Shoulder Pain Coventry
Shoulder pain can be annoying and debilitating much to the surprise of people who have never had it before. We often don’t realise how much we use our shoulders so when it becomes painful it can affect a variety of actions and behaviours. The shoulder joint is designed for maximum mobility but the trade-off for this is a weakened stability compared to other joints in the body. The shoulder is the most common site of dislocation of any joint. This can cause severe shoulder pain. However it takes a lot of force to be able to dislocate the shoulder under normal conditions. Other injuries that can occur at the shoulder are;
- Rotator cuff strains/tears
- Impingement of tendons
- AC joint dislocation
- Ligament tear
- Frozen shoulder
- Labral tear
Some of these injuries can be picked up fairly easily, others take a lot of force for the injury to occur. The most common injury that causes shoulder pain is a rotator cuff injury.
The rotator cuff
The rotator cuff is a group of muscles that have their origins on the shoulder blade (scapula). They attach at various points down the arm. Their job is to help lift the arm up and control its fine movements like twisting and waving. When some or all of these muscles become injured and start causing shoulder pain they really restrict your mobility and strength. As the rotator cuff is responsible for lifting and the fine movements actions like reaching for items on a shelf or putting your seat belt on can be quite painful. Different treatment options available including;
- Deep tissue massage
- Joint mobilisation
- Rehabilitation exercises
The most effective way of treating the rotator cuff is in a combination of these treatments. As the treatments will vary slightly depending on which muscles of the rotator cuff are injured and causing your shoulder pain in Coventry.
Impingement of tendons can be very painful. Normal impingement’s are when a tendon slips into a joint capsule. When the joint moves and impinges the tendon it creates pain, restricted mobility and strength. However the most common impingement of a muscle called supraspinatus, which is a muscle of the rotator cuff. This Impingement of the shoulder is slightly different, referred to as impingement syndrome because it takes a few factors for it to occur. Impingement syndrome occurs when inflammation has occurred in the top of the shoulder. The impingement happens when enough inflammation of both the tendon and the surrounding area causes a narrowing of the gap between the muscle and the AC joint (where the shoulder blade meets the clavicle) this narrowing cause’s compression of the muscle resulting in increasing shoulder pain with movement. Treatment for this often involves a TEN’s machine to rid the body of the inflammation and joint mobilisation.
The other impingement that can occur in the shoulder is a biceps impingement. Slightly easier and less painful than impingement syndrome but affects the shoulder by making difficult to lift with that arm and limits range of movement above the horizontal. With this particular problem the best treatments are joint mobilisation and rehabilitation programs.
AC Joint dislocation
AC joint dislocation is surprisingly common as a lot of people don’t realise it has occurred to them in the past and just put it down to other factors. This is because it is most commonly caused by falling onto the shoulder. There is very little movement that occurs at this joint when it dislocates so the body doesn’t lose much function. It causes temporary shoulder pain for up to 6 weeks. No relocation is necessary and the body heals on its own without any need for treatment.
Ligament tears although painful only last a short time. Shoulder pain caused by ligaments can last as short as 4 weeks. Function after the 4 weeks can be reduced when compared to before the injury but this problem can be completely resolved with joint mobilisations and rehabilitation exercises. There are a lot of ligaments that surround the shoulder so depending on which one is damaged will affect the recovery time. For instance ligaments surrounding the AC joint can be the least painful and heal quickly as there is little movement at the joint. Ligaments at the front of the shoulder joint however can be more painful and due to the huge amount of movement can take longer from 6-8 weeks to become pain free.
Frozen shoulder is caused by inflammation of the soft tissues within the shoulder. Unlike impingement syndrome which is in a specific location this is all over the joint. Frozen shoulder is a chronic condition which means it often occurs after months following the non-treatment of a previous shoulder injury. Symptoms of a frozen shoulder can be restricted movement or stiffness in the joint, very painful movements in any/all directions. Treatment options for frozen shoulder vary but initially use of a TEN’s machine to reduce any inflammation and pain to ease movement. Then joint mobilisation to encourage pain free movement back into the joint. Finally deep tissue massage once pain has be reduced enough to ease tension in the muscles around the shoulder.
Labral tears are not common for most people. The Labral is the name given to the cartilage in the shoulder joint, much like the meniscus in the knee. A labral tear can occur from a large amount of force generated within the shoulder when it is raised. Actions include throwing balls and hitting objects with a bat. They may also occur when a dislocation of the shoulder happens. The most effective treatment for labral tears are rehabilitation exercises. Painkillers like a cortisone injection can help recovery alongside appropriate exercises that build up mobility and strength gradually. If the labral tear is particularly bad surgery may be an option but that it becoming less common as studies are showing rehabilitation to be just as effective for most labral tears.
If you are suffering from shoulder pain in Coventry, come see us at TEH Therapy and we will rid your should pain in Coventry and have you moving painlessly and freely.