Singapore Shoulder Specialist Clinic
Shoulder pain can hamper your ability to move freely if not handled properly. Shoulder pain is a common problem with a number of different causes. Men, women, and children of all ethnic and age backgrounds may experience shoulder pain at any point in life.
Shoulder pain may arise from the joint of the shoulder itself or from one of the many muscles, ligaments, or veins around it. Shoulder pain from joints usually worsens with increased activity or arm or shoulder movements.
Common causes of Shoulder Pain
1. Wear (excessive use)
Doing heavy work (such as hogging, carrying heavy loads), exercising (baseball, archery, golf, weightlifting, etc.), using heavy bags can cause sore shoulder. Using too long or hard shoulder joints in the long run can cause smooth tissue in the shoulders more easily worn so that the shoulder becomes more susceptible to injury. This is often referred to as shoulder tendinitis.
Sometimes, shoulder joints that are used too much may become inflamed and bloated to feel painful. This condition is called bursitis. Bursitis can cause many daily activities such as combing hair or dressing harder.
2. Shoulder Sprain
Shoulder sprain refers to a tear in the ligaments or muscles that bind the shoulder joints. The ligament tears on this bone usually produce pain and inflammation in the shoulder area to the difficulty in moving the arm or shoulder. The most common cause of sprain shoulders is a direct hit on the shoulders and surrounding area – whether it’s falling in an awkward position, a motor accident, or an accident while exercising.
The loudness that the body receives when it falls on its own arm, for example, or bumps an opposing player during a fight in a green field, can spread to the shoulder joint causing the separation of the shoulder bone. The protective ligament is then stretched in such a way that it becomes stretched and ultimately torn. Most common ligament torn of the shoulder is rotator cuff tear and bankart tear.
3. Shoulder Dislocation
Shoulder Dislocation. Shoulders are the most commonly dislocated limbs. Dislocation occurs when the bone is released from the joint socket. For example, the top of your arm bone is mounted in your shoulder joints. When the loose or loose is released from the joints due to fall or suffering a blow, you will experience a shoulder dislocation. Dislocations can occur almost every joint in your body, including your knees, hips, or ankles.
It takes a very strong force, like a sudden blow to the shoulder, to be able to pull the bone out of its place. The extreme turnaround at the shoulder joint can release the end of your upper arm bone out of your shoulder socket. Strong bangs can also cause partial dislocations – where your upper arm bone is only halfway off your shoulder socket.
Because dislocation means your bone is no longer where it should be, you should treat it as an emergency and seek medical help as soon as possible. Untreated dislocations can cause damage to your ligaments, nerves, or blood vessels. Moreover, if the joint has ever experienced a dislocation, it will be more likely to dislocate again in the future.
4. Frozen shoulder
Frozen shoulder (adhesive capsulitis), is a painful condition that makes you unable to move the shoulder, so the range of shoulder movement becomes very limited. This condition occurs when there is thickening, swelling and tightening of the flexible tissue that surrounds your shoulder joint. You may find it difficult to perform daily tasks such as dressing, driving, and sleeping comfortably. Some people can not even move their shoulders at all.
Frozen shoulder may occur after injury or overuse or from illness, such as diabetes or stroke. Any sick shoulder complaints for other reasons can also lead to this condition if you do not train the joints to keep moving. The tissue around the joint then becomes stiff, forming scar tissue, and eventually any movements made to the shoulder become difficult and painful. This condition usually comes slowly, then disappears slowly for a year or more.
Shoulder arthritis. Shoulder pain can also result from osteoarthritis, aka calcification of joints. Osteoarthritis usually begins around middle age and develops slowly; the pain it causes can worsen over time. Osteoarthritis may be associated with injury (exercise or non-exercise) and overuse. Other types of arthritis may be associated with a tear in the rotator cuff, infection, or inflammation of the lining of the joint.
Often people will avoid avoiding moving shoulders in an effort to reduce the pain. In fact, this sometimes leads to joint soft tissue stiffness, thus limiting the smoothness of shoulder movements that are painful – is called a frozen shoulder.
In addition to the above reasons, shoulder pain can be caused by poor posture and a number of diseases, such as gall bladder disorder, liver disease, heart disease, or spine-related diseases in the neck. Other less common causes are tumors, infections, and nerve problems (eg, nerve pals).
Treatment for Shoulder Pain
Proper treatment depends on the cause and severity of your shoulder pain. Hence an accurate diagnosis is crucial!
Not all treatments listed here are appropriate for every condition, but may be helpful in your situation
—–> Hot/Cold pack
—–> Medications – anti-inflammatory, pain reliefs
—–> Shoulder support e.g. arm sling
—–> Anti-inflammatory injection
—–> Shockwave therapy
—–> Platelet Rich Plasma
—–> Manipulation under Anaesthesia for frozen shoulder
—–> Surgery may required for severe cases – arthroscopic surgery, open reduction and internal fixation / close reduction for fracture case.