31 May Top Shoulder Pain Treatment in San Diego
Shoulder Pain Treatment Overview
Shoulder pain is a common complaint for many Americans. The shoulders are ball-and-socket joints with a wide range of motion. Any injury or damage to the shoulder bones, muscles, tendons, or ligaments could result in shoulder pain.
What are the components of the shoulder?
The shoulder joint is composed of three bones: the humerus (upper arm bone), the scapula (shoulder blade), and the clavicle (collarbone). Tendons are tough cord-like tissues that hold shoulder muscles to the bones. Ligaments hold the shoulder bones together. The rotator cuff is formed of a web-like structure of muscles and tendons.
What causes shoulder pain?
Common causes of shoulder pain are:
- Shoulder instability – Also called subluxation, this is an unstable shoulder that results in hypermobility (excess range of shoulder motion).
- Frozen shoulder syndrome – This condition occurs from injured shoulder components, and it prevents shoulder movement.
- Rotator cuff disorders – Tears in the rotator cuff muscles and/or tendons can cause pain.
- Acromioclavicular joint disorders – The acromioclavicular joint is the top area of the scapula, and it is often affected by osteoarthritis.
- Fracture – A break in the humerus, scapula, or clavicle can lead to shoulder pain.
How common is shoulder pain?
According to the National Institutes of Health, around 7.5 million people visit the doctor each year in the U.S. for shoulder pain. In addition, around 4 million people are treated each year for rotator cuff problems. In a recent study, shoulder pain was found to be more common in men, people age 52 years and younger, and those who have suffered a previous injury.
How is shoulder pain diagnosed?
The doctor will ask you questions about your symptoms, inquire about past or recent injuries, take a medical history, and conduct a clinical examination. If serious problems are suspected, imaging tests will be ordered. X-rays will show fracture, dislocation, and bony deformities of the shoulder. To assess for rotator cuff problems, ligament tears, and soft tissue injury, a magnetic resonance imaging (MRI) scan is ordered.
How is shoulder pain treated?
Shoulder pain treatment is aimed at curing the underlying condition. For chronic disorders, treatment focuses on alleviating symptoms. Treatment options include:
- Rest, ice, and use of a sling – Conservative therapy is used for mild dislocation, shoulder separation, and shoulder strain. The shoulder is put in a sling for several days to weeks, the patient cannot use the extremity, and ice is applied several times each day for 20-minute intervals.
- Medications – Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to decrease soft tissue irritation and inflammation. Examples include ketoprofen and naproxen. For severe pain, the doctor may prescribe short-term pain relievers, such as tramadol and hydrocodone.
- Physical therapy – For ligament and rotator cuff strains and tears, physical therapy is used to regain strength and motion. Frozen shoulder syndrome responds well to therapy. The therapist can use pain measures such as heat therapy, electrical stimulation, and ultrasound. In a recent research study, physical therapy had a 90% success rate for treating frozen shoulder pain.
- Corticosteroid injections – The doctor can inject the shoulder joint with a long-acting corticosteroid agent. Sometimes, an anesthetic is added for pain relief. This therapy works well for bursitis and arthritis of the shoulder joint.
- Surgery – For fractures, surgery involves realigning or “setting” the bones. Rotator cuff tears are treated using tendon grafts to replace torn structures. The surgeon often performs arthroscopic surgery, which involves several small incisions around the shoulder joint. A small, lighted scope is used so the doctor can see inside the joint. Tiny instruments are used to make repairs, and the doctor can view the procedure on a TV monitor.
Sorrento Valley Pain Relief offers top shoulder pain treatment in San Diego metro. Nonoperative shoulder pain relief is frequently achieved through the comprehensive options that are available, including PT, chiropractic, injections and pain patches.
Call Sorrento Valley today, most insurance accepted!