Know your Shoulder


“Man, my shoulder is killing me, and I haven’t done anything to injure it,” or, “Wow. I think I just tore something in my shoulder.” These are all too common complaints that everyone faces.’
The shoulder has the most motion of any joint in the body. Stabilizing this joint are many muscles, ligaments, and tendons—chief among these being the rotator cuff tendons.
The rotator cuff tendons are sandwiched between two bones in the shoulder, and herein lies the problem. With too much activity, especially overhead activity, the tendons are pinched and irritated resulting in a common condition called impingement syndrome. This pinching effect can eventually lead to a rotator cuff tear if left untreated.
Many painful shoulder conditions involve some form of rotator cuff inflammation in the form of tendinitis or bursitis. These conditions usually result from overuse.
Many times shoulder pain results from too much overhead activity. Weekend athletes come with shoulder pain after overdoing it in a sport they have not played in a long time, or working excessively on one day. Rotator cuff tears often cause night pain and difficulty sleeping on the injured shoulder, as well as problems with outstretched or overhead movements.
Most of these painful shoulder conditions will respond to rest, anti-inflammatory medication, and necessitate physical therapy to strengthen muscles so as to prevent such episodes in future. Some painful shoulder conditions will need further evaluation in the form of x-rays or MRI scan. MRI scans are very good at detecting torn rotator cuffs and ligament injuries.
Advanced technology now allows a minimally invasive approach to treating shoulder injuries. New arthroscopic techniques can be used to treat rotator cuff and ligament tears without a large incision. Outpatient arthroscopic repair facilitates faster recovery and is typically less painful.
Avoiding shoulder pain is not always possible. One day of overuse can sometimes equal six months of shoulder pain. It is recommended that you take the time to stretch and warm up, and to use moderation when it comes to activities you have not done in months or years. Strengthening of rotator muscles should be a part of your exercise schedule to prevent such injuries.
The good news is that most shoulder pain will get better with exercise protocols. The even better news is that technological advances with shoulder arthroscopy allows minimally invasive techniques to correct those shoulder injuries that do require surgery with early return to work. Gone are the days when one thought shoulder pain is something one has to live with-With Correct diagnosis and proper treatment one can get back to all routine activities.
For further queries related to shoulder pain or shoulder conditions, contact Dr.Rohan Bansal , Shoulder Surgeon and Joint Specialist-Orange City Hospital and Research Institute, Nagpur.