Shoulder joint, Shoulder pain and Treatment

Shoulder joint: Shoulder is the most flexible (playful) joint in our body. Shoulder joint; Consisting of three main and two functional, total shoulders from five joints.

These joints work in harmony with each other, providing excellent mobility for the arm. The joint is located at the base of the body and allows the arm to move forward, upwards, backwards and sideways. However, the fact that the shoulder is so flexible can easily lead to injury (for example, to come out of the shoulder).

Shoulder joint structure

shoulder joint structureShoulder joint; Consisting of three main and two functional, total shoulders from five joints.
These joints work in harmony with one another, providing excellent mobility for the arm.

The small shoulder cavity (Glenoid cavity) is surrounded by a cartilage ring (labrum glenoidale) that enlarges this shoulder cavity. This ring is called Labrum. Labruma also contains different ligaments. These ligaments are responsible for the mobility and stability of the shoulder joint.

Other than these, different muscle groups support the shoulder. A professional physiotherapy can positively affect the movement of the shoulder and the support around the shoulder.

Why Should Shoulder Pain?

The tendons of the important muscle groups surrounding the shoulder joint form a sheath called the Rotator Cuff (rotator cuff) that surrounds the shoulder girdle. Rotator cuff; Separates the original shoulder joint from the other adjacent shoulder bones. Rotator headline task; First of all, to keep the humerus head in the joint cavity, to lift the arm to the side and to make rotational movements in the arm. These muscle groups can cause dislocations of the shoulders in children because they do not develop much in children.

Shoulder joint examination should be done in shoulder joint disorders.

Radiological examinations that confirm the diagnosis are also necessary. For example, the problem of bony squeezing, which often causes shoulder pain, is clearly visualized by special x-rays.

Professionally performed ultrasonic examinations also play an important role; So that different structures of the rotator cuff can be analyzed in detail during the arm movement.

Magnetic resonance (MR) imaging, which is frequently used today, is also very important in the diagnosis of shoulder diseases.

Shoulder joint
SHOULDER ADDING STRUCTURE

How does shoulder pain pass? Shoulder pain how to treat?

Bursitis or Tendon Inflammation: Bursa called lubricant is called swelling bursitis. The shoulder is tight during rapid extension under high load. This is most often the result of overloading of repeated activities such as swimming, painting, weight lifting. Other than sports, it can also be used for activities such as painting, wiping glass. It may also develop spontaneously at advanced ages. These activities cause the rotator cuff to rub or crush under the joint of the shoulder (acromion) and the joint of the shoulder (AcromioClavicular). First, these disorders; Can be treated by regulating movements that cause shoulder pain and by applying a rehabilitation program.

 Shoulder Swelling:

Shoulder Swelling and swelling-edema-inflammation of the rotator cuff tendons are called tendonitis. It most often starts with sporting activities that start with sudden and overloading. The reason is that the islanders are not ready for this activity yet. Other than sports, it can also be used for activities such as painting, wiping glass.

Shoulder joint pain is usually caused by problems of wear or erosion which we call arthritis among the people.
Calcific tendonitis is called lime deposits after abrasion and tears in the tendons.

Symptoms and Findings Patients usually do not remember the first indication. There is usually a slight pain at the beginning and a slight loss of power in the muscles. Movement of the shoulder joint is limited and shoulder pain begins to move later on the head. In Bursitis there is pain and limitation of movement at middle-advanced level. Tendinitte is a sharp pain in certain precise positions. Repetitive tendonitis attacks can cause rotator cuff rupture.

Impingement Syndrome and Rotator Cuff Partial Tears: Rotator cuff partial tears; Chronic inflammations and acromion and collagen bones that connect to the joints that develop as a result comes out under the knee. Classical treatment without surgery; Regulation of shoulder movements, light exercises and cortisone injection. Treatment methods without surgery are successful in most patients but surgery may be needed in cases where treatment is not available.

One of the most important causes of shoulder pain over the age of 40 is rotator cuff tears.

Shoulder tears (Rotator Cuff) indications, discomfort and treatment

The rotator cuff is a muscle-tendon structure that surrounds the head of the humerus (upper arm), the shoulder joint on the upper end of the bone. It keeps the shoulder joint in place and makes the shoulder move inward and outward. There are 4 rotator muscles in the shoulder, supraspinatus, infraspinatur, teres minor, subskapularis.

Symptoms and findings

· Repetitive, continuous shoulder pain, with more on head movements.

· Night pain. This pain prevents you from lying on the aching side.

Muscle weakness. It is especially felt when trying to lift the arm.

· Clicks and clicks during shoulder movements (usually due to rupture of the rotator and cuff for the sound coming from the shoulder).

· Limitation of shoulder movements. It usually happens on the right side of the patient.

· Patients describe an event that they think causes the illness to begin.

Risk factors

· The repeater moves on the head. Throwing sports, ceiling painting, plasterboard workers

· Using excessive force, such as falling

· Degeneration due to aging.

· Narrowing in the range of the rotator sleeve

· Damage to the surface of the rotator sleeve under the so-called akromion

Full Rotator Cuff Tears: These tears can also occur as a result of the above (partial tears) or as a progression of partial tears. Although some cases can be treated with rehabilitation and exercise, complaints often continue and may require surgery.

Treatment without surgery:

· Resting; It can help if the tear is not complete and has improved due to overuse.

· Medicine; (Pain and anti-edema medications) help control pain.

· Strengthening and stretching exercises; It is one of the main elements of physiotherapy and it is suggested to do it.

Corticosteroid injection; Help relieve pain. But frequent repetition can cause the tendon to weaken and rip completely.

Ultrasonics; Local drug application and deep heat release properties are useful for the healing process.

There are various surgical treatment options for partial tears or complete tears that can not be answered by the above methods. The methods described below are modern shoulder surgery techniques. The choice of which technique is chosen here depends on the size, location, and cause of the wound in the rotator cuff. During arthroscopic intervention, there is a chance of correction in other pathologies detected on the shoulder. Arthroscopic techniques are available for correcting / cutting the bones causing compression, repair of the torn portion of the rotator cuff. Mini-open surgeries may be needed in delayed cases and in very large tears. A good physiotherapy / rehabilitation is very important whether the patient is operated or not.

What are the treatment methods of shoulder pain and shoulder pain?

Arthroscopy;

It is based on the principle of transferring the images of the shoulder joints and surrounding tissues from the 1 cm cuts to the monitor through a camera and also performing the operation of the disease using the image with mini-tools. Removal of the bony protrusions on the shoulder may be sufficient alone in the treatment of small tears in the muscle and tendon.

Mini-open repair;

Combined with arthroscopy, it allows the treatment of complete tears from a few centimeters of small incisions.

Open repair;

It is applied in cases where the injury is very serious. Tissue transfer, tendon grafting can be done here.

Shoulder joint cuff views Rehabilitation after surgery (physiotherapy)

Like all shoulder diseases, rotator cuff injuries take time to return to normal functions. This may be 6 months or longer after surgery. The basic principle is to make movements to improve joint movements and to develop muscle strength. Applying the program for rehabilitation will determine the final quality of the operation. Satisfactory results can be obtained by about 90% after good surgery and good physiotherapy program.

Splinting of the clavicle: This is a common condition in children and in patients with shoulder or open hand. Most of these discomforts can be treated without surgery with shoulder braces and hangers.

Arrows Severe fractures, fractures associated with vascular nerve injuries, and joints that bind to the shoulder collarbone may require surgery.

Shoulder Prosthesis: Shoulder prosthesis, shoulder pain with shoulder movement restriction is recommended. Prosthesis is sometimes the only option in multi-part shoulder fractures where it is not possible to repair broken parts. Only the prosthesis can be attached to the entire shoulder with the humerus head or nest.

Sinan Beye questions and answers about shoulder pain, shoulder dislocations and other problems
Shoulder pain causes:

Shoulder dislocation question;

Question 1: My wife had surgery for shoulder dislocation 10 months ago and was plated. There was inflammation in the shoulder and cleansed, platinum out. As a result, methicillin-sensitive staphylococcus aureus appeared, the doctor wrote the sephazol drug, is it possible to treat with this drug? I investigate the content of the drug from the internet, except for those bacteria susceptible to this medicament have an explanation like the treatment is wrong? I look forward to your suggestions, thank you.

Answer 1: I think it is useful to take the idea of ​​an infectious disease specialist in the selection of antibiotics.

Question 2: Right shoulder pain question;

In the result of the right shoulder mr film report, the supraspinatus tendon is articulate partial partial tear of the tendon, and in the adjacent PD tendency, the signal increase is observed in the PD sequence. Inferospinus tendine lateral part humeral head rims rent tear in the inserio location is observed. Glenohumeral joint space has effusion. Humerus head posterosupero is seen in the side of Hill sachs defect. If you give me detailed information about my condition, I am diagnosed that there is type 2 akramion in the shoulder joint. Is it necessary to have surgery if the physiotherapy is not given for rejuvenation treatment? Best regards.

Answer 2: If there is no relief with Physical Therapy, surgery may be needed. However, this decision must be given to a detailed clinical examination.

Question 3: Question of shoulder protrusion;

I am 31 years old. For about 10 years, my left shoulder has recurring shoulders, once in a year the back of the knee is actively moving arthroscope in the last years as far as I am aware of the possibility of this operation is not as much as the ozzum cigarette and after the operation is done, the process is not clear how far cvb ıcın tsk

Answer 3: Depending on MR findings and dislocation number, open surgery may be required. If arthroscopic is appropriate, 1 month of healing is 6 months before the healing period. It can be summarized as not allowing sports.

Question 4: Physical therapy for arm and shoulder pain;

A 49-year-old sir. Initially there were aches between the shoulder and the elbow in both arms when the pain in the left colum went to pain in the right colum still present in my fingers my joints have a slight swelling and return to normal without finding 24 hours and my movement in the right shoulder is limited mr results:
Degeneration of the achromioclavicular joint and associated type II – impingement of the supraspinatus tendon and concomitant tendinosis.
-Subachromial-subdeltoid bursitis. Biceps tenosynoviti
If you know which division should go and how to treat it,

Answer 4: First of all, I suggest you go to physiotherapy. If you do not feel comfortable within 1.5 months, you will go to orthopedic.

Question 5: Shoulder dislocation and muscle tearing question;

I am 23 years old, came out of my shoulder 5 years ago and came back last year physical therapy and movements did not benefit me I entered mr and my mr result was very torn in my shoulder muscles my shoulder pain is not resting anymore mild or very constant aching pain is painful, I can not use it, it keeps getting numbing.

Answer 5: I recommend you to be operated. Good rehabilitation is also necessary afterwards.

Shoulder pain

Question 6: Hello about 20 days in the right arm, there is a pain between the elbow and the shoulder prevents the movement of the serial block, while the arm is lifted as if the bone lethargic pain is beginning to get very severe this day also in my legs for which I have to go to the division and what is the source of pain rheumatism or calcification Is it possible in the meantime to keep my work constantly, can this cause also thanks in advance.

Answer 6: Physical Therapy or Orthopedics are the appropriate branches that you can go to in this regard. I think you should go to Orthopedics first. I do not think it will be interesting to stay longer.

Shoulder Continuous Dislocation

Question 7: Mrs. Doctor, my wife was wearing a platinum open surgical operation on the shoulder of her shoulder. Inflammation was cleared 2 times the inflammation and after 10 months platinum had to go out was removed. Now that the doctor has cleared the soreness of the cartilagin on his shoulder and said that there is a possibility that he could have surgery again. What is this surgery?

Is there any permanent damage to the arm? What’s wrong with cartilage? Aged 22 in this matter every treatment suggest every doctor I am ready so that there is no problem in the arm.

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