or both to go to the doctor or physical therapist. You think that by taking the Advil to reduce the pain, hoping it will go away, you are saving time and money. In reality, taking Advil for more than two weeks will cost you tens of thousands of dollars more in hospital bills to treat the stomach issues, and that won’t even address the shoulder pain. And it will cost you weeks away from work as you recover from your trip to the hospital. If you have been taking Advil or any anti-inflammatories for more than two weeks consecutively, you are putting yourself at severe risk of stomach damage.

Ignore it. It will go away.

While we can’t go to the doctor for every ache and pain as we get older, otherwise, we would never leave. Waking up with aches and pains is part of everyday life when you get older. No doubt, but living in pain is not.

Two weeks is the general rule. Two weeks is the maximum amount of time you give the same pain that shows up day after day and doesn’t improve. You can no longer ignore it.

Ignoring the pain that goes on for more than two weeks is like neglecting a leak in the roof. It may be able to go on for a few days, weeks, or months with no noticeable increase in the drip, but now you have had exposure prolonged to water damage and potentially mold.

Ignoring a shoulder problem can cost you tens of thousands of dollars. While dealing with it right away may have cost some initial investment, it would have been resolved with no surgery and no time away from any activities.

Take charge of your health.

Taking time when your shoulder starts hurting will allow you to save time and money. If you deal with the shoulder pain when it comes on, it prevents any compensation issues that would need to be dealt with. It would be a limited amount of time and money.

If you deal with shoulder pain as it comes up, you can schedule appointments as it makes sense for you, before work, after work, or during lunch. The time it will take to heal will be far less than if your shoulder pain leads to surgery and will require no time off of work.

What should I NOT do if I have shoulder pain?

Regardless if you know the cause, take a look at this video to learn more about what you should avoid if you experience shoulder pain:

What happens if the pain doesn’t go away with the at-home treatment?

You need to see a physical therapist that specializes in healing injuries. Exercises alone will not heal this. Chronic shoulder pain needs hands-on treatment.

Let’s talk about how physical therapy can be used to address the issue.

First, it is important to address one’s posture, which can be done quickly and easily in one session. With proper posture, your joints, muscles, and tendons are in a better position to function without overworking.

It is necessary to avoid shoulder movements that aggravate your shoulder pain.

It is important to strengthen the rotator cuff muscles to hold the humerus properly in place.

Strengthening the muscles that attach to the shoulder blade (trapezius, serratus anterior, rhomboids, levator scapula, and latissimus dorsi), which affect shoulder motion, is needed shoulder blade in the optimal position for the shoulder joint to achieve full motion.

A physical therapist understands that stability and control of motion are just as vital if not more so than strength.

Physical therapists can recognize any compensatory movements you may be using that contribute to the pain and introduce exercises that will increase shoulder stability.

If your capsule is too tight and causing pain, physical therapists can use various joint mobilizations to decrease the capsule’s stiffness. Shoulder strength, stability, and control of motion are critical to your recovery, along with modifying activities that aggravate your shoulder pain in the beginning phases of the inflammatory process. Addressing these issues will allow for a full, pain-free shoulder range of motion and prevent more significant problems from happening.

How should I sleep when my shoulder hurts?

Not only can shoulder pain be debilitating throughout the day, but it can make it difficult to fall — and stay — asleep. Refer to this video about the best position to sleep in when you have a shoulder injury:

If you have persistent shoulder pain when you lift your arm, the best thing you can do for your recovery is see a doctor and start building a physical therapy routine. In some cases, chronic shoulder pain will be the result of severe injury. If that’s the case, you may need surgery. After surgery, physical therapy is the next logical step.

You mustn’t attempt to treat your injuries without a diagnosis, but below you’ll find some helpful physical therapy exercises to try if you notice that your shoulder hurts when you raise your arm.

If your shoulder hurts when you lift your arm, follow these tips for physical therapy exercises to improve your range of motion and lessen your pain.

Your physical therapy can only be as good as the amount of effort you are willing to put into it, but there is a balance. Overdoing your physical therapy exercises can prolong your recovery and further limit your range of motion. Neglecting your physical therapy can have the same effect.

It’s recommended that you start with 10 minutes of exercise a day. As your range of motion improves, and you feel less pain, you can slowly increase the time. While doing your workouts, it’s important to relax and not rush your progress. The point of physical therapy is to release tension and relieve tightness.

Healing is not always a linear process. You may be capable of more motion one day and struggle with the same exercise the next day; it’s okay. It’s more important that you take your time and only do what is comfortable on a given day.

Check out this video for more information about exercises for shoulder pain relief:

Does Your Arm Hurt When You Raise It? Turn to Total Performance Physical Therapy

If you experience pain when you raise your arm, it may be advantageous to seek professional help. For more information about physical therapy for shoulder pain, reach out to our team or request an appointment today!

Arm hurts from shoulder to elbow

Myositis is an inflammatory disease that, in this case, involves the muscles of the upper
shoulder girdle. A provoking factor for the appearance of this disease can be a long stay on
draft or hypothermia.

Often, myositis is an occupational disease when a person is in an unsatisfactory climate (too cold
temperature, high humidity or prolonged contact with cold water) has been in a forced
uncomfortable position with emphasis on the hands or parts of them.The main symptom of muscle inflammation is sharp pain,
aggravated by movement and weakened by rest.

The pain syndrome is sometimes so pronounced that it does not allow any active movements that require participation
the affected muscle. On examination, the skin over the pathological focus may turn red, the volume of the hand increases due to
edema.On palpation of the biceps or triceps, the patient notes severe pain. Also when probing
you can find small dense nodules in the thickness of the muscle fibers (these are spasmodic due to inflammation of the group
myocytes). Therefore, if the muscles of the arm from the shoulder to the elbow hurt, it makes sense to think about their inflammation.

If you have certain symptoms, we advise you to seek advice from
specialist.Diagnostics
will allow you to start timely treatment of the knee joint, which will avoid the risk of developing
serious pathologies and
will allow you to forget about the pain.

Do you need expert advice?

Do you have questions and would like to get expert advice? Leave your contact details and we will contact you!

90,000 CAUSES OF PAIN IN THE SHOULDER AND ELBOW JOINTS

Dislocations of the shoulder area: The most common cause is injury: sports injury, fall, car accident.Like any dislocation, shoulder dislocation is also very painful, and if a person himself cannot return the shoulder to the anatomically correct position, you need to seek help from an orthopedic traumatologist.

Dislocations resulting from trauma are usually accompanied by more extensive injuries – tears or fractures. They require separate treatment. Young people under 30 have an 80% chance of re-dislocation after a shoulder dislocation. Therefore, young people are advised to undergo surgery to restore the anatomical balance in the joint in order to prevent re-dislocation.In the case of repeated dislocations, not only the ligaments of the joint are damaged, but also the bone. As a result, arthrosis may develop.

Lateral epicondylitis or tennis elbow – inflammation of the outer part of the elbow where muscle tendons attach to the outgrowth of the bone. These muscles connect the hand to the humerus. Muscle work provides hand movement. Tennis elbow is the most common elbow problem caused by specific tension, overload, or injury.Tennis elbow manifests itself as swelling and pain in the outer edge of the elbow that is aggravated by movement of the hand, for example, shaking the hand causes pain. One of the most common causes of epicondylitis is computer work.

To treat tennis elbow it is necessary to relieve the elbow joint. It is recommended to take anti-inflammatory drugs, and after consultation with an orthopedic traumatologist, attend physiotherapy classes. In some cases, if the problem cannot be eliminated in this way, surgical intervention is used to restore or release the affected tendon.

During the operation, the inflammation focus is eliminated (by resection), the approximate location of which is determined even before the operation using ultrasonography. In the postoperative period for a long time (up to 8 weeks), it is necessary to provide a gentle regimen for the elbow. Working at the computer also needs to be limited.

Lateral epicondylitis or tennis elbow – inflammation of the inside of the elbow where muscle tendons attach to the outgrowth of the bone. The golfer’s elbow is the result of repeated flexion movements of the wrist, resulting in overstrain of the flexor muscles of the hand and fingers, as well as excessive stress on the tendon attachments of these muscles, which leads to inflammation, swelling and pain in the elbow joint.

To treat a golfer’s elbow, it is necessary to relieve the elbow joint. It is recommended to take anti-inflammatory drugs, and after consultation with an orthopedic traumatologist, attend physiotherapy classes. In some cases, if the problem cannot be eliminated in this way, surgical intervention is used to restore or release the affected tendons.

During the operation, the inflammation focus is eliminated (by resection), the approximate location of which is determined even before the operation using ultrasonography.In the postoperative period for a long time (up to 8 weeks), it is necessary to provide a gentle regimen for the elbow. Working at the computer also needs to be limited.

“Frozen” shoulder in medicine is an unclear, but quite common disease affecting the shoulder joint. The disease can start suddenly, with shoulder pain that progresses to restrict movement. Frozen shoulder causes scar tissue to form in the capsule of the shoulder joint.

The cause of the disease has not yet been discovered in the world, but its course has been studied.The illness can last up to three years. When with the help of drug therapy it is possible to relieve pain, the patient, after consulting an orthopedic traumatologist, is advised to go to physiotherapy in order to restore movement in the joint. In cases where medical and physiotherapy treatment does not give results, surgical treatment is recommended to free the joint from scar tissue, which restores the range of motion and eliminates the cause of the pain.

Rotator cuff tears. The four muscles of the shoulder joint that hold the humerus at the shoulder joint and provide movement are called the rotator cuff. These four muscles attach to the scapula, and their tendons attach to the greater tubercle of the humerus. Rupture of these tendons can occur as a result of trauma as well as wear and tear due to aging processes. If the tendons are damaged, the pain is usually more pronounced at night and is felt in a specific place – in the arm above the elbow, where the deltoid muscle attaches to the humerus (upper third of the shoulder).If the tears in the tendons are small, the limitation of movement is not pronounced, and only movements performed with a very large amplitude can be difficult.

In case of inflammation of the rotator cuff, the problem is treated with anti-inflammatory medications, physical therapy and hormonal steroid injections. If such treatment does not give effective results, surgical intervention is used – the damaged areas are sutured, eliminating pain and restoring the range of motion.
Rotator cuff tears are treated surgically.Anti-inflammatory therapy in the event of a rupture is used only to relieve symptoms (pain and inflammation).

If the damage to the rotator cuff is left untreated, it is highly likely that over time the problem will need to be addressed with shoulder arthroplasty.

Shoulder recoil syndrome. Regular full-range shoulder overload during swimming, baseball or tennis, micro-injury or normal wear and tear of the joint as we age are the most common causes of shoulder kickback syndrome.At the initial stage, there is a slight pain in the shoulder, which a person can feel both at rest and during movement, pain radiates from the shoulder down the arm, sudden, sharp pain when lifting or grabbing objects. With the progression of the syndrome, pain appears at night, weakness and limitation of movements, it is difficult to make movements with your hands behind your back – for example, to open the zipper on a dress.

To treat Knockback Shoulder Syndrome, it is necessary to relieve the joint. It is recommended to take anti-inflammatory drugs and, after consulting an orthopedic traumatologist, study and regularly do a set of physiotherapy exercises.In some cases, if it is not possible to solve the problem in this way, surgical intervention is used.

Elbow Knockback Syndrome often occurs after injury or repeated microtrauma, such as in athletes. The patient experiences limited movement in one or more directions (cannot be straightened or bent) or in both directions (full range of motion cannot be provided).

To treat elbow kickback syndrome, the joint must be relieved.It is recommended to take anti-inflammatory drugs and, after consulting an orthopedic traumatologist, study and regularly do a set of physiotherapy exercises. In some cases, if it is not possible to solve the problem in this way, surgical intervention is used.

In the postoperative period, on the first day after the operation, a course of physiotherapy begins to restore the full range of motion of the joint.

“Mouse” of the elbow joint. As a result of injury or joint disease, a fragment of cartilage or bone enters the joint capsule.It usually causes a feeling of blockage and sharp pain when moving. The “mouse” of the elbow joint is treated surgically. During the operation, a fragment (articular mouse) is taken out freely “floating” in the joint.

Bursitis of the shoulder joint – inflammation that occurs in the mucous membrane of the shoulder joint. Signs of inflammation include pain, swelling, limitation of movement, and pain on movement. Inflammation causes overstrain of the shoulder joint, repeated microtrauma or isolated trauma to the shoulder joint, and calcific tendonitis, which causes lime crystals to settle in the rotator cuff tendon, forming a cavity or cavities and causing inflammation of the tissues surrounding the tendon.

Bursitis of the elbow – inflammation that occurs in the mucous membrane of the elbow joint. The inflammation usually causes pain, swelling, and in rare cases, restriction of movement. The cause of bursitis can be trauma, infection, arthritis, as well as prolonged pressure on one or both elbows, for example, in representatives of specific professions – tinsmiths or installers of refrigeration / heating installations, who have to do part of the work leaning on their elbows.

Elbow arthritis – an inflammatory process in the joint, manifested by pain and limitation of movement.One of the most common types of arthritis affecting the elbow joint is rheumatoid arthritis. Arthritis can also be caused by physical work, which regularly causes strain on the elbow joints and injuries.

Non-surgical treatment of arthritis involves relieving stress on the affected joint, taking pain medications, steroid injections, and physical therapy. If such treatment fails to reduce pain, severe movement restrictions in the elbow joint are observed, surgical treatment is required.

Emergency surgical treatment is necessary in case of purulent arthritis (arthritis caused by an infection – a microbe). For example, diabetes mellitus and regular use of steroids (usually in people with autoimmune diseases) can contribute to infectious arthritis. Adequate surgical treatment of the joint performed in a timely manner increases the likelihood of a positive result.

Arthrosis of the shoulder joint. As a result of injuries, diseases, as well as the natural aging process, the shoulder joint is gradually damaged in humans.The cartilage is damaged, which in the joint protects the surfaces of the two bones from direct contact and friction. When the cartilage wears out, the direct contact and friction of the bones results in inflammation in the joint, pain, and as a result, limitation of movement.

Osteoarthritis is an irreversible process, but it can be limited or slowed down. For effective treatment of arthrosis, anti-inflammatory and analgesic drugs are used, as well as physical therapy – procedures whose purpose is to activate blood circulation around the damaged bone.After consulting an orthopedic traumatologist, it is recommended to study a set of physiotherapeutic exercises, the regular implementation of which allows you to maintain or even improve the existing range of motion of the diseased joint.

If this treatment fails to relieve pain and there is severe limitation of movement in the shoulder joint, surgery is required.

90,000 Shoulder pain and its causes | schulterzentrum saar

Shoulder pain and its causes

Shoulder pain is very common.The complex structure of the shoulder with its complex muscle control system, the complex structure of the nerve endings and the close proximity to the cervical spine – all of these factors can in one way or another be associated with the appearance of shoulder pain.

It is not always easy for even a very experienced expert to determine which structure is responsible for the pain symptoms. Patients seeking help with very similar symptoms have completely different disease patterns. So, for example, one patient may have a herniated disc in the lower cervical regions, and another suffer from calcification of the tendons of the shoulder.The third patient, who was diagnosed with arthrosis of the shoulder joint, may experience the same pain symptoms as the first two. It takes a lot of experience, ideally combined with the ability to use X-ray and ultrasound images, to make a correct diagnosis.

Most common shoulder pain sites

Side shoulder pain

Many patients who come to see us complain of pain outside the shoulder, often slightly below the actual location of the shoulder joint.These patients assume they have a muscle problem in the upper arm rather than a shoulder problem. Many are surprised that the root cause of the pain is precisely the abnormalities in the shoulder area, and the pain in the arm is already an “echo” of these abnormalities. Using simple techniques, such as the usual palpation of the shoulder and forearm, it is possible to find confirmation of the assumption that it is this area that is the cause of the pain. On palpation of the shoulder, we usually find pain points in the area of the head of the humerus and the acromial process of the clavicle, and not where pain is usually localized, i.e.that is, well below the shoulder.
Side pain is often caused by a disease of the tendons and periarticular bursa, as occurs, for example, with calcification and impingement syndrome.

Schm Upper shoulder pain

Pain in the upper shoulder with possible echo in the occiput is often associated with the acromioclavicular joint. And here, with the help of simple palpation, preliminary conclusions can be drawn about whether the guess is correct regarding the diagnosis.Diseases of the acromioclavicular joint often lead to the fact that the joint swells and increases. Since the acromioclavicular joint is not covered with muscles, this can be very well felt when palpating. The presence of swelling or enlargement is a direct indication of the cause of the pain. Tenderness to palpation over the joint also indicates a disease of the acromioclavicular joint.

Pain in the front of the shoulder
Pain in the front of the shoulder, radiating to the front upper arm (biceps), indicates a disease of the anterior joint capsule and long tendons of the biceps.Pain symptoms associated with wear and tear on the main shoulder joint (glenohumeral joint) are also common in this area.

Pain in the cervical spine or degeneration of the intervertebral discs / strong>
As already mentioned, diseases of the cervical spine and, in particular, degeneration of the intervertebral discs in the cervical spine can also lead to pain.Due to the pressure of the disc on the nerve passing into the arm, pain spreads. The picture on the left shows dermatomas of the cervical spine in the shoulder area. The corresponding dermatomes are highlighted. A dermatome is an area fed by a nerve that extends from the cervical spine. When a nerve is damaged, pain or sensory disturbances usually occur in the corresponding dermatome (cutaneous nerve area). For example, an injury to the disc between the fifth and 6th cervical vertebrae can pinch the C6 nerve and cause pain in the lateral side (marked in blue).

Blue: Dermatome C6

Green: Dermatome C5

Yellow: Dermatoma Th2

Turquoise: Dermatome C8

Pink: Dermatome C4

Since the causes of shoulder pain can be so different and even very similar or identical symptoms can be caused by completely different diseases, it is very important to find a doctor with extensive experience in the field of shoulder diseases who can make the correct diagnosis.This will prevent the onset of new symptoms and prevent the disease from getting worse. …

90,000 Shoulder pain | Rinos Clinic

Shoulder joint is one of the most unique joints in the human body in terms of structure and functional ability. Uncharacteristic or excessive physical activity exerted on the shoulder joint can lead to local inflammatory processes. The consequence of the inflammatory process, in turn, can be local edema, joint effusion, and even partial ruptures of the tendons that surround the shoulder joint.

In addition, the shoulder joint has one feature in common with conventional mechanisms – it can withstand mishandling only up to a certain point, it has its own ultimate strength, then a violation of its functions may occur, which turns into pain.

According to the mechanism of occurrence, pain in the shoulder can be divided as follows.

Pain localized in the upper part of the shoulder may come from the neck. At the same time, it spreads throughout the arm, intensifying with the movement of the neck, sometimes accompanied by numbness or paresthesia.Studies of the spine (cervical or thoracic) most often show the presence of an intervertebral hernia. Damage to the intervertebral discs leads to a loss of their elasticity, they flatten, the distance between the vertebrae decreases. As a result, the nerve roots extending from the spinal cord are clamped, causing pain. In this case, swelling appears in the area of the clamp, leading to even greater infringement and increased pain.

Capsulitis – a condition of painful stiffness of the muscles located in the shoulder girdle.It is rare, develops gradually, sometimes unnoticed by the patient. There is a limitation in the ability to move the hand to the side when lifting it up, as well as the inability to get the sore hand behind the back. In severe cases, the ability of the affected hand to bring the spoon to the mouth is lost.

The defeat of the rotating cuff of the shoulder can occur when making non-standard movements in the hand (for example, when painting the ceiling). On the day the work was done, there are usually no complaints. But the very next day, sharp pain appears if you try to remove anything from the top shelf.During the examination, it is necessary to determine the degree of muscle tension in the shoulder girdle and the ability to perform movements in the shoulder joint. X-rays of the joint usually show no changes.

Tendobursitis is a reactive inflammation of the bags of the shoulder joint, which is caused by calcifications of the muscle tendons. It is characterized by pain that occurs acutely in the shoulder and a significant limitation of active and passive movements in it. It is also usually accompanied by severe pain in the shoulder girdle, arms, neck.

Causes of shoulder pain

The most common causes of shoulder pain include the following:

Tendonitis is an inflammation of the tendons that surround the shoulder joint. They are the result of excessive stress, in which the tendons rub against the bone, causing irritation and pain.
Biceps tendonitis (muscles on the inside of the shoulder that runs from the shoulder to the elbow) – characterized by chronic pain that increases with movement and palpation.If there is a complete rupture of the biceps tendon, a ball-shaped swelling appears in the affected area.
Bursitis is a disease usually associated with tendinitis. Pain in the shoulder , as in tendinitis, is associated with overload, but they are accompanied by edema in the area of the joint capsule (the soft sac surrounding the joint).
“Impact” syndrome is a deposition of calcium salts that causes the ligaments of the joint to become known. Typically, such salt deposits can occur in the tendon that runs under the scapula and collarbone.Most often found at the age of 30-50 years. They are characterized by the sudden onset of intense and constant pain when the shoulder is abducted from the body by 30-90 degrees. They can be detected by X-ray examination before the onset of pain.
Traumatic injuries – during a fall, the humerus is displaced, when the upper arm “flies” out of the joint cavity. Sometimes injury also ruptures the tendons of the muscles that allow the arm to rotate.Left untreated lesions of this kind lead to permanent shoulder dysfunctions.
Recurrent shoulder dislocation – other than accidents, occurs in athletes or young adults. Leads to periodic “loss” of the shoulder from the joint without even traumatic effects, with minor loads. In adults, injuries to the structures of the shoulder joint occur due to aging, tissue wear and tear, or advanced osteoporosis (a disorder of calcium metabolism in the bones).
Tumors and hereditary anatomical abnormalities – Not very common, but can also cause shoulder pain.
Bodybuilding shoulder injury is a common problem with bodybuilding, along with pain in the elbows, knees, and lower back. Leads to the impossibility of performing a number of exercises in the training program. The main cause of such an injury is the instability of the shoulder joint, which occurs when the ligaments of the shoulder joint are overstretched, stress in the articular bag of the shoulder joint and excessive work of its muscles, and tear of the cartilaginous ring.
Diseases of internal organs – pain can spread to the shoulder with liver pathology, pneumonia, myocardial infarction, angina pectoris, tumors of the chest organs, cervical radiculitis.

Shoulder-scapular periarthrosis – often pain begins gradually, without an obvious provoking factor. But, having a progressive nature, it does not allow to carry out daily activities, disturbs the patient at night. Movement in the shoulder joint is painful in various directions. Pain in the forearm and hand is added to the pain in the shoulder, it can be of a different nature: aching, shooting, burning, etc. The disease can end in a few weeks with full recovery, or it can last for months and lead to the development of a blocked shoulder pattern.

Knowing which movements cause pain in the shoulder, it is possible to determine which tendons were affected:

pain when abducting the arm to the side and when moving it forward – changes in the supraspinal tendon,
pain when rotating outward of the upper arm, the elbow joint is pressed to the body – changes in the infraspinal tendon,
pain during rotation inward of the upper arm, the elbow joint is pressed to the body – changes in the subscapularis tendon,
Pain in the front of the shoulder when turning the forearm inward with resistance is most often an indicator of the disease of this biceps.

Considering that there are many reasons for pain in the shoulder, and self-medication or lack of treatment can lead to an exacerbation of the disease or its transition to a chronic stage, it is imperative to consult a doctor. This could be a traumatologist, orthopedist, or neurologist.

90,000 Numbness in hands causes, symptoms, risk factors

Emerging numbness in the hands is the first signal for recording to a neurologist. Often, numbness signals the presence of inflammation, damage, or compression of the sensory nerves.When limbs are numb, pain and tingling may occur, muscle tone may decrease and limb movement may be impaired – this is the result of damage to mixed nerves, including both motor and sensory fibers.

More attention to the resulting numbness should be given to people of certain professions. There is a group of professions that are more prone to carpal tunnel syndrome, which causes frequent pain, numbness, and tingling sensations throughout the hand. If you are a driver, cashier, jewelry, programming or music, then you are more at risk of getting an occupational disease than others, you should carefully monitor your health.

In the presence of direct or indirect symptoms, it is worth being examined by a neurologist, such symptoms may be:

Sudden numbness, punctate or spreading over the body.
Continuous feeling of weakness.
Difficulty breathing.
Numbness of hands or feet.
Loss of sensitivity in the face, trunk.

Causes of limb numbness

Numbness of the extremities can occur due to pathological processes in the peripheral nerves, in the presence of disorders in the spinal cord and brain.Numbness can be at:

Vasculitis or stroke, they worsen, block the blood supply to the nerves.
Injury or neuropathy of the sensory pathway.
Compression on any part of the track.
Nerve infections (leprosy, HIV, Lyme disease).
Inflammation or destruction of the outer layer of nerves.
Metabolic disorders (with diabetes, poisoning with heavy metals or toxins).

It is also worth paying attention to excessive pressure on the nerves, repeated for a long time, for example, crossing legs when sitting.Narrowing of the lumen in the spinal canal, osteoarthritis, damage to the intervertebral discs. Pressure near the spinal cord due to a tumor, hematoma, or injury to the spinal cord due to trauma. Only a neurologist can more accurately determine the cause of numbness. The following are common causes of numbness in body parts:

Head area and facial areas may go numb due to: fungal lesions, glossopharyngeal neuralgia, herpes zoster, trigeminal neuralgia, stroke, migraine and osteochondrosis.
Body area grows numb in the presence of: suspicion of sciatica, intercostal neuralgia, ischemic heart disease, pathologies of the genitourinary system, kyphosis.
Hands can go numb due to: diseases of the spine, diabetes and intoxication, disturbances in the work of the heart.
Fingers can go numb with: the presence of a hernia in the spine, hand injury, heart disease, carpal tunnel syndrome.
Legs and toes become numb with: the presence of hernias, cauda equina syndrome, osteochondrosis and pinching of the sciatic nerve.The presence of various kinds of varicose veins, atherosclerosis and arthritis is possible.

Numbness treatment

After the diagnosis, the neurologist will select the appropriate treatment method. Our specialists use the most proven and effective methods to prevent inflammation, restore blood flow and improve tissue nutrition:

Reflexology.
Medical massage.
Therapeutic physical training, kinesiotherapy.
Manual therapy and osteopathy.
Ozone therapy, shock wave therapy.

From the alleged cause of the appearance of numbness of the extremities, the appropriate types of diagnostics are assigned:

Radiography – used for possible violations of the spine or skull, its base.
Angiography – used in the diagnosis of blood vessels, it is also possible to prescribe ultrasound, CT, MRI.

In case of spontaneous tingling, numbness arising in any part of the body, you should immediately contact a specialist. Ignoring such problems can lead to serious complications, cause surgery or disability. The specialists of the SANAS Medical Center have more than thirty years of experience in neurology, which makes it possible to accurately, quickly and efficiently determine the cause of the ailment that occurs. Take care of your health and do not ignore the signals of your body!

tunnel syndromes – an overview and diagnosis of problems / Habr

Carpal tunnel syndrome – pain, numbness in the hand, a frequent companion of people working at a computer for a long time.Many popular publications and ergonomic solutions reduce the problem only to prolonged trauma to the median nerve in the carpal tunnel, which greatly simplifies the situation and does not allow an effective solution to be obtained.

The main problem is that precise small movements of the hand in a static position are used to work at the computer, which creates the prerequisites for damage to the neurovascular bundles along the entire length – from the neck to the hand. And often hand pain is the result of a distant problem not related to the carpal tunnel.

Radicular hand syndromes

A common cause of pain in the hands when working at a computer is the presence of damage to the spinal roots extending into the cervical spine.

Initially, the pain in the neck worries, as the problem develops, periodic exacerbations appear when the pain from the neck is reflected in the arm. The peak is cervical sciatica – the pain becomes intense, cannot be relieved by analgesics, numbness appears along the root (in the picture below, the zones of sensitivity for the roots are marked).All this is usually called “exacerbation of osteochondrosis of the spine.”

The simplest test to identify possible problems in the neck is to determine the tension of the shoulder girdle. Feel the muscles of your shoulder girdles, especially in the area of the upper corner of the scapula – if there are pain points there, and the muscles themselves are tense – this is a typical example of a reaction to a load when working at a computer.

Scalene syndrome

The neurovascular bundles are surrounded by muscles, bones, ligaments and fascia.The first place where compression of the neurovascular bundle for the hand can be is its passage through the canal formed by the anterior and middle scalene muscle.

Here is a test to identify problems in this area:

Raise your arms straight up, towards the ceiling, while standing or sitting, and try to hold it for a minute. If before the end of the minute numbness appears, paresthesia (“running of goose bumps”) in the hands – you are on the straight path to staying awake at night due to numbness of your hands, undergoing long courses of treatment with vascular and anti-inflammatory drugs with a very short effect.

In the syndrome of the scalene muscles, initially there is a violation of the venous and lymphatic outflow from the arm, which causes swelling of the limb and creates the prerequisites for squeezing the neurovascular bundles in narrow places on the arm. Most often it occurs in the carpal tunnel, elbow canal, under the round pronator of the forearm.

Carpal tunnel syndrome

The most popular tunnel syndrome of the upper limb. The trouble is that it is extremely rare in isolation and without working out other areas where neurovascular bundles can be squeezed, the results of treatment will be unsatisfactory.

Try to stand up and press down on the table with a slight effort with the palm of your hand extended at the wrist joint.

Hold your hand in this position for a minute. If numbness appears before the end of the minute, a burning sensation in the hand is a sign of serious changes in the canal area.

Ulnar canal syndrome

Often seen in people working at a desk with glass on the table top. Now it is less common due to the fact that working conditions have changed, however, damage due to chronic compression of this area still occurs in those people who work with their elbows on a hard armrest.

Test for a possible problem: confidently, gently press into the fossa on the inner surface of the elbow with your thumb and hold – the rapid appearance of discomfort along the ulnar nerve is an indicator of the possible presence of ulnar canal syndrome.

Round pronator syndrome

Most often, the round pronator is overextended by twisting movements of the hand (working with a screwdriver), however, even when working at a computer, this place can be injured by a sharp edge or an overlay on the edge of the table.

Test for a possible problem: press hard in the area of the trigger point of the round pronator with your thumb – the appearance of discomfort along the median nerve is an indicator of the possible presence of round pronator syndrome.

Summary

Early diagnosis and prevention of the problem are key factors for maintaining and increasing your health. Thanks to this article, you have the opportunity to test yourself and determine the initial state.

In the next article I will share with you my experience as a neurologist and teacher of somatic education in relieving chronic muscle tension for the prevention of hand tunnel syndromes.

To make it easier for me to decide on the next topic – leave a response in the survey.

P.S. The second article in the cycle is devoted to relieving stress from the shoulder girdle.

Shoulder dislocation: how to recognize and treat

The shoulder joint is one of the most mobile joints in the human body.The mobility of the joint allows you to raise your arms and get them behind your head.

In case of damage to the shoulder joint, the person can no longer move the limb. Poorly healed trauma leads to repeated dislocations. Damage occurs with any careless movement, for example, when placing a hand behind the head in a dream. This article will show you how to recognize a dislocated shoulder joint and how to heal the injury.

Anatomy of the shoulder joint

The shoulder joint consists of two bones: the humerus and the scapula.The head, that is, the upper part of the humerus, is in contact with the glenoid cavity of the scapula. The head is held in the joint thanks to the roller, the articular lip.

The joint is surrounded by a capsule consisting of connective tissue, that is, ligaments. They fix the upper part of the humerus in the correct position relative to the cavity of the scapula. Muscles and tendons also surround the shoulder joint.

The joint performs a large number of movements, that is, it is subjected to constant stress. The impact of an external force, for example, a fall, can cause displacement – the upper part of the humerus will change position relative to the cavity of the scapula.

What are the types of shoulder dislocations?

Depending on the direction of displacement of the head of the humerus, there are several types of dislocations.

A dislocation is considered anterior if the head is displaced forward. The displacement may be accompanied by damage to the articular lip, separation. This type of injury is called a Bankart injury. Another unpleasant complication is the rupture of the joint capsule. Anterior dislocations occur during sports, with repetition of amplitude shoulder movements, throws, falling on a straight arm or shoulder laid back.

When the head of the shoulder bone is displaced backward, one speaks of posterior dislocation. Such injuries occur much less frequently than anterior dislocations. A dislocation can occur from a blow to the shoulder, and the articular lip can come off.

Inferior dislocation occurs when the head of the humerus is displaced downward. Injury can occur during exercise

on the horizontal bar. This is the least common type of shoulder injury.It is very simple to diagnose inferior dislocation – a person cannot lower his arm.

If a dislocation of the shoulder joint occurs for the first time, the dislocation is called primary . Trauma is usually the cause of the primary dislocation.

When the humerus begins to “walk” in the shoulder joint, they speak of a habitual dislocation . The condition becomes chronic. Most patients with recurrent shoulder dislocations have at one time injured the shoulder joint. The injury was accompanied by the tearing of the articular lip, the cartilage that fixes the head of the humerus.

How to recognize a dislocated shoulder?

Primary dislocation will certainly make itself felt with a sharp pain in the shoulder area. Painful sensations arise when the ligaments are torn and the articular lip is torn off. The hand can no longer move normally, edema develops.

Deformation may be observed – the head of the humerus, which is not in place, will be felt under the skin. The shoulder, forearm, and even the hand can become numb and tingling.

If the injury is left untreated, dislocations will recur regularly.In this case, a large load is not required, one awkward movement will be enough. In this case, the patient will experience less pain than with the primary injury. The patient may even be able to correct the dislocation, but with stress, the damage will happen again. Habitual dislocations cannot be cured on their own, an operation is necessary.

Diagnosis of shoulder dislocation

First, the doctor examines the patient and finds out the circumstances that led to the injury. Then, the patient is taken x-rays in several projections.This should be enough to determine if the head of the shoulder bone is positioned correctly.

X-rays also show whether the bones are damaged. A dislocated shoulder can be accompanied by bone fracture. In this case, it is not just a dislocation, but fracture dislocation .

If the radiography does not provide enough information about the damage, CT and MRI can be prescribed. Examinations help to obtain data on the condition of tissues, ligaments, bones and muscles

At the Caucasus Medical Center in Tbilisi, patients are offered diagnostic and treatment services for various injuries.Thousands of patients visit the hospital every year, not only from Georgia, but also from other countries.

The center is equipped with modern equipment that allows you to quickly obtain diagnostic results. The hospital employs experienced doctors who can accurately diagnose and begin treatment. You won’t have to wait long – the diagnostics are carried out within one day. The clinic takes over the treatment of chronic and occupational injuries, the athletes undergo rehabilitation.

Treatment of shoulder dislocation at the Caucasian Medical Center

After the diagnosis is made, the doctor proceeds to reposition the dislocation.Reduction of dislocation can occur in several ways: open and closed.

Closed method – non-surgical. An anesthetic drug is injected into the patient’s joint, after which the traumatologist sets the head of the bone, puts it in place. If more than 24 hours have passed since the injury, it will be more difficult for the doctor to correct the dislocation, since the muscles have already contracted. Then the reduction will take place under anesthesia with the use of muscle relaxants.

Open method involves surgical intervention.Surgery is a surefire way to heal frequently recurring dislocations. During the operation, the doctor opens and sets the patient’s joint. There are many different operations, the type of surgery depends on the individual case.

Traumatologists of the Caucasian Medical Center will select the necessary treatment and perform the operation within 24 hours. All hospital doctors are highly qualified specialists. Many of them have experience of working in Western clinics.

Caucasian Medical Center cooperates with well-known hospitals. This gives patients additional benefits – they can consult a renowned specialist. In addition, the hospital carries out unique operations in cooperation with the Ministry of Health of Georgia.

Recovery after surgery

Within 1 – 1.5 months after surgery, the limb must be immobilized, therefore, wearing a fixing bandage is mandatory. When the function of the shoulder joint is restored, the patient is prescribed remedial gymnastics to strengthen the muscles.Physiotherapy treatments can also help to restore shoulder function faster. After surgery and removal of the fixation bandage, an x-ray should be taken to ensure that the head of the humerus is in the correct location.

Patients of the Caucasian Medical Center are supported at all stages of treatment. After the operation, an X-ray is taken, and if everything is in order, the patient is sent home.

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