The Role of Arthroscopy in Shoulder Pain

The shoulder is a relatively flexible Ball and Socket joint made up of multiple tendons, ligaments, and muscles that all work together to keep the joints in good working order. Injuries, general wear and tear, and a variety of inflammatory conditions can all cause shoulder pain. Shoulder pain can be caused by a variety of factors and diseases. Rotator Cuff Tendinitis is the most common cause. Swollen tendons around the shoulder joint describe this disorder.

Frozen Shoulder Signs and Symptoms:

Shoulder pain, stiffness, and lack of range of motion are all symptoms of a frozen shoulder. These signs can make it difficult to sleep.

Frozen Shoulder Treatment:

• The majority of persons with frozen shoulder benefit from relatively easy pain relief and motion restoration treatments.
• Aspirin and Ibuprofen are non-steroidal anti-inflammatory drugs that relieve pain and swelling.
• injectable steroid (Cortisone is a powerful anti-inflammatory medicine that is injected directly into your shoulder joint).
• Physical therapy - Specific exercises will aid in the re-establishment of shoulder motion.

Is there a way to avoid getting a Frozen Shoulder?

• A frozen shoulder can be avoided by avoiding damage or re-injury to the shoulder.

Shoulder pain can also be caused by an injury to another part of your body, such as the neck or the biceps tendon. Referred pain is the term for this. When you move your shoulder, your referred pain usually doesn't grow any worse.

Shoulder pain can also be caused by:

• Arthritis: Is it caused by age or is it caused by anything else? Traumatic
• cartilage torn
• Rotator cuff tear
• Bursa sacs or tendons that are swollen
• A pinched nerve in the neck or shoulder is a painful condition.
• Tendonitis of the biceps
• Impingement syndrome is a condition in which a person's (tendons get caught between the acromion and humeral head)
• Shoulder dislocation
• Overuse or repetitive use injuries

Shoulder Difficulties Diagnosis: 

Mechanical problems with the shoulder are prevalent. The responses to a few simple questions can typically show such issues:

• Is your shoulder stiff: can you move your arm in all of its typical positions?
• Is your shoulder unstable: does it seem like it's about to explode or slip out of its socket?
• Is the shoulder weak: does it have the strength to perform the tasks that you want?
• Is the shoulder harsh, catching, and grinding as you use it?

Treatment is frequently conservative in primary care: 

Reduce or avoid overhead tasks; pay attention to any contributing causes; take pain medication, such as corticosteroid injections. If symptoms do not improve quickly or are severe at first, physiotherapy targeted at the underlying cause is recommended. Stretching and exercising the shoulder gently can also assist people in returning to their normal activities as early as possible after an injury.

Dr. Romit A. Agrawal, Consultant Arthroscopy, Joint Replacement & Shoulder Surgeon at Shalby Hospitals, Indore.