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SHOULDER PAIN
The shoulder is really a combination of several joints, combined in such
a way by an intricate arrangement of muscles and tendons, that provides
the arm a wide range of motion, flexibility and stability.
The rotator cuff is a group of four shoulder muscles that surround the
top of the upper arm bone, the humerus, and holds it in the shoulder
joint. These muscles are responsible for moving the arm in various
directions, and unlike the massive deltoid muscle of the upper arm, are
smaller and generally more vulnerable to injury. The four muscles and
tendons of the rotator cuff are the supraspinatus, infraspinatus, teres
minor, and subscapularis. It is the supraspinatus that is most commonly
inflamed or torn.
The supraspinatus, and the rest of the shoulder, because they are built
and expected to allow a remarkable array of motion, frequently are
subjected to injuries, causing problems of instability or impingement of
soft tissue and in pain. The pain may be constant, or may occur only
when the shoulder is moved. In any case, any shoulder pain that persists
more than a few days should be diagnosed and treated as necessary.
Shoulder Inflammation
In the shoulder this is often an inflammation of the tendons as a result
of the wearing process that takes place over a period of time. It can
also occur from an unusual, awkward movement or fall.
Sometimes, excessive use or injury of the shoulder leads to inflammation
and swelling of a bursa, a condition known as bursitis. Bursas are fluid
filled sacs located around the body and joints. They lessen the friction
caused by movement of the shoulder. Bursitis often occurs in association
with rotator cuff tendinitis. Symptoms of shoulder bursitis include mild
to severe pain, limiting the use of the shoulder. In extreme cases the
joint stiffens into a condition known as "frozen shoulder," also
referred to by doctors as adhesive capsulitis.
Shoulder Impingement Syndrome
Shoulder impingement syndrome involves one or a combination of problems:
inflammation of the bursa located just over the rotator cuff,
inflammation of the rotator cuff tendons, (tendinitis), or calcium
deposits in tendons—called calcific
tendonitis, (caused by wear and tear
or injury.) The main problem is usually that the acromium or a bone spur
puts pressure on the supraspinatus tendon.
Chronic Shoulder Instability Syndrome
Chronic shoulder instability syndrome results from trauma caused by
subluxations, dislocations, from less detectable micro-trauma caused by
repetitive strain on the tissues, or from congenitally loose shoulder
joints. Recurrent pain or tenderness in the shoulder joint and weakness
in the arm are two of the more common symptoms, but severe examples
include patients whose shoulders pop in and out of joint. Frequent
shoulder dislocations stretch the brachial plexus, the nerves that run
from the neck down the arm. This process can cause permanent nerve
damage, pain, and loss of use of the arm.
What about Prolotherapy for
Shoulder Problems?
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A Multi-Disciplinary
Clinic For Professional and Amateur
Athletes
and Chronic Pain Sufferers
11645 Wilshire Blvd., Suite 120 Los Angeles, CA (310) 231-7000 |
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Patient's stories herein,
and the language used, is intended to inform and educate. HOWEVER, it
does not imply that you or anyone else will receive the same outcome.
Prolotherapy and other modalities mentioned are medical techniques that
may not be considered mainstream. As with any medical procedure, results
will vary among individuals, and there could be pain or substantial
risks involved. These concerns should be discussed with your health care
provider prior to any treatment so that you have proper informed consent
and understand that there are no guarantees to healing.
Neither
Dr. Darrow, nor any
associate of
DARROW WELLNESS INSTITUTE
offer medical advice on this website. This
information is offered for educational purposes only. Do not act or rely
upon our information without seeking independent professional medical
advice. The transmission of this information does not create a
physician-patient relationship between you and
Dr. Darrow
or any associate of
DARROW WELLNESS INSTITUTE. Neither Dr. Darrow, nor any associate
of
DARROW WELLNESS INSTITUTE
guarantees the accuracy, completeness, usefulness, or
adequacy of any resources, information, apparatus, product, or process
available at or from this transmission. The photos in this Web site
feature models for illustrative purposes and do not depict real
patients.
DARROW WELLNESS
INSTITUTE, INC IS HIPAA COMPLIANT. HIPPA IS SHORT FOR THE
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT. HIPAA PROTECTS
PATIENTS' PRIVACY & PERSONAL HEALTHCARE INFORMATION.
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