Have you had shoulder pain doing overhead movements or reaching in the back seat of the car , lifting shopping bags out of the car or simply just lying on the shoulder? Well, this is a signal for some swelling or inflammation happening within the joint. The pain can also be felt on prolonged sitting, pushing or pulling on something or lifting objects. There are various causes of shoulder pain. Some of the more common ones are as follows:
- Inflammation or swelling of the bursa called ‘Bursitis’. A bursa is a fluid filled sac that exists between the bone and the muscle tendon. Repetitive movements or a sudden injury like a fall can directly injure the bursa leading to swelling. This will then cause pinching of the tendon when you try to do an overhead movement and cause pain.
Swelling or inflammation of tendons around the shoulder joint, called ‘Tendonitis’. Tendon is the attachment of the muscle to the bone. Tendons are pretty strong, however a direct injury like a fall can cause it to rupture. Repetitive movements like heavy lifting can also damage the tendon leading to swelling and pain.
If the movement of the Shoulder joint is not restricted, the pain can also be radiating from the neck!
Damage to the cartilage or ligaments of the shoulder joint can occur in a traumatic injury like a car accident. The shoulder can dislocate out of it’s socket and over stretch the ligaments causing swelling and pain.
Pain particularly to the left shoulder can also occur due to a heart issue. Especially so if the pain does not change in intensity or if the movement of the shoulder joint is fine.
What are the symptoms in addition to Shoulder pain?
- Grating, clicking or catching with overhead movements of the arm.
- Shoulder pain referred to upper arm.
- There may be weakness with movement of the arm, away from the body and rotational movements like reaching in the back seat of your car.
- Shoulder Pain on lying on the affected side
Tenderness on touching the top of the Shoulder.
In some cases there may be wasting of the muscles around the shoulder
How to get rid of the pain?
First and foremost it is important to rest the shoulder ! Easier said than done if it’s the right shoulder and if your work involves heavy lifting! However, if you continue to lift with a shoulder injury , it will certainly get worse. It can take days, weeks or months depending on how your body deals with it. By resting I did not mean a complete bed rest but depending upon the severity of the injury, it is important to at least avoid the aggravating movements. The aggravating movements will be quite different for a person who has just undergone surgery to one who has a minor shoulder pain. This is where Physios come into the picture.
Our Physiotherapists can accurately diagnose the problem and let you know what movements to avoid. The Physio may advise ultrasound scans of the Shoulder for diagnosis, if necessary. We use hands on techniques to reduce pain and swelling around the joint. And prescribe strengthening exercises to combat muscle weakness. Taping may be used to support the movement of the muscle and support it while the arm is being used.
The Physiotherapist may use a combination of the following techniques:
- Joint mobilisations- to improve the circulation to the area
Massage- to reduce muscle spasm
Ultrasound- to reduce swelling
Taping- to support he muscle
Strengthening exercises once the inflammation subsides
Remember pain is not normal. The longer you leave an an injury, the longer or harder it will be to getrid of it. Prompt treatment is always advisable to get the best results.