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Are you frustrated with your Shoulder pain that is not getting better? Are you experiencing difficulty in moving your shoulder or raise your arm? You are in the right place! We certainly able to help with our innovative and non-invasive (non-surgical) form of treatment. Get your shoulder check today. Call us at (65) 64712744 to schedule for an appointment Shoulder pain are one of the more common reasons for physician visits for musculoskeletal symptoms. The shoulder is the most movable joint in the body. However, it is an unstable joint because of the range of motion allowed. The injuries to the shoulder can, and do, cause a lot of pain. Usually the pain is related to a particular function or task but often times the pain becomes more prevalent throughout the day. What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm from scratching your back to throwing the perfect pitch. Mobility has its price, however. It may lead to increasing problems with instability or impingement of the soft tissue or bony structures in your shoulder, resulting in pain. You may feel pain only when you move your shoulder, or all of the time. The pain may be temporary or it may continue and require medical diagnosis and treatment. This article explains some of the common causes of shoulder pain, as well as some general treatment options. Our doctor can give you more detailed information about your shoulder pain. Some common Shoulder Pain conditions include: BURSITIS / ROTATOR CUFF TENDONITIS – Rotator cuff tendonitis is an inflammation (irritation and swelling) of the tendons of the shoulder. ROTATOR CUFF TEAR – The rotator cuff is made up of four muscles that help move and stabilize the shoulder joint. Damage to any one of the four muscles or their ligaments that attach the muscle to bone can occur because of acute injury, chronic overuse, or gradual aging. FROZEN SHOULDER – is a condition that causes restriction of motion in the shoulder joint. The cause of a frozen shoulder is not well understood, but it often occurs for no known reason. CALCIFIC TENDONITIS – Calcific tendonitis is a condition that causes the formation of a small, usually about 1-2 centimeter size, calcium deposit within the tendons of the rotator cuff. SHOULDER INSTABILITY / DISLOCATION – Shoulder instability is a problem that occurs when the structures that surround the glenohumeral (shoulder) joint do not work to maintain the ball within its socket. LABRAL TEAR – The shoulder joint is a ball and socket joint, similar to the hip; however, the socket of the shoulder joint is extremely shallow, and thus inherently unstable. SLAP LESION – A SLAP tear is an injury to a part of the shoulder joint called the labrum. The shoulder joint is a ball and socket joint, similar to the hip; however, the socket of the shoulder joint is extremely shallow, and thus inherently unstable. ARTHRITIS – Osteoarthritis is the most common type of shoulder arthritis. Also called wear-and-tear arthritis or degenerative joint disease, osteoarthritis is characterized by progressive wearing away of the cartilage of the joint. BICEPS TENDON RUPTURE – A biceps tendon rupture is an injury that occurs to the biceps tendon causing the attachment to separate from the bone. A normal biceps tendon is connected strongly to the bone When do you need to call us about your shoulder pain? If you are unsure of the cause of your shoulder pain, or if you do not know the specific treatment recommendations for your condition, you should seek medical attention. Treatment of these conditions must be directed at the specific cause of your problem. Some signs that you should be seen by a doctor include: Inability to carry objects or use the arm Injury that causes deformity of the joint Shoulder pain that occurs at night or while resting Shoulder pain that persists beyond a few days Inability to raise the arm Swelling or significant bruising around the joint or arm Signs of an infection, including fever, redness, warmth Any other unusual symptom What are the best treatments for shoulder pain? The treatment of shoulder pain depends entirely on the cause of the problem. Therefore, it is of utmost importance that you understand the cause of your symptoms before embarking on a treatment program. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment. Read more about Shoulder AC Joint Injury Read more about Shoulder Impingement Syndrome Who is Shoulder Specialist? Shoulder specialist is an orthopaedic surgeon who has advance experiences to treat condition such as arthritis, rotator cuff tear, shoulder instability, frozen shoulder and AC Joint problem. Stop your Shoulder pain and Get it check today! Please call (65) 64712744 – 24 Hours / Email: info@boneclinic.com.sg for Appointment
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Foto: Shutterstock RAMENI zglob je od velike važnosti za sve sportaše. Gotovo da nema aktivnosti koje ne uključuju neku vrtu pokreta u ramenom zglobu, bilo da uključuje bacanje, hvatanje, podizanje, guranje, udaranje… I upravo zbog toga, ozljede ramenog zgloba su relativno česte. Među njima se kao posebno česta ističe ozljeda rotatorne manšete ramena. Što je to točno i o čemu se radi? Krenimo od strukturalne građe ramena i građe i funkcije rotatorne manšete. Rameni zglob je najpokretljiviji zglob u našem tijelu; omogućuje pokrete nadlaktice u svim smjerovima – odmicanje i primicanje od i prema tijelu, kao i vanjsku i unutarnju rotaciju. Kako bi to bilo moguće, rame je anatomski građeno tako da je razmjerno velika glava nadlakticne kosti u doticaju s puno manjom zglobnom ploštinom na lopatičnoj kosti, a čvrstoću i stabilnost mu daje anatomska struktura koju nazivamo ROTATORNA MANŠETA RAMENA. Rotatorna manšeta je tetivno mišicna ovojnica koju sačinjavaju četiri mišića: subskapularis, supraspinatus, infraspinatus i teres minor. Sva četiri mišica polaze s lopatice i hvataju se na koštane izbočine nadlaktične kosti. Rotatorna manšeta ključna je struktura ramena, a funkcija manšete je dinamička stabilizacija glave nadlaktične kosti. Ovo znači da se ova četiri mala, duboko smještena mišića aktiviraju kako bi čvrsto držali zglobnu glavu nadlaktice u relativno plitkoj zglobnoj čašici lopatice, jer bi inače, pri pokretima ramena koji uključuju velike mišiće ramena, prsa i leđa, zglobna glavica jednostavno iskočila iz čašice. Zbog svog položaja i funkcije najčešeće dolazi do oštećenja tetive supraspinatusa (oko 90 posto), izolirano ili u kombinaciji s infraspinatusom. Tetiva subskapularisa puno rjeđe je podložena oštećenjima, pogotovo izoliranoj rupturi. Oštećenje tetiva manšete uključuje upalu tetiva (tendinits, tendinozu), parcijalnu i potpunu rupturu tetive. Upala tetiva zahtjeva konzervativno liječenje, a ruptura u većini slučajeva operacijsko liječenje. TEKST SE NASTAVLJA ISPOD OGLASA No, možemo li učiniti nešto da do ovoga ne dođe? Vježbe kao što su vanjska rotacija ramena direktno jačaju supraspinatus i infraspinatus, čime se rameni zglob učvrščuje u svim pokretima gdje je ruka podignuta iznad glave (pri čemu je rameni zglob u nestabilnom položaju, i stoga podložniji ozljedama). Bitno je da koristite vrlo male težine, i pokret izvodite polako. Cilj je da snažna, vanjska muskulatura (deltoidni mišići) ostanu gotovo neaktivni tijekom pokreta; velika težina, trzanje, zamah tijelom i "pumpanje" ne dolaze u obzir. Ne samo da vježba tako neće imati željeni efekt, nego riskirate i povredu upravo rotatorne manšete. Mala težina, lagano izvođenje pokreta, dvije serije u 12 - 15 ponavljanja. Preporučam da ovo izvedete u sklopu zagrijavanja prije treninga koji uključuje rameni zglob (dips, bench i military press, zgibovi). Ono što bi trebali osjetiti, je ugodno stezanje duboko u zglobu ramena, ispod deltoidnog mišića. Jačanjem rotatorne manšete, vaši rameni zglobovi postaju i ostaju stabilni i bez ozljeda.