The shoulder has a wide and versatile range of motion. When something goes wrong on your shoulder, it hinders your ability to move freely and can cause a great deal of pain and discomfort. The shoulder is a ball and socket joint with three main bones: humerus (long arm bone), clavicle (collarbone) and scapula. These bones are cushioned by a layer of cartilage. The shoulder joint is the joint that can move in the widest band in the body. Moves the shoulder back and forth. It also allows the arm to move up and away from the body in a circular motion.
You can injure your shoulder while exercising, doing sports and even repetitive movements. This type of muscle pain usually starts suddenly. If the job continues by quitting, a doctor should be consulted.
As you get older, you are more likely to have problems with your shoulder, especially after the age of 60. This is because the soft tissues surrounding the shoulder tend to degenerate with age.
What are the reasons?
Various factors and conditions can contribute to shoulder pain. The most common cause is rotator cuff tendonitis. Generally, among these muscles, the muscle that we call “supraspinatus” undergoes more tendonitis. The most important movement of this muscle is the first degrees to open the shoulder to the side. The load that is lifted to the side or the forced opening of the arm to the side creates edema in the tendon of this muscle. Thus, the supraspinatus muscle is squeezed between the bones. With the tightening, muscle circulation is impaired for a few weeks. The pains get worse. Often patients complain that they cannot scratch their back.
Sometimes shoulder pain is the result of an injury elsewhere on your body, usually in the neck or arm. The aforementioned pain usually doesn’t get worse when you move your shoulder.
Other causes of shoulder pain include: arthritis, torn cartilage, torn rotator cuff, swollen tendons, bone spurs (bone spurs that develop along the edges of the bones), pinched nerve in the neck or shoulder, broken shoulder or arm bone, frozen shoulder, dislocated shoulder, injury from overuse or repetitive use, spinal cord injury, heart attack. A physical examination is first performed to diagnose the cause of shoulder pain. Imaging tests such as x-rays or MRIs help diagnose.
How is it treated?
Treatment is planned according to the cause and severity of shoulder pain. Treatment options include medication, physical therapy, sling, or surgery. Serious tears are treated surgically. Intra-articular infections can be applied for mild tendinitis. Shoulder rest is important in many situations. Load-reducing exercises can also be done to relax the tendons. The treatment is planned individually depending on the cause of the problem.