Take Your Pain Haddi Buddy No Longer – The New Indian Express

Express press service

Shoulder injuries

Dislocation: An injury in which your arm bone slips out of your shoulder. Symptoms are swelling, pain in the shoulder when moving the hand, numbness

Fracture: A collarbone can break if you fall or are hit hard, causing the shoulder to drop. It can be caused by direct impact to the area from a fall, collision, or vehicle accident. Symptoms include pain, swelling and bruising, inability to move the shoulder, a grinding sensation when the shoulder is moved, visible deformity

Cartilage tear: Cartilage, the rubbery padding that surrounds the edge of the shoulder joint, can get injured when the same movement is repeated, due to falls and high-impact injuries. The pain is felt when reaching above your head. Shoulder feels weak with grinding and locking noises

Rotator cuff tear: The group of muscles and tendons in the shoulder that hold the arm in place can become damaged due to overuse or injury. Pain when lifting objects, reduced shoulder function, crackles when moving, inflammation observed

Frozen Shoulder: Adhesions in the shoulder joint can restrict its movement, causing stiffness and restricted range of motion. It can be linked to trauma/diabetes and particularly affects women in the 40-50 age group

Conflict: The rotator cuff tendons (which wrap around the shoulder joint) rub against nearby bones. This is triggered if you raise your arms above your head a lot. Swelling, weak shoulders and pain are the warning signs

Osteoarthritis: In this degenerative joint disease, the cartilage between the shoulder bones breaks down and the bones rub against each other. Symptoms are increased shoulder pain, swelling, stiffness and friction. The condition gets worse over time

Rheumatoid arthritis: This inflammatory reaction causes the destruction of the articular surfaces. This can be due to trauma, a rotator cuff problem, or conditions such as osteoarthritis or osteonecrosis. Pain and a restricted range of motion are the symptoms

Bursitis/tendonitis: The fluid-filled sac that cushions your shoulder joint may swell due to repeated movement or a fall. Sharp pain is mostly felt when the shoulder is moved. Swelling, redness, bruising is found in the affected area

Bone spurs (osteophyte): These tiny bits of bone grow over the shoulder joints and restrict shoulder movement. They can be triggered by osteoarthritis
How to diagnose?

  • Physical examination
  • x-ray
  • Arthrography
  • MRI
  • computed tomography
  • Electromyography (EMG)

Treatment and Remedies

  • In some cases, anti-inflammatory drugs, painkillers, ice/heat, rest, physical therapy may help reduce pain
  • For dislocations, dislocations, and fractures, an orthopedic surgeon can return the shoulder to the correct position.
  • A corticosteroid (an anti-inflammatory drug) is injected directly into the joint to relieve swelling/pain
  • Extracorporeal shock wave therapy (ESWT) may be given for rotator cuff injuries
  • Shoulder arthroscopy is performed in some cases
  • Shoulder replacement surgery for severe arthritis or fracture
  • (Dr Dasaradha Rama Reddy Tetali, Senior Consultant Orthopedic Surgeon, Yashoda Hospital, Somajiguda. Email: www.drtdrreddy.com)

Shoulder pain is a very common complaint and as the shoulder is made up of many different structures it is susceptible to various problems. Depending on the intensity of the problem, conservative treatments or surgical interventions are suggested. Let’s see how you can overcome these problems

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