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Pain in the Shoulder – Help and Information

Pain in the Shoulder – all Details about the Pain in the Shoulder, Shoulder, Impingement, Rotator Cuff, Bursitis etc. on this Internet Page


The shoulder is the most flexible joint of the body as it is guided and stabilized exclusively by muscles and tendons. The substantial flexibility of the shoulder is moreover due to the fairly large head of the humerus. It is guided in a proportionately extremely small joint capsule and stabilized by the so-called rotator cuff. (Continue reading >> Rotator Cuff)

Pain in the Shoulder

Shoulder pains are mostly pains in the soft tissues. The concerned soft tissues comprise the bursa, the Supraspinatus-tendon and often also the biceps. At a younger age shoulder pains are caused by overstressing with shoulder e.g. during sportive exercises or other intense overhead activities. After the shoulder has been given a rest, these pains will disappear within short. With increasing age, pain in the shoulder – appearing sporadically and without good reason – is most of the time due to an impingement syndrome. Unless these shoulder pains are treated, they will mostly become chronic. (Continue reading >> Impingement Syndrome)

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Muscular Imbalance of the Shoulder

Pains in the shoulder are mostly due to a muscular imbalance of the shoulder and an impingement syndrome resulting from it. This muscular imbalance leads to a joint deformity in consequence of which the head of the humerus is pulled out of the capsule and pressed against the acromion and frequently also against the biceps. Thus the concerned person will not only suffer from pains on the shoulder which mostly considerably radiate to the upper arm, but additionally from shoulder pains due to the incarcerated biceps. These pains will appear on the front side in the area between the chest and the upper arm.
(Continue reading >> Muscular Imbalance of the Shoulder)

animation shoulder impingement pain in the shoulder

Pains in the shoulder are primarily caused by the impingement syndrome, i.e. the stenosis of the joint cavity in the acromion. Like a bolt from the blue a rather severe sharp pain appears in the shoulder – sometimes during usual activities at home, in the garden or while reaching out the hand to the door knob or to the steering wheel of the car. It is often impossible to do any sport.


(Continue reading >> Impingement Syndrome)
 

 

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In case of numerous human beings the distance of the humerus to the bony acromion becomes so small in the course of time that the bursa – the shock absorber in the acromion – is permanently and intensely squeezed. Consequently the bursa will inflame someday (bursitis), which will become chronic within short. At that time the impingement – which often remains undiscovered for a long time – starts being noticed in form of a severe pain in the shoulder! The shoulder pains can be treated for a while, but nevertheless the stenosis continues worsening. In the end the bursa of the shoulder will no longer be able to keep the high pressure away from the tendon in the acromion (Supraspinatus-tendon) In those cases the bursa is often surgically removed – a shoulder-operation which mostly is entirely superfluous, if instead of the operation the cause of all problems can be eliminated. Chronic pains in the shoulder frequently appear in the front area of the shoulder due to the incarcerated biceps. As consequence of this incarceration either holes can be rubbed into the tendons or the tendons start fraying, which is called partial rupture. If these tendons are damaged too massively, minor loads or insignificant movements may lead to their entire rupture.  This is called „Supraspinatus tendon rupture“ or „biceps rupture“ and will show up in form of sudden, very severe pains in the shoulder. In most cases it is very difficult to sew the tendons on the head of the humerus as no space has remained left where the tendons are usually running! To get room, a few millimetres of the bony acromion are often milled off. In order to avoid such a tendon rupture, this action of milling off is sometimes also taken as preventive measure in an earlier phase.  In case of all above mentioned serious damages of the shoulder, warning signals show up in advance during a long time. If attention was paid to these signals, most of the shoulder diseases which are due to the impingement could be prevented.

WHICH ARE THE "FIRST WARNING SIGNS"?

First indications of shoulder pain can be important warning signs which should not be ignored! This shoulder pain, which first is similar to a pinprick and later to a stab with a knife, can radiate to the area of the upper arm. It can be caused by simple activities such as lifting the arm forward, reaching out the hand to the steering wheel or to the desk, moving the computer mouse, combing or blow-drying your hair or tucking the shirt into the trousers. These fairly harmless pain signals can show up , if the concerned person already suffers from a stenosis in the acromion so that tendons/nerves are exposed to additional pressure by certain movements of the arm (mostly lateral upward or forward movement). Unless you ignore these warning signals and immediately start remedying the cause, numerous most severe late damages of the shoulder could be prevented.

WHAT CAN YOU DO TO PREVENT WORSE CONSEQUENCES?

In order to prevent chronic pains in the shoulder, you should see the doctor at an early stage and try to get as many prescriptions as possible for therapeutic exercises which aim at strengthening the external rotators.  

Experienced therapists know effective exercises to strengthen the external rotators Infra Spinatus and Teres minor and to consequently widen the acromial space. Maybe you are lucky and your therapist disposes of the AktiFlex® ShoulderTrainer. Using it, your training will be particularly efficient. Ask for it before you make a date with the therapist.

An effective widening of the acromial space which also ensures an enduring elimination of the shoulder pain, however, requires a long-term training therapy. In order to sustainably and noticeably prevent an impingement syndrome of the shoulder, a suitable training therapy comprising the actual conventional methods of the physiotherapy would have to be applied twice a week during at least six months.

Apart from the time and organisation needed to meet these dates, no health insurance company will pay the costs for such long-lasting therapy. Consequently the concerned patient would have to bear a considerable contribution of several hundred euros. Moreover the training would need to be refreshed every few years to prevent a recurrence of the disease.

The AktiFlex® ShoulderTrainer is a quite favourable alternative. Concerned persons have the possibility to do shoulder exercises of their own at home in order to heal the shoulder and keep it healthy.

Using the AktiFlex® ShoulderTrainer you can do simple and smooth shoulder exercises at home within a very short time. The shoulder region can thus be strengthened so that the joint cavity will be widened effectively. A further sporadically executed conservation training may prevent falling ill with an impingement syndrome once more.

The AktiFlex® ShoulderTrainer is a purchase for life – a shoulder therapy for all family members which is always available, if required.

Another hint: A patient with the impingement syndrome of the shoulder frequently suffers simultaneously from a bursitis which should be urgently treated as well. In this case cooling is the method of choice and can essentially support the recovery. This can either be done by putting small cold packs on the appropriate shoulder or by using the very practical AktiFlex® Coolshirt. You can buy it - as well as the “AktiFlex ShoulderTrainer” – in our Shop.

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Date: 07.10.13