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Stress-related ailments
Rotator cuff syndrome
Rotator cuff syndrome is a common name for pain conditions caused by tendon membrane structures, which most often become more common with age. The muscles (supraspinatus, infraspinatus, subscapularis and teres minor) that form the tendon membrane structure in the upper part of the shoulder are responsible for moving, stabilizing and supporting the shoulder. Most often, these structures become irritated with either increased acute or chronic exertion. Also, traumatic injuries often cause damage to the tendons in the shoulder area (traumatic tendon rupture).
Rotator cuff syndrome is a very common condition that begins to show more symptoms as you age. Often, problems with the rotator cuff are found when imaging physical changes in the tendons. These include thickening, thinning, calcification or partial / complete rupture of the tendon. It is also typical that the bursas of the shoulder, or mucous sacs, are irritated by the same stress factors. However, it should be pointed out that similar findings can also be found in asymptomatic people, and for this reason, in addition to physical factors, we must also take into account the psychosocial factors of the human being to understand pain.
In acute cases, it is often a situation in which a person notices that his shoulder has been hit either by a hit or, for example, by a hit. in a throwing situation, immediate sudden sharp pain, as well as weakness or lack of range of motion, and with this, it becomes difficult to use the hand.
In chronic cases, the pain may be very variable. For some, this is quite asymptomatic, while for others, putting on a shirt and sleeping on their side is almost impossible. It is also common for the ailment to be specific to a specific movement, such as passing in tennis, throwing in disc golf or uprooting an electrical worker.
Pain often occurs precisely on the outer sides or top of the shoulder. The pain in movement may be whistling and sharp, while at rest it may be more of a jolting ache. As a rule, a decrease in strength occurs, especially if the movement causes pain.
Treatment of rotator cuff syndrome is often therapeutic practice. Manual handling can sometimes help with pain, but rehabilitative training is usually the right approach. Training should take into account that it is also burdensome enough for the individual to provide adaptive effects on the body.
Frozen shoulder / frozen shoulder / adhesion capsulitis
Is one of the mysteries of musculoskeletal disorders, since the exact cause of the onset of a frozen shoulder is not known. However, we know that the ailment involves thickening and tightening of the joint capsule and a decrease in range of motion. Moving the shoulder becomes painful and cannot be moved even with one hand, or by a therapist. In everyday life, you may experience pain, for example, when wearing a bra, brushing your hair or reaching for your seatbelt. Of course, similar symptoms can also occur in rotator cuff syndrome, but in a frozen shoulder, the duration of symptoms is often really long.
In general, we know that a frozen shoulder goes through three different stages:
1. Inflammatory and freezing phase: Progressively worsening pain with which restriction of movement also begins. This stage can last from months to almost a year
2. Stiffness phase: the pain decreases or disappears, but the stiffness remains. This can last from months to a year.
3. Healing phase: Here the symptoms are relieved little by little. This can take from months to several years.
The ailment is slightly more common in women than in men and often occurs in middle age.
With the treatment, the aim is to keep the hand's range of motion as good as possible throughout the ailment so that the quality of life does not suffer too much.
Stability of the shoulder joint
Shoulder joint stability is an ailment in which uncontrolled movement occurs in the shoulder joint, which may lead to mild and rapid dislocations. Most often these are fast and the humerus quickly reclaims its place, although in worse cases the bone may get stuck outside the articular fossa. In some cases, leaving the site may cause damage to the joint's cartilage cartilage, articular cartilage or rotator cuff tendons. The most well-known cartilage damage with stability is the so-called SLAP rupture.
Stability occurs both traumatic and non-traumatic. Traumatic cases often involve a collision or fall that makes it easier to make a diagnosis.
However, non-traumatic cases are more common and may show symptoms accordingly:
- Severe pain
- Inability to move a hand or feeling that it is stuck
- Feeling that the shoulder is moving too much.
- Difficulty raising a hand up your head (weakness)
Conservative treatment is very much based on the stabilization of shoulder function and controlled control of unstable movements. Sometimes surgical treatment is necessary if the nature of the ailment is so disturbing that the quality of life decreases or it becomes really difficult to use the hand.
You can read more about shoulder radiation symptoms here
Traumatic ailments
The most common post-traumatic ailments we treat include post-mortem injuries such as bankart's lesion, SLAP and AC joint dislocations, and postoperative rehabilitation.
In addition to these, we work with rheumatic ailments to help people maintain and develop their shoulder movement.
