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Pain Treatment-Shoulder Pain

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Anatomy of the shoulder

Shoulder pain can restrict activities you love easily. Teaching your son or grandson how to play catch almost seems impossible with the daily grind of shoulder pain. A lot of people choose to have surgery on their shoulders spend thousands of dollars in the process. Sometimes it surgery doesn’t even work and they are back to square one. However, there are many things you can do to keep from injuring your shoulder, or if it’s an unavoidable accident there ways to keep that pain at a minimum level.

The humerus, glenoid, scapula, acromion, clavicle and surrounding soft tissues make up the shoulder. There are three significant articulations: the sternoclavicular joint, the acromioclavicular joint and the glenohumeral joint. The glenohumeral joint is the most commonly dislocated major joint in the body.

Ligaments and surrounding musculature, including the rotator cuff muscles, contribute to shoulder joint stability. The rotator cuff is composed of the four muscles: supraspinatus, infraspinatus, teres minor and subscapularis that interlock to function as one unit. These muscles help with internal and external rotation of the shoulder and importantly depress the humeral head against the glenoid as the arm is elevated. The tendons join together to form one tendon, the rotator cuff tendon. This passes through the subacromial space. The subacromial bursa, which has a large number of pain sensors, fills the space between the acromion and the rotator cuff tendon.

What causes shoulder pain?

Shoulder pain is a common symptom in primary care. It can be a result of injury or disease of the shoulder joint.

Common injuries of the shoulder can lead to inflammation of the bursae (bursitis) or tendons (tendonitis or tendinitis) and result in a torn rotator cuff with dysfunction, impingement, as well as instability and frozen shoulder. Labral tears can be from torn cartilage. Fracture of the bones of the shoulder (such as from biking falls) can cause intense shoulder pain.

Pain can also occur in the shoulder from diseases or conditions that involve the shoulder joint (including arthritis such as osteoarthritis or degenerative arthritis with bone spurs), the soft tissues and bones surrounding the shoulder, or the nerves that supply sensation to the shoulder area. Occasionally, shoulder pain can be a result of a heart attack. It is unusual for cancer to cause shoulder pain.

Why does my shoulder get injured?

The supraspinatus muscle rests on top of the shoulder. Its tendon travels under the bone on the outside of the shoulder (the acromion). This tendon is the one most often injured because of its position between the bones. As the tendon becomes inflamed (sore and swollen), it can become pinched between the 2 bones. The sac of fluid that cushions the tendon can also be damaged.

Common Causes

  • Overexertion
  • Muscle strains
  • Sports-related injuries
  • Repetitive motion
  • Poor sleeping positions and an old, worn-out mattress
  • Stress and muscle tension

 

How do I know my shoulder is injured?

If the rotator cuff is involved, the pain is usually in the front or outside of the shoulder. This pain is usually worse when you raise your arm or lift something above your head. The pain can be bad enough to keep you from doing even the simplest tasks. Pain at night is common, and it may be bad enough to wake you.

Common Symptoms

  • Tightness in shoulders
  • Soreness and difficulty moving your neck or turning your head
  • Headaches
  • Neck, shoulder and/or upper arm pain

 

What can I do to help relieve shoulder pain?

Treatment should help relieve the pain and help you restore your shoulder to normal function. Pain relief strategies include active rest (you can and should move your shoulder, but you shouldn't do strenuous activities like lifting heavy objects or playing tennis). Application of ice, taking nonsteroidal anti-inflammatory medicine such as ibuprofen or naproxen and, occasionally, an injection of anti-inflammatory steroids can also help. Special exercises may also help. The first step of rehabilitation therapy is simple range-of-motion exercises. By bending over and moving (rotating) your shoulder in large circles, you will help to avoid the serious complication of rotator cuff injury, called a frozen shoulder. These range-of-motion exercises are followed by resistance exercises using rubber tubing or light dumbbells. The final step is resistance training with weight machines or free weights.

What can I do to help relieve the pain with a TENS Unit?

TENS stands for transcutaneous electrical nerve stimulation. It provides relief by sending comforting, non-painful impulses through the skin to the nerve or nerves below. This electronic stimulation often reduces or eliminates the pain that an individual feels due to a nerve disorder or chronic health condition. EMS stands for electronic muscle stimulation. It provides relief by stimulating the muscles themselves. Muscle stimulation is used to treat swelling and inflammation that can put a strain on both the muscles themselves and their supporting joints.

FDA cleared Class II OTC (Over the Counter) HealthmateForever TENS & PMS devices combine modern digital programming technology, TENS & EMS technology, bioelectricity technology and human body simulation technology with ancient Chinese therapeutic methods, which are safe non-invasive, drug-free methods of pain management. The HealthmateForever units deliver gentle electric impulses to your muscles via the pads (which you place over different muscle groups). Your muscles will respond to the impulse by contracting and relaxing rhythmically as instructed by you through the unit. When a muscle contracts as a result of a unique signal, the chemical changes taking place within the muscles are similar to those associated with voluntary contraction as in “normal exercising”. These chemical reactions, which results from muscle contractions, utilizes glycogen, fat and other nutrients stored in the muscle. These resulting series of muscle contractions will enable an individual to build, tone, strengthen, combat flabbiness and improve contour.  

Shoulder Pain Electrode Placement

The HealthmateForever TENS device relieves pain by sending small electrical impulses through electrodes placed on the skin to underlying nerve fibers.

HealthmateForever’s new wireless pads and units provide no restrictions when it comes to reaching painful areas like the shoulder.

They provide all the same benefits that you’ve come to trust in HealthmateForever products. Set yourself free of pain and wires and see how HealthmateForever’s wireless devices can help you today!

 References:

https://patient.info/in/health/shoulder-pain-leaflet


https://www.jeffreybergmd.com/frozen-shoulder-what-is-it/


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