shoulder Pain

There are many different types of shoulder pain, please find some information below about some of the common types.

Impingement Syndrome

The 4 main muscles and tendons that move the shoulder are collectively known as the rotator cuff. This cuff lies under the acromion (a bony extension of the shoulder blade). The space between the cuff and the acromion contains the subacromial bursa. The primary function of these four muscles in to hold the top of the arm central in the shoulder socket, allowing for smooth “roll, slide and glide” on the shoulder joint in the socket when the arms move during activity. If one or more of these muscles is weak or not as strong as it should be then the shoulder can’t be held central in the socket allowing it to travel upwards. This narrows the space “impinging” on the rotator cuff. The rotator cuff gets easily irritated and can be a source of pain. This can lead to a tendinopathy. Treatment of inpingmement syndrome and the consequent tendinopathy involves locating the causative factor as well as reducing pain and stiffness. If the cause of the problem is not found, quite often the symptoms return at a later date. Once determined, the cause of the problem can be corrected with exercises and stretches.

Bicipital Tendinopathy

Biceps tendinopathy is a painful conidtion involving the biceps tendon at the front of the shoulder. It can be inflamed after an injury but can also develop without any particular trauma. Development without an injury is more common in the older population as the tendon can be more degenerated. Whatever the cause, the pain is often located specifically at the front of the shoulder and can travel down the front of the arm. It is made worse by movements of the arm, especially reaching overhead and out to the side. Management of the painful biceps tendon is aimed at strengthening the tendon allowing it to become better at handling and managing load as well as manually therapy techniques aimed at relieving pain.

Adhesive Capsulitis (Frozen Shoulder)

Frozen Shoulder is an extremely painful shoulder condition, that can start for apparently no reason, after trauma or after surgery. It goes through phases commonly starting with severe pain which then as it eases is replaced with severe stiffness and difficulty moving the shoulder. This time scale can be different in each patient and can last up to 2 years. Treatment of frozen shoulder involves therapies to improve range of motion with stretching and exercises along side lifestyle advice to help deal with the condition.

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