Whether you're a weekend athlete, or a gardener that overdid it, or a person with arthritis, there's hope for you. According to Dr. Nathan Wei, Clinical Director of the Arthritis and Osteoporosis Center of Maryland, "Shoulder problems are one of the most common afflictions of modern times. Fortunately, there are many ways of helping people feel better."
The shoulder is the largest, most complex, and most mobile joint in the body
Four muscles and their tendons (ropes attached to the top of the humerus), collectively known as the rotator cuff allow the shoulder to move as it does. The rotator cuff also plays a role in stabilizing the arm bone to the shoulder blade.
Shoulder pain doesn't always come from the shoulder!
Examples include pain referred from arthritis of the neck, diseases of the chest such as pneumonia and diseases of the abdomen like gall bladder problems can cause pain to be referred to the shoulder. Even ectopic pregnancies have caused shoulder pain!!! Finally, heart conditions can cause referred pain to the shoulder, particularly on the left side. A specialist's physical exam is important. Dr. Wei relates this story. "I saw a patient who had shoulder pain. The pupil of the eye on the same side of the shoulder was enlarged. That set off alarm bells so I got a chest x-ray. He tuned out to have a lung cancer. This combination is called Horner's syndrome."
Most causes of true shoulder pain fall into 3 categories
? tendonitis/bursitis- With repetitive motion, the bursae (small fluid-filled sacs) surrounding the shoulder joint can become inflamed. This condition is called bursitis.
? injury/instability- Keeping your arms extended above your head; chronic compression , ie. forcing the shoulder into its socket; muscle imbalance- if one of the muscles is extra weak, that can cause the rotator cuff to function poorly.
? arthritis- Usually a function of aging.
Patient tips:
? Try to limit the number of overhead reaches.
? If you're wheelchair-bound, tuck your arms a bit closer to your body as you push.
? Avoid repetitive motion.
? Work on rotator cuff strengthening. Range-of-motion exercises are important!
? Use correct posture!
One tip that might help if you have chronic shoulder pain and have a "frozen shoulder" is to use a broomstick for stretching and range-of-motion exercises.
Oral anti-inflammatory medicines are sometimes, but not always, helpful. Patients may require a steroid injection. For people who don't respond to medicines, injections, and physical therapy, another option is surgery. Any type of surgery should be done by a skilled shoulder surgeon. "The shoulder is the most complex joint so make sure whoever works on your shoulder is an expert with shoulders," advises Dr. Wei.
Dr. Wei (pronounced "way") is a board-certified rheumatologist and Clinical Director of the nationally respected Arthritis and Osteoporosis Center of Maryland. He is a Clinical Assistant Professor of Medicine at the University of Maryland School of Medicine and has served as a consultant to the Arthritis Branch of the National Institutes of Health. He is a Fellow of the American College of Rheumatology and the American College of Physicians. For more information on arthritis and related conditions, go to: http://www.arthritis-treatment-and-relief.com a>
In patients with corneal thickness below a certain minimum, performing... Read More
I recently had a reader send me this comment:"As a... Read More
In 2003, there where more than 890 million doctor visits... Read More
We all know that there's no such thing as cheap... Read More
This report will give you 22 important tips to make... Read More
How many of us have taken aspirin or a similar... Read More
More and more people have started travelling to India for... Read More
Bextra, also known as valdecoxib, is a prescribed medication used... Read More
America's war on drugs, which has been fought in the... Read More
There is a huge concern in the medical industry that... Read More
Would you buy groceries without knowing their prices? I suspect... Read More
OxyContin is a narcotic drug, an opiate, that has been... Read More
Chemical dependency recovery provides with positive changes in reactions and... Read More
Remember the last time you stubbed your toe? OUCH! It's... Read More
Lunesta is a newly released sleeping pill. Marketed as a... Read More
Lunesta is a newly released sleeping pill. Marketed as a... Read More
Doctors have been encouraged to prescribe the cholesterol-lowering drugs called... Read More
Satins are pharmacuetical drugs that work by restricting the enzyme... Read More
When you search online for Electric Wheelchairs, like any other... Read More
I am a strong believer in Cetyl Myristoleate for the... Read More
Heat has long been used to provide temporary relief of... Read More
A variety of options exist for hemorrhoid treatment including surgery,... Read More
The police arrive at the accident scene promptly. A driver... Read More
Sit down in a quiet place alone and take a... Read More
Vioxx is a nonsteroidal anti-inflammagory drug (NSAID) that reduces inflammation,... Read More
Lunesta may be the only sleeping pill that is FDA... Read More
Why is your blood pressure low?As a doctor with an... Read More
Don't treat your migraines, prevent them. A life without migraines... Read More
I am a strong believer in Cetyl Myristoleate for the... Read More
In 2003, there where more than 890 million doctor visits... Read More
Cold-Eeze is a homeopathic solution to the common cold. It... Read More
1. Soft lenses are perceived by most patients and practitioners... Read More
Zicam is a homeopathic intranasal zinc remedy that is intended... Read More
This report will give you 22 important tips to make... Read More
While the recent Lamisil commercial featuring Digger, a disgusting cartoon... Read More
Lunesta is a newly released sleeping pill. Marketed as a... Read More
A time will come when our children's children will look... Read More
In the case of Cerebral Palsy there is no one... Read More
Propulsid was a popular nighttime heartburn drug before it was... Read More
Clinton's recent quadruple bypass surgery has been largely debated. Being... Read More
In the early nineties, Redux was the original miracle diet... Read More
I had a call the other day from a potential... Read More
Let's face it: purchasing prescription drugs in the U.S. can... Read More
Electronic Medical RecordAn Electronic Medical Record is a secured electronic... Read More
ALS is the disease that took the life of the... Read More
Online Pharmacy owners who haven't been working within moral and... Read More
Sit down in a quiet place alone and take a... Read More
Just about all health care providers have need of stethoscopes.... Read More
Leading online pharmacy companies are providing consumer with a secure,... Read More
If you ever go to cold countries, you should undoubtedly... Read More
Medicine Medicine |