What hurts me?
What are the causes?
Shoulder joint instability
- pain when performing activities in characteristic positions
- the impression of joint instability
- fear of making certain moves
- joint popping, clicking
- recurrent dislocations
There are 4 phases of the typical case of the disease:
- phase of increasing pain,
- phase of gradual limitation of mobility and intensifying of pain,
- phase of gradual relief of pain,
- phase of mobility return.
If you see these symptoms, they can indicate a scapular-humeral joint inflammation, which leads to the contraction or formation of adhesions within the joint capsule. A “freezing” resulta in a very severe limitation of mobility.
Rotator cuff syndrome
In the case of the shoulder, the following tendons of the rotator cuff are involved: supraspinatus, subhear, subscapular and teres minor. The latter is very rarely clinically significant (does not cause any symptoms). Tendinopathies can generally be divided into tendinitis, which is most often caused by injury, and tendinosis, a kind of tendon degeneration.
It means a damage to the upper part of the labrum of the brachial joint and the tendon attached to the head of the long biceps muscle of the arm. Patients often complain about the so-called dead arm syndrome (stabbing pain combined with loss of limb control during maximum external rotation combined with abduction).
Degenerative changes of the acromioclavicular joint
Damage to the cartilage tissue may not cause pain symptoms due to low vascularity and innervation of this tissue. In such a case we deal with an inactive degenerative disease. If pain occurs, it comes most often from soft tissues near the joint. The first symptom that the patient notices is usually the limitation of the range of movement or general limb weakness. In the case of active degenerative disease, the pain may become diffuse, non-specific and difficult to be described by the patient. It can also appear at night during a sleep. Periodically, there may be exudates in the joint cavity. In the later stage, a muscle wasting can be observed.
The Snapping Scapula Syndrome (SSS)
The Snapping Scapula Syndrome (SSS) is a condition that manifests itself as scratching, popping or leaping in the blade area which is accompanied by pain. Due to the radiation of pain symptoms it is often confused with the pathology of the shoulder or cervical spine.
The most common symptoms of shoulder joint disease are:
- pain, often also at rest
- significant limitation of mobility
- pain radiating to the cervical spine and upper limbs
What to do ?
Any type of discomfort associated with the shoulder joint and its area requires a consultation.
All sudden injuries associated with, for example, falls, where skin continuity is interrupted, bone structures fractured or displaced – require a medical consultation. Any other discomfort can be diagnosed by an osteopath or an experienced physiotherapist.
How do we treat?
A problem of shoulder joint discomfort is very complex.
A diagnosis process consists of neurological examination (reflexes, dermatoses, tests of individual nerves), orthopedic examination (joints, muscle strength, range of motion), as well as the look at cervical spine, upper chest opening, nerve connections with the visceral part, problems with a blood circulation.
If during the examination process it occurs that additional tests are necessary for a diagnosis to be made, an osteopath / physiotherapist will suggest its type: X-ray, ultrasound, computed tomography, resonance.