Common Causes Of Pain

SHOULDER PAIN

Common Causes

  • Frozen shoulder (adhesive capsulitis).
  • Rotator Cuff Tendinitis
  • Subacromial Bursitis
  • Bicipital Tendinitis
  • Acute Calcific Tendinitis
  • Painful Arc Syndrome

Less Common Causes

  • Acromioclavicular joint synovitis? R.A.
  • Trapezius Tendinitis
  • Referred Pain

  • From neck
  • From irritation of the diaphragm
  • From cardiac pathology

Frozen Shoulder

  • So called because, the shoulder is stiff loosing all its movements.
  • Common in middle age, in persons having diabetes.
  • May be precipitated by minor or injury. May start without any cause.
  • Causes pain, stiffness and sleepless nights.
  • X-ray usually does not reveal much.
  • MRI or ultrasonography may reveal rotator cuff partial tears or other soft tissue lesions.
  • Treatment is mainly medical, consisting anti-inflammatory drugs, physiotherapy.
  • In some cases local injection of steroids in the joint by a specialist.

Acute Calcific Tendinitis

This is a common condition in which calcium is deposited in the rotator cuff tendon. The deposition and presence of calcium in the cuff is painless. However resorption of calcium often causes severe pain.

It occurs in middle age and is common in people who use their shoulder joint excessively like manual workers.

Painful Arc Syndrome

A typical patient presents with painful movements of his shoulder joint in a particular arc of movement. The most common cause is inflammation of subacromial bursa, which is a fluid filled sac situated between two bones forming the shoulder joint.
Treatment Physiotherapy along with a short course of anti-inflammatory and analgesic therapy may prove helpful. In the more severe form of disease local injection of steroid and/or surgery may be beneficial.

Common Treatment for Shoulder Disorders

Treatment mainly consists of :

  • Medication to relieve pain, to be taken orally or injectables,
  • Sling for support.
  • Local application of Heat or Ice.
  • Rarely injection in the joint proper (Only to be given by a specialist, With due care)
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