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Shoulder Pain

Naturally Injuries And Pain Are Common

The rotator cuff in the shoulder is made up of four tendons. It is these tendons that give the shoulder a wide range of motion. Any swelling, inflammation, or tearing, around these tendons causes pain when a person tries to move the arm above the head, behind the back, or straight out in front.

 

Causes of Shoulder Pain

There are many causes of shoulder pain such as: Rotator Cuff Tendonitis, joint stiffness and looseness, Calcific Tendonitis, injury, labral tear, Arthritis, Tendon Rupture, labrum tearing, shoulder separation, shoulder dislocation, arm injury, cancer, and spinal cord injury.

The most common causes of shoulder pain are soft tissue injuries which involve the muscle, tendons and ligament. Degenerative arthritis can cause direct pain from the joint or also cause entrapment of some soft tissue resulting pain as well.

Common origins of shoulder pain:

  • Direct Trauma: Contusions, fractures, dislocation or separation
  • Repetitive Trauma (over-use syndrome): Bursitis or tendonitis
  • Referred Pain: Pinched nerves from the neck or associated with a heart attach
 

Diagnosing the Cause of Shoulder Pain

A thorough history and physical examination are usually adequate to establish the diagnosis for most shoulder injuries. However, your doctor may do a series of tests, depending on the cause of your injury, the location of your pain, or your other symptoms. This may include x-rays, CT scan and MRI. In cases where a heart condition is suspected an EKG and blood work may be necessary.
The most important part of caring for patients with shoulder pain is an accurate diagnosis. Dr. Magaziner uses his years of clinical experience, using a thorough examination and sophisticated diagnostic tools to arrive at his diagnosis.

 

Treatment

Most minor shoulder pain will respond to home care that initially starts with rest, OTC medication and ice. This is followed by moist heat and light exercise. For those condition not responding to home care, medical attention is necessary.

Medical treatment may include immobilization, pain medication, physical therapy and further instructions. Additional treatment with joint or muscle injections may be necessary for more severe conditions. Surgery is indicated is some cases with a clear pathology which will not heal with conservative treatment.

Dr. Magaziner’s philosophy is to start with the more conservative treatments (less invasive) first such as rest, medication, bracing, ergonomic changes, physical therapy, acupuncture, chiropractic and laser therapy. If the condition does not respond to conservative care some possible treatments include: joint injections, prolotherapy, PRP, and stem cell grafts. As a last resort surgery may be necessary.