Chiro 2 Rehab

Shoulder Pain and Injury

Understanding Shoulder Pain: Common Causes and Treatment Options

Shoulder pain is a frequent complaint that can stem from a variety of issues, such as rotator cuff tears, impingement, bursitis, or acromioclavicular (AC) joint injuries. Understanding the underlying causes of shoulder pain is key to effective treatment and prevention.

Rotator Cuff Tears: Symptoms and Causes

The rotator cuff is a group of muscles and tendons that surround the shoulder joint, providing stability and facilitating movement. A tear in the rotator cuff can result from trauma, repetitive overhead movements, or degeneration due to aging. Symptoms typically include sharp pain, weakness, difficulty lifting the arm, and limited range of motion. In severe cases, a tear can lead to a complete loss of function in the shoulder.

Impingement Syndrome: When the Shoulder Structures Are Pinched

Shoulder impingement occurs when the tendons of the rotator cuff or the bursa (a small fluid-filled sac that cushions the joint) become pinched between the bones of the shoulder. This can lead to inflammation and pain, particularly when reaching overhead or lifting the arm. Over time, impingement can cause further damage to the rotator cuff and lead to more severe conditions, such as a tear.

Shoulder Pain. Shoulder Injury
A posterior view of the rotator cuff muscles.
Shoulder Pain. Shoulder Injury
A view of the subscapularis, a commonly overlooked rotator cuff muscle.

Bursitis: Inflammation in the Shoulder

Bursitis refers to inflammation of the bursa, which serves as a cushion between the bones and soft tissues of the shoulder. This condition can result from repetitive motion, overuse, or trauma. Symptoms of bursitis include pain, swelling, and tenderness around the shoulder joint, particularly when moving the arm. The discomfort may worsen at night, making it difficult to sleep on the affected side.

AC Joint Injuries: Causes and Symptoms

The acromioclavicular (AC) joint connects the collarbone to the highest part of the shoulder blade. AC joint injuries can occur due to trauma, such as a fall onto the shoulder or repetitive stress. The symptoms often include pain at the top of the shoulder, swelling, and difficulty lifting the arm. In some cases, the injury may cause the collarbone to protrude visibly.

Treatment and Prevention of Shoulder Pain

Early diagnosis and treatment are essential to managing shoulder pain effectively. Rest, myofascial release, rehab, and anti-inflammatory medications are common treatments for many shoulder conditions. In cases of rotator cuff tears or severe impingement, surgery may be required to restore full function. To prevent shoulder injuries, it’s important to incorporate strength training, proper posture, and flexibility exercises into your routine.

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