What are the Causes of Shoulder Pain?
There are many causes of shoulder joint pain. The shoulder joint is the width of movement of the body. The shoulder joint is the joint between the scapula (scapula) and the humerus bone and is supported by many muscles, ligaments and connective tissues. Shoulder problems are also very diverse as many structures contribute to the shoulder joint. Causes of shoulder pain include tendon damage, muscle injuries, arthritis, arthritis, rheumatic and non-rheumatic arthritis, fractures, sprain, infectious arthritis (septic arthritis), biceps tendinitis, rotator kaf (deflationary cuff) injuries, adhesive capsuleitis, calcified tendinite and hematom.
What Symptoms and Symptoms Match Shoulder Pain?
Symptoms associated with shoulder pain include, depending on the cause;
- restriction of shoulder movement,
- joint pain,
- swelling of the shoulder joint,
- temperature
- redness in and around the shoulder joint,
- sensitivity
- not be able to lie on one’s shoulder
- night pains.
How to Diagnose Shoulder Problems?
Physicians diagnose the cause of shoulder pain through history and physical examination. Physical examination manoeuvres such as rotating the shoulder inward, outward, forward and up can be used to detect positions that exacerbate pain. Sensitivity can be revealed by palping on inflamed areas. The movement of the shoulder joint is evaluated by the movement of the hand on the head, the movement of the hand towards the waist. Pain points and movements that increase pain are determined and the cause of shoulder pain is determined. Specific tests are carried out for the suspected problem. Direct graphs, computed tomography (CT) and magnetic resonance imaging (MRI) are the tests used to address the problem. While direct x-ray and CT and bone tissue can be evaluated in detail in shoulder traumas, MRI is often used to support diagnosis in shoulder joint and surrounding connective tissue injuries.
Common Causes of Shoulder Pain
Common causes of shoulder pain include shoulder impingement( compression), rotator kaf (deflationary cuff) injuries, biceps tendinitis, shoulder laxity, bankard lesion, adhesiv capsuleitis and arthritis.
Shoulder Impingement (Compression)
Compression of the shoulder joint is the narrowing of the area between humemrus and acromia, which forms the shoulder joint. Although there are many reasons, edema occurs in this region and causes pain when the protrusion, which is often formed at the lower end of the acromiment, crushes the soft tissues at the bottom. Especially in opening the arm sideways, pain increases in overhead activities. Steroid injections, platelet-rich plasma (PRP) and physical therapy are applied in the early stages of compression, while arthroscopic clutch is applied in advanced stages.
Rotator Kaf (Deflating Cuff) Injuries
They are structures that allow the shoulder to open sideways and rotate inward-out and wrap around the front-upper-back part of the shoulder. Subskapularis, Supraspinatus, Infraspinatus and Teres minor rotating cuff tendons can be injured for different reasons and cause shoulder pain. The tendon of subskapularis is more often injured. Pathologies in tendon are classified as tendon circumference edema (tendinitis), partial (partial) or full-layer (total) tear in the tendon and treatment is planned. In early stage injuries, treatment methods such as medication, cold application, movement restriction, physical therapy are used, while surgical treatment is often planned in advanced injuries (full-fold tears). Repairing the tendo arthroscopically with general anesthesia or supraklavicular block (axing of the shoulder and arm) is one of the most frequent surgical treatments.
Biceps Tendinitis
The biceps muscle at the front of the arm has two heads and the long head is attached to the upper part of the glenoid, watching over the humer. It travels through a encapsulated structure along the way it travels above the humer. Edema develops in this sheath for many reasons such as falls, overuse and joint strain, and sometimes this payment can be accompanied by tears in the tendo. Anti-inflammatory drugs can be frequently treated with cold application, motion restriction and physical therapy applications, as well as steroid injection, platelet-rich plasma (PRP) injection and surgical treatment options in chronic cases.
Bankard Lesion
One of the most important structures that keeps the shoulder joint in balance is the labrum, which is at the front of the shoulder slot. In recurrent shoulder dislocations, this structure can often be torn together with the capsule. After the rupture, it becomes difficult to keep the shoulder head in place and there may be shoulder pain and recurrent dislocations, especially in above-head activities. Physical therapy or surgical treatment is planned according to the size of the tear.
Hill Saxophone Lesion
In shoulder joint dislocations, the shoulder head often appears in front of the shoulder slot. The prominent shoulder head is trapped under the shoulder slot. At the back of the shoulder head, the bone collapses due to the pressure and this is called a hill saxophone lesion. Treatment is planned according to the size of the damage.
Adheziv Capsuleite
It is inflammation of the joint capsule that surrounds the shoulder joint. The joint capsule occurs as a result of the development of inflammation for many reasons such as diabetes and rheumatic diseases. Severe pain and limited shoulder movements are the main patient complaints. Control of the underlying disease, intra-joint steroid application, physical therapy and anti-inflammatory drugs are the main treatment methods. In patients with joint stiffness in the advanced stages, the surrounding soft tissues of the capsule should be loosened.
Calcific Tendinitis
Calcific tendinitis occurs when the connective tissues surrounding the shoulder joint harden as a result of calcium collapse. It occurs with pain and movement limitation in the shoulder joint and bone structures are found in abnormal areas of the shoulder joint in direct x-rays. Surgical cleaning can be performed or symptomatic treatment can be tried with steroid injections, anti-inflammatory drugs and physical therapy.
Shoulder Joint Arthritis (Arthrosis)
Shoulder joint arthritis often occurs at an advanced age. Joint hrekete limitation and pain are the most common symptoms. Osteophytes (bone protrusions) occur around the joint in the arthrosis of the shoulder joint, the shoulder moves upwards and shoulder compression occurs. In advanced cases, a tear is seen in the rectifying cuff tendons and severe limitation of the shoulder hereket is observed. Treatment methods such as anti-inflammatory drugs, physical therapy, intra-articular injections (steroids, hyaluronic acid, platelet-rich plasma) can be used in the treatment of shoulder arthritis, as well as treatment methods such as arthroscopic joint debridement, partial or total shoulder prosthesis.
Acromiio-klavicular Joint Injuries
The acromiio-clawicular joint is the joint located in the upper neighborhood of the shoulder joint, located between the scapula and the collarbone. While injuries are often caused by traumas in young patients, elderly patients complain of pain due to arthritis of the joint. Bandage and-or surgical treatment is planned according to the degree of joint decomposition according to the severity of the injury in traumas, while anti-inflammatory drugs, steroid injections and physical therapy applications can be performed in arthritis in the joint or surgical treatment is performed in advanced cases.