Hello! I work as a doctor for 21 years. My name is George O. Sapego. This article will tell you about how neurologists treat the shoulder joint that do not heal.
Pain in the shoulder joint - this is the most common complaint after back pain. Favorite diagnosis in such pain - is a frozen shoulder.
Frozen shoulder is called several different problems in the shoulder joint. Once for some reason all of them combined.
Very long frozen shoulder are considered related to the nervous system. Well, or at least treated him neurologists. It is unclear why this happened.
inherently mechanical problem. Treat it should be one who engages in improper positioning of the bones, ie, a traumatologist.
impingement
Most likely the vast majority of cases, frozen shoulder - the so-called impingement syndrome. Literally it means the pain from bone collision.
Around the shoulder joint has a rotational (rotator) cuff. This 4 muscles that stabilize the humeral head.
When abduction through the side arm upward hump in the humerus presses the tendon to the blade process. Tendons are gradually damaged, hurt and can break.
In which the arm is lifted up to get impingement syndrome need to be repeated several times movement. It can be different kinds of sports (swimming, tennis, volleyball) or work with their hands up (finishing works, repair, installation, fruit picking).
The instability of the shoulder joint is also predispose to tendon infringement.
Normally, there are processes on the blade. They attached the muscles and ligaments. These processes may not be quite the usual form. Then they are more likely to damage a tendon.
With age, the impingement is more common. The people over, the harder it is the body to maintain the necessary blood supply to the tendon. In addition, repetitive minor injuries over the years added to the tendon more and more damage. It can be very minor damage, but with age they accumulate.
Every little injury added to the previous injury, and tendon starts to hurt. It disturbed blood circulation, forming scars and calcifications. It can even break.
Many people think it unfair that the shoulder starts to hurt without any apparent reason. Sport is not engaged, the ceiling every day did not wash, but fell ill the same place, and to raise his hand hurt.
In fact, not necessarily play sports, to infringe something painful appendage between the scapula and the head of the humerus. It may well be that this simply little exercise.
If poorly trained muscles do not stabilize the shoulder joint, the head of the humerus begins to walk it like a bull in a china shop and puts pressure on the tendon.
Shoulder ache. Who should go?
Trauma shoulder problems are different and treat them differently. Patient difficult to understand, so you need to go to the doctor.
If the pain comes after repetitive movements or simultaneous injury, then there is no doubt - it is necessary to the orthopedist-traumatologist.
Traumatologist hand out of it and that will decide. When the swing arm hurt, then it may be a normal impingement. When the arm is not spinning, and something in something rests, then it is a different story.
An important feature - the weakness in the arm
It happens at break of the very suffering tendon muscles, rotating the shoulder joint, or neurological problems near the shoulder joint. The neurologist can easily participate in the diagnostic stage and on the stage of treatment. Because the nerves problems, root and plexus are simultaneously traumatological problems.
Est one difficulty
With high probability, hitting a neurologist, neurologist and the patient remains. Because treatment and a neurologist, and trauma can look like. And then deal with the mechanical causes of the problem is not likely to succeed. The power of tradition. Neuroscientists in this business too long engaged, and less and less trauma to patients twirl hand and often sent to the MRI. It's such a fashion.
How to treat impingement
Reducing the very "collision". It is necessary to reduce the pressure on the soft bone structure:
- OTC nonsteroidal anti-inflammatory agents reduce inflammation and swelling. For some time it becomes easier.
- Limitation traumatic movements It allows the inflammation of the tendon swollen recover slightly and reduce its volume. So it is less prejudiced.
- Ice on the sore spot several times a day for 15 - 20 minutes also reduce the swelling, and in a narrow space between the bones become more free.
- Exercises. It's a different story. Those most disadvantaged themselves muscles tighten and stabilize the humeral head. Stable head will not walk "like a bull in a china shop", and the pain is reduced.
Six months. Six months it is necessary to do the exercises to stabilize this place and "pull apart" in a different part of the participants painful collision. I never saw a man who would be enough motivation to do the exercises 6 months.
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Stretching of the brachial plexus
Pain in the elbow
