The shoulder joint is one of the most mobile joint in the body, at the expense of stability. The shoulder joint (glenohumeral joint) is a ball and socket joint between the scapula and the humerus. It is the major joint connecting the upper limb to the trunk. The glenohumeral joint lets the shoulder move forward and backward and lets the arm rotate and extend outward from the body. A flexible capsule filled with a lubricant called synovial fluid protects the joint and helps keep it moving smoothly. The capsule is surrounded by ligaments that connect bones to bones, tendons that fasten muscles to bones, and fluid-filled sacs called bursae that cushion tendons and bones during motion.
Shoulder pain is one of the most common sources of discomfort. In fact, it is estimated that as many as 67 percent of people experience it at some point in their lives. That’s because the shoulder is one of the largest joints in your body and, therefore one of the most vulnerable to injury or illness.
Here are five common reasons for shoulder pain:
- Rotator Cuff Injuries and Tears –
The rotator cuff is made up of four muscles (supraspinatus, infraspinatus, subscapularis and teres minor) that help stabilize the shoulder and support its movement. It’s also susceptible to injury in the form of:
- Bursitis caused by inflammation of the bursa, the fluid-filled sacs that help the shoulder move
- Tendonitis caused by inflammation due to overuse of the shoulder muscles
- Tears caused by an acute injury
Common symptoms of a rotator cuff injury
A limited range of motion, tenderness when reaching upward, and shoulder pain at night.
Adhesive Capsulitis – More commonly known as frozen shoulder, this condition typically occurs when shoulder tissue thickens and scars, leaving little room for the joint to rotate properly. This results in pain, swelling, stiffness, and a limited range of motion. However, this condition becomes worse the less you use your shoulder.
This disease occurs when the protective cartilage that covers the shoulder joint begins to wear down. When that happens, there’s more friction between the bones of the socket leading to bone damage. That creates pain, swelling, stiffness, and a limited range of motion.
Thoracic Outlet Syndrome
A group of disorders involving compressed nerves or blood vessels in the area between your collarbone and your ribs. As a result, you feel pain in your shoulders and neck, as well as some numbness in your fingers and discoloration in your arms due to inadequate blood flow. Certain conditions such as repetitive movement or injury, severe impact, weight gain, or pregnancy can trigger thoracic outlet syndrome
This can occur as the result of a fall or forceful impact, such as during contact sports. What happens is that the humerus (arm) bone is jarred loose from its socket, which can also tear ligaments and tendons. A shoulder dislocation can be extremely painful and requires immediate medical attention as improper care can lead to nerve damage.
Of course, there are many other causes of shoulder pain including fractures, whiplash, fibromyalgia, spinal stenosis, and lupus, just to name a few. That’s why it’s important select your proper physiotherapist and to talk with your doctor if are having any of the above mentioned symptoms.
Our Physiotherapists at Mediacity are highly skilled in shoulder pain and by taking a history of your shoulder symptoms and through physical assessment, we can able provide you with an immediate, accurate diagnosis. This will allow the most effective treatment and management strategy to be implemented straight way so that the best possible outcomes are achieved.
Treatment will depend on the cause and severity of the shoulder pain rehabilitation will be planned with individualised exercise programme to address underlying weakness or to overcome stiffness and pain. Your professional Physiotherapist at our clinic will design this plan with your goals in mind. Regular re-assessment will mean your progress can be tracked and your exercise plan can be modified to optimise your recovery and to ensure the most effective treatments are used.