PHYSICAL THERAPY

SHOULDER PAIN AND TREATMENT

Your shoulder is one of the most mobile and complex joints in your entire body, made up of four interconnected joints that allow you to reach, lift, throw, and move in countless directions. But that incredible range of motion comes at a cost: your shoulder is also one of the most vulnerable joints to injury and instability.

Early treatment can prevent small shoulder irritations from turning into chronic, debilitating problems. Our specialized shoulder physical therapy restores proper balance, strength, and mobility to your shoulder so you can return to your normal activities without pain or limitation.

COMMON CAUSES OF SHOULDER PAIN

For your shoulder to work properly, all of its muscles, tendons, ligaments, and joints need to function together in perfect harmony. When even one component gets out of balance, breakdown and injury can occur.

Bursitis is an irritation or inflammation of the fluid filled sack or “bursa” that cushions the tendons in joints. When the bursa becomes irritated the shoulder may become painful and stiff.

Common Causes of Shoulder Bursitis:

  • Gout
  • Hard blow to tip of elbow
  • Infection of bursa caused by bite, scrape or wound
  • Repetitive and prolonged motion or pressure
  • Rheumatoid arthritis
  • Trauma
  • Long periods of pressure on joint—leaning upon the arm or elbows

Common Signs and Symptoms of Shoulder Bursitis:

  • Aches
  • Pain (especially when applying pressure)
  • Redness and warmth (may indicate infection)
  • Restricted movement
  • Stiffness
  • Swelling

 

The rotator cuff is a group of four muscles that surround the shoulder joint and are integral in providing the necessary stability of the shoulder while contributing to its mobility as well. This is a commonly injured region of the shoulder and can be damaged in several ways. Injuries can range from strains and tendonitis, to tears.

Common Causes of Rotator Cuff Tears:

  • Degenerative conditions such as arthritis
  • Direct blow
  • Fall
  • Repetitive overhead motion
  • Sports-related injury
  • Trauma

Common Signs and Symptoms of Rotator Cuff Tears:

  • Clicking
  • Limited range of motion
  • Pain:
    • Constant
    • Recurrent
    • Nighttime
  • Popping
  • Weakness

 

A labrum tear refers to a tear in the cartilage surrounding the shoulder socket. A tear like this often results in pain as well as a feeling of instability in the shoulder

Common Causes of Labrum Tears:

  • Acute injury
  • Aging

Common Signs and Symptoms of Labrum Cuff Tears:

  • Aching
  • Catching
  • Grinding
  • Limited range of motion
  • Pain (especially shoulder, arm)
  • Popping
  • Sensation of “looseness”
  • Weakness

 

Arthritis of the shoulder is particularly debilitating. Pain and related stiffness and weakness often results in limited use of the joint thereby resulting in even greater range of motion loss and weakness.

Common Causes of Shoulder Arthritis:

  • Accident
  • Fracture
  • Natural wear-and-tear (loss of joint cartilage)
  • Repetitive stress
  • Sports injury
  • Aging

Common Signs and Symptoms of Shoulder Arthritis:

  • Grating
  • Hard lumps or bone spurs
  • Limited range of motion
  • Pain
  • Stiffness
  • Tenderness

Impingement of the shoulder refers to a narrowing of the space between a portion of the shoulder blade and the arm bone (humerus) often resulting in inflammation and, in more significant cases, tendinitis or bursitis.   Impingement can develop for several different reasons.

Common Causes of Shoulder Impingement:

  • Frequent overhead activity
  • Bone spurs occurring in the shoulder girdle
  • Muscular imbalances

Common Signs and Symptoms of Shoulder Impingement:

  • Limited range of motion
  • Pain (particularly when reaching overhead or to the side)
  • Weakness
  • Tenderness

 

Sudden pain, stiffness, or loss of motion in the shoulder could be a condition called frozen shoulder, or adhesive capsulitis. Although the cause of this condition is largely unknown, there are treatment options that can relieve symptoms more quickly.

Common Causes of Frozen Shoulder:

  • Unknown (more common in the middle-aged, women, and in diabetics)

Common Signs and Symptoms of Frozen Shoulder:

  • Decreased range of motion
  • Pain
  • Stiffness

 

Shoulder Pain Physical Therapy

FROM THE "BACK IN MOTION" BLOG