Shoulder Pain

Shoulder Pain

Shoulder Pain and Common Shoulder Problems:

When you have shoulder pain, it’s difficult to focus on much else in your daily routine. When there is ongoing discomfort, we realize that the mobility of our shoulders is required for almost all tasks. Many times, shoulder pain can be caused by several poor habits that contribute to a tear, nerve pain, or impingement. These can include normal everyday movements such as typing on your laptop with poor posture and then doing planks and pushups during a workout without stretching. There is even a new diagnosis called smartphone tendonitis, which normally effects the hands, but can cause neck and shoulder pain as well. Over time, injuries will likely take place and increase. 

Often neck and shoulder pain are experienced together, and whether the pain stems from the right, left, front, shoulder blade, or rotator cuff, the entire region can feel affected due to muscle tension and permeating pain that can run down the arm, elbow, and hand. Along with affecting your daily routine, many individuals find it difficult to fall asleep with shoulder pain due to the burning or stabbing sensations that often coincide.

Continue reading for an overview of shoulder pain diagnosis, procedures, protocols, and frequently asked questions.

The shoulder is a complex and intricate area of the body due to its incredible ability to move and rotate in numerous ways. Three bones make up the shoulder. These include the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle).

The humerus bone has a ball at the top that securely fits in the rounded glenoid socket.  Surrounding soft tissue such as tendons, ligaments, and muscles keeps the joint and bones attached and creates stability.  Several muscles and tendons protect and encapsulate the shoulder; these are known as the rotator cuff.

Shoulder Pain Causes, Treatments, and Diagnosis:

Often, shoulder pain is due to small tears that occur in the rotator cuff. These tears can progress and may require conservative or surgical treatment. Other issues with shoulder pain stem from overuse or injury that might dislocate the humerus bone from the socket. Fractures or hairline fractures can occur in the bones that make up the shoulder. These will typically need to be stabilized in order to heal correctly. Aging also contributes to common shoulder pain, which may or may not be attributed to arthritis.

If you have shoulder pain, it’s imperative to see a surgeon that is board certified, and fellowship trained with extensive experience.  

The causes of shoulder pain will need to be determined with a thorough medical evaluation, and in many cases, imaging will be necessary to better understand the soft tissue damage and bone degeneration or fractures that may be causing the injury and pain. A physical examination will allow the surgeon to understand your shoulder pain by performing a few tests and qualifying your pain level. It is imperative to have diagnostic imaging for a thorough evaluation and diagnosis.  These include x-ray, CT scan, ultrasound, or MRI.  Having a clear understanding of bone and soft tissue damage is critical for proper diagnosis and treatment planning.

The specialists at Sforzo | Dillingham|Stewart Orthopedics + Sports Medicine will determine the cause of your pain and explain your treatment options in full detail. Some of the common causes of shoulder pain are the following:

Once the cause is determined, treatment will depend on the patients’ overall health and medical history, the severity of the injury, and the root cause. Many times, surgery may not be necessary. Physical therapy is usually very helpful in the case of any injury and can teach patients proper stretching and exercise routines to perform at home, which will help the shoulder heal and maximize the range of motion and function.

Physical Therapy

Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine has a group of elite physical therapists on-site, making our treatment patient care and communication convenient for patients and ideal for our practitioners.

Regenerative Medicine

Add-on treatments may also help stimulate the healing process. Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine are experts in biologic and regenerative medicine. Regenerative medicine is a remarkable way to treat damaged tissues directly within the joint. This is a safe and natural alternative to surgery and has helped numerous people find relief and treat the root cause of their condition.

Anatomy of Shoulder 

Four joints make up the shoulder, and it’s one of the most complex areas of the body. The AC joint or acromioclavicular joint is where the clavicle and the acromion bones meet. 

The upper arm bone fits snuggly into the glenoid socket, and the labrum acts as a cushion to protect and stabilize the joint. The labrum is a strong fibrous ring that stabilizes many ligaments and the bicep tendon. The shoulder joint is protected and stabilized by a group of muscles that form tendons, known as the rotator cuff. The humerus bone is encapsulated and protected by the rotator cuff as it wraps from the humerus bone to the scapular or shoulder blade.

shoulder-major-components-of-the-joint

Causes – Tendon inflammation (bursitis or tendinitis) 

Tendonitis usually happens when a tendon is pinched. This often occurs when repetitive overhead movements are in a person’s regular routine, such as painters, construction workers, and sports like tennis, racquetball, basketball, and swimming, to name a few. These same situations can lead to tendon tears, which usually start our tiny and progress to complete or multipole tears with time (if left untreated). 

 

Bursitis is often also caused by overuse and injury. Bursae are tiny, fluid-filled sacs found throughout the joints. These sacs act as cushions between bones and the overlying soft tissues and help make gliding motions and reduce friction. It’s not uncommon that bursitis and tendonitis to occur together, making it difficult to move the shoulder and causing severe pain. Both tendonitis and bursitis require medical treatment.

  • Instability— Instability Often causes weakness, swelling, and loss of strength and mobility.
  • Arthritis—Cartilage begins to wear down, the bones will rub against each other, cause pain, and limit the range of motion. Bone degeneration is progressive.
  • Fracture (broken bone)—Shoulder fractures are usually the result of an accident or injury.  Fractures include three types: clavicle fracture, proximal humerus fracture (humeral head), and scapula fracture (comminuted scapula).

How can I get immediate relief from shoulder pain? 

Getting immediate relief from shoulder pain depends greatly on the area, cause, and severity of the injury.  If the shoulder pain is acute and less severe, ibuprofen, icing and rest will most likely relieve your pain. If your shoulder is dislocated, immediate relief is possible, but you will need an orthopedic surgeon to put your shoulder back in place. If you are experiencing nerve pain, medications like gabapentin are often prescribed to relieve the discomfort and inflammation.

Shoulder Pain Prevention:

  • Before exercise, warm-up and stretch the shoulder
  • Eat a healthy diet
  • Be cautious about overtraining
  • Strengthen the shoulder by performing exercises such as resistance bands, weight-bearing, and internal and external rotations.

Shoulder Pain Home Remedies:

If you have pain, it’s important to rest your shoulder. Don’t overdo it because this can cause further damage, which may require surgical treatment. Many people find relief with ice on for 15 minutes and ice off for 15 minutes, a few times throughout the day. At night, when you’re preparing to sleep, make sure that your shoulder is relaxed with no added pressure. When sleeping, many people find relief by lying on their back and hanging their arm gently off the side of the bed or supporting it on a pillow. Bracing the area or using kinesiology tape can be helpful to eliminate too much movement. Over-the-counter pain relievers or certain supplements can also be beneficial. However, seeking medical care to get an accurate diagnosis is essential. If you don’t find relief over a few weeks (one to three), you must see an orthopedic surgeon.

Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine put their patient’s needs first above all else. Isn’t it time you placed your health in the hands of the experts?

 With decades of experience, the board-certified, fellowship-trained surgeons at Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine offer you the best treatment options and care.

Our commitment to our patients is to provide excellent medical care in a warm and caring environment. Most importantly, allowing time with the doctor to have questions and concerns addressed.   Let us get you back in your game.

FAQ's

When should I worry about shoulder pain?

If your pain is caused by an injury, is intense or if your shoulder is disfigured, you need medical treatment immediately. If you’ve been experiencing pain that is lingering for three or more weeks, it’s crucial that you seek medical attention.

How do I get my shoulder to stop hurting?

Resting the shoulder is critical to avoid further damage and pain. Using a sling or a brace can be helpful. Also, taking ibuprofen and using ice on for 15 minutes and ice off for 15 minutes several times throughout the day can be helpful.

What is the main cause of shoulder pain?

Tendonitis and bursitis are the most common causes of shoulder pain. This happens when the tendons become pinched or trapped under the bones of the shoulder region.

How long does shoulder pain last?

Depending on your injury or cause for your pain, will determine your recovery timeframe. If you have a sprain or small tear, your body will usually heal on its own in about 2 weeks. If you have a severe injury or required shoulder surgery or treatment, your shoulder will take one month to six months or more to fully recover.

Focusing On You

As healthcare is ever changing, Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine, is doing things differently…

  • About Christopher R. Sforzo, M.D. Christopher R. Sforzo, M.D. is a board certified orthopedic surgeon and fellowship trained in hand and upper extremity surgery. He provides expert care in the treatment of problems involving the shoulder, arm, elbow, forearm, wrist and hand. He performs many procedures using mini
  • About Christopher L. Dillingham, M.D. Christopher L. Dillingham, M.D. is a board certified orthopedic surgeon and fellowship trained in hand, shoulder, and arm surgery. He specializes in the treatment of problems with rotator cuff disorders, carpal tunnel syndrome and nerve injury, joint replacement, arthritis sur
  • About Charles E. Stewart, M.D. Charles E. Stewart M.D. is a board-certified, Johns Hopkins fellowship-trained orthopedic surgeon specializing in adult complex reconstruction of the lower extremity.  His specialties include lower extremity sports injuries, meniscal injuries, ACL reconstruction, partial knee replacement,
  • About Philip A. Meinhardt, M.D. Philip A. Meinhardt, M.D. is a board certified orthopedic surgeon and fellowship trained spine surgeon. He specializes in adult spinal surgeries including reconstruction of spinal deformities, minimally invasive/microscopic spinal procedures, decompression, spinal instrumentation, fusion

Testimonial

After tearing my rotator cuff, not only was I experiencing pain but my quality of life was diminished. Playing golf and working out were painful rather than enjoyable. Graci and I sought out Fellowship trained Dr. Christopher Sforzo and the team at Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine. I was treated non-surgically and am now pain free, mobile and enjoying everything I did before.

- Dennis and Graci McGillicuddy

As avid golfers and tennis enthusiasts, our rotator cuff injuries left us in pain, and unable to enjoy our sport. In researching for the most qualified surgeons, we found that Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine not only had the highest level of training and experience, but they were also highly recommended by friends and associates who had excellent results. We, too, had outstanding…

- Mike Wilton, Bud Polley and Arnie Vance

I was visiting the area looking at property and considering a full time re-location from Minnesota when I was in a traffic accident. The result was a very painful shoulder injury that would ultimately require bilateral RTC repairs. I was unable to undertake regular day-to-day activities or participate in my favorite sport – tennis. It was essential that I choose a shoulder specialist that could quickly set…

- Pat Cooper
people-with-happy-faces-after-physical-therapy

Over the years we had seen several orthopedists in town but were never impressed. They seemed to lack knowledge or compassion or both. Then when Liza was in high school, she went to Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine for a minor sports injury. They not only diagnosed her somewhat obscure problem, but explained things in a way that she understood without being patronizing…

- Liza, John and Betsy Kane-Hartnett

As a very busy business owner in Sarasota, having not one, but two, massive rotator cuff tears had a debilitating effect on both my personal and professional life. From my first consultation with Sforzo | Dillingham | Stewart Orthopedics + Sports Medicine, I knew I was in good hands. The surgeons are board-certified and fellowship-trained, which gave me the confidence in achieving a successful outcome. More importantly,…

- Bob Kirschner

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