The shoulder area is a broad entity. It includes all the muscles in the upper quarter of the chest that affect to the shoulder joint and the shoulder joint´s movement. The shoulder joint is a ball joint that allows for extensive movement of the shoulder joint. The shoulder joint is the most mobile joint in man. Due to its wide mobility, the shoulder joint is quite sensitive to the changes that biomechanics change, trauma and aging can cause. In addition to back and neck pain, shoulder pain is one of the most common musculoskeletal problems. Shoulder joint problems can be caused by a variety of factors, such as sudden, excessive force on a shoulder or upper limb, straight upper limb work, repetitive extreme joint movements, and work on the upper limbs. Aging, smoking, diabetes, thyroid diseases, and inflammatory rheumatic diseases can also predispose to shoulder joint problems.
ROTATOR CUFF SYNDROME
A rotator cuff refers to a tendon complex, that is, a tendon membrane of muscle tendons that is located around the shoulder joint. The rotating cuff is the most important support for the shoulder joint. It is prone to acute damage, tendonitis and a progressive degeneration process caused by aging. The rotating cuff may be damaged, torn, or inflamed as a result of excessive load, accident, incorrect working posture, or poor posture. It may also be due to physical injury caused by exercise. Symptoms most commonly occur include exertion and swelling of the shoulder joint as well as rest. Usually, the pain is located on the outside of the shoulder and the upper arm, but can also radiate to the entire upper limb and neck-shoulder region. The prediction of problems with the rotator cuff is harmles and about half of the cases self-heal.
Shoulder Dislocation and Instability
Due to the external force, the shoulder joint can be displaced quite easily, because the bony structure of the joint and the shape of the joint surfaces do not give the joint much support. Dislocation is usually due to sports-related contact or a fall on the upper limb or shoulder joint. Dislocation of shoulder joint is predicted to be good, and joint movement and function return to many of the same levels as before dislocation. Due to dislocation, the soft tissues around the shoulder joint are overstretched and therefore too loose, which causes instability or shoulder instability. In the unsteady shoulder, there may be a variety of tremors during movement and you may feel that at the extreme position of the joint, the shoulder is at risk of dislocation.
NERVE INJURIES IN THE SHOULDER
Nerve injuries can also cause symptoms in the shoulder region. A nerve injury can be located in one nerve or in several nerves. The injury may be the result of some trauma or accident, and may be due to structural abnormalities, inflammation, hobbies, work-related muscle tension or mechanical strain. Nerve injuries can impair the functioning of the upper limb and cause a variety of upper limb symptoms such as pain, tingling, stinging and numbness.
A frozen shoulder is a situation where the joint capsule around the shoulder joint thickens and tightens. Thickening and tightening of the articular capsule reduces the amount of movement of the shoulder joint and painful movement of the joint. In a frozen shoulder, the pain is often extensive and is not related to a single shoulder joint position. The cause of shoulder freezing is unknown, but it may develop as a result of an accident or trauma or after surgery. Typical symptoms include resting pain, which is often the worst at night, and restrictions on movement. If the frozen shoulder is left untreated, the movement of the shoulder may gradually be completely restricted, making the use of the hand more difficult due to pain and restriction of movement.
PHYSIOTHERAPY FOR SHOULDER PAIN
Most shoulder problems typically heal by themselves.
The goal of physiotherapy is to relieve pain and restore shoulder joint movement and muscle strength.
Exercise therapy led by a physiotherapist is an effective form of therapy.
Exercise therapy reduces pain and improves function.