If a patient tears a muscle in his rotator cuff, I almost always trace the roots of that same injury back to an improper sleeping position that made his shoulder more vulnerable.
The following shoulder injuries are generally caused over time, by repeating the same motion such as lifting or reaching overhead, pitching or throwing, sleeping on the shoulder for several hours, or sleeping with your arm under your pillow. Bursitis means “inflammation of the bursa.” A bursa is a fluid filled sac that cushions the joint so that your tendons and muscles don’t scrape painfully over the joint every time you move. The shoulder bursae can get inflamed and fill up with too much fluid from overuse or direct trauma, like lifting a too heavy object.
Treatment starts with the usual: rest, ice, ibuprofen and of course, not sleeping on that shoulder.
Tendinitis (or tendonitis) means “inflammation of the tendons” and occurs in the tendons and muscles outside the shoulder joint. Prevent tendinitis by sleeping on your back, resting the shoulder, icing it and taking ibuprofen regularly. Posted in Proper Pillow and tagged bursitis, proper pillow, rotator cuff, shoulder injuries, shoulder injury, tendinitis, tendonitis.
The Biceps Brachii (commonly called the biceps) is a muscle located at the front of the upper arm and attaches your arm bone (humerus) to your shoulder. Biceps means 'two heads' in latin and the muscle earns its name because it joins at the shoulder in 2 places with 2 different 'heads', know as the proximal biceps tendons because they are closest to the top of the arm. Both heads of the biceps muscle are attached to the shoulder bones with their respective tendons. Biceps tendinitis, or bicipital tendinitis (also spelled tendonitis), is a painful condition that affects the fibres of the biceps brachii tendon. A crackling noise (crepitation) in the shoulder when the arm is moved as the tendon tries to move through the sheath.
Due to the biceps muscle's connection to the shoulder joint, other problems that may occur in conjunction with biceps tendonitis include injuries such as shoulder impingement, shoulder instability, tears in the glenoid labrum that can lead to frozen shoulder, arthritis, and rotator cuff tendon tears. Biceps tendinitis often occurs with other shoulder conditions or injuries, usually with damage to the biceps tendons. Work that requires repetitive overhead movements such as painting, hammering, and overhead lifting. Infection in the shoulder, sometimes following surgery, although this is a less common cause. The trick to healing your biceps tendinitis and getting your arm and shoulder back in the best possible condition you can is getting it to heal with strong healthy tissue - something Blood Flow Stimulation Therapy™ is great at!
There are healing tools that can help treat your biceps tendonitis and speed up the healing process so you can get back to a life without pain and risk of further injury. To decrease inflammation and relieve the pain of biceps tendinitis doctor's recommend cold compression therapy. The biceps naturally receives a limited blood supply and when you stop moving your shoulder because it hurts the blood flow is reduced even further, limiting your body's natural ability to heal itself. An Inferno Wrap® is the tool you need to treat your sore arm and shoulder because it speeds healing and relaxes the surrounding muscles. Pain between shoulder blades can produce that nagging type of pain that is difficult to reach.


If there has been a past injury to the area or from years of poor posture, a degenerative condition like arthritis can develop in the area between the shoulders causing upper back pain.
While there are many muscles that can cause pain between the shoulder blades, the major muscles often involved are the trapezius and the rhomboid. The use of lumbar support pillows, which help maintain the normal curve of the lower back when sitting, can help to correct rounded shoulder posture, especially when driving a car or working at a desk. When using armrests on a chair, having them too low can stress the trapezius muscle, too high can cause tension of the neck and shoulder muscles, so try to sit close to your desk with the armrests at desk level.
Often, with rounded shoulder posture, the chest muscles (pectorals) can become tight and the in the door stretch can help with tight pectoral muscles and overstretched trapezius and rhomboid muscles. For those who like to sleep on their side and have difficulty finding a comfortable position due to pain between shoulder blades, a pillow can be placed under the affected arm to prevent it from rotating forward and stretching the trapezius and rhomboid muscles. A facet joint problem involving the small joints in the back of the neck may cause pain between shoulder blades. The lower discs in the neck can become herniated, torn or degenerative changes can occur which place pressure on the nerves and this may also cause pain between shoulder blades.
Difficult cases involving pain between shoulder blades may require medications and perhaps an orthopedic consultation, however, some home treatments using moist heat, posture changes and traction units may help.
Since these various conditions may occur together, a more comprehensive approach may be required to treat pain between shoulder blades not responding to basic postural modification and conservative therapies. A 2015 study in the journal Medicine (Baltimore), found coblation technology or nucleoplasty can be an effective, minimally invasive and safe procedure for chronic cervical disc herniation that is producing upper back pain.
The diagnosis of impingement syndrome will begin with your doctor taking a history and performing a physical examination.  Pain to touch, and pain with motion and against resistance are some typical findings. A neck evaluation and neurologic exam of the upper extremity may also be performed.  This will be followed by X-rays, and if appropriate, you may be sent for magnetic resonance imaging (MRI) of the shoulder.
By correcting his sleeping position and discussing proper pillow support, I can insure that he will heal properly and prevent stress to his shoulder in the future. Symptoms are dull shoulder pain, or pinching pain when you raise your elbow away from your body. Be aware that if you shift to sleeping exclusively on your uninjured shoulder for the entire night, you could injure that as well!
It’s important that you allow your shoulder to fully recover, using your pain level as a gauge to see where you’re at. Of course, be sure you have the proper pillow, so you don’t place your arm under your head to get more support. It is the muscle that bumps up when you flex your arm and it functions to rotate your arm from pronation to supination (twist your palm upward), and to bend your elbow and shoulder. The biceps is a commonly injured area of the body due to the large range of motion and frequent use of the shoulder joint. Tendinitis occurs when the biceps tendon experiences small tears, is irritated, and becomes inflamed. The tendon and its sheath can become bound together, a condition known as adhesive tenosynovitis, which can severely restrict the range of motion within the arm and shoulder.
This wear and tear is often due to overuse of the shoulder during many overhead activities that we perform in our daily lives, hobbies, and sports.


A fall on an outstretched hand or a direct blow to the shoulder can cause acute tendonitis (tendinitis that comes on quickly) if the biceps tendon is damaged. Avoid activities that cause pain or may have caused the inflammation and begin cold compression treatments as soon as possible. BFST® increases the amount of blood that flows naturally to your arm and shoulder to nourish your soft tissue to speed healing. When you stop moving your arm and shoulder due to pain, your muscles and other tissue can become weaker and dead cells and toxins in the area can cause further tissue deterioration - this can lead to atrophy. Most often it is related to muscle problems, however, a herniated disc or pinched nerve in the neck can cause pain in this area, along with neck joint irritation.
The trapezius is a large muscle, while the rhomboid is a smaller muscle that runs between the spine and the shoulder blades.
The back of the chair should not be pushed forward and should have a slight backward angle. There are body pillows that can help keep the back from twisting the lower part of the trapezius and can also fit under the arm at the same time. This could wear down the cartilage of your joint and lock your shoulder muscles into place, causing sharp pain when you try to straighten your arm in the morning.
A muscle tear will most likely occur when you suddenly demand a movement (while playing sports, etc.) that the muscle is too weakened to deliver. Sometimes treatment will be more aggressive, depending on your pain level, like using a needle to extract some of the excess fluid in the bursa, or getting cortisone shots at the joint.
However, if you heal your tendinitis properly and treat scar tissue build up, your chance of re-injury or chronic shoulder conditions later on is much lower than average.
Cold compression therapy will relieve pain and swelling of both chronic and acute tendinitis and will reduce, or even eliminate, the need for NSAIDs. When tendonitis develops over a long period of time from overuse, it is referred to as chronic tendinitis. Keeping your forearm tissue as healthy as possible throughout the healing process will allow you to improve arm strength again once your pain has gone and your tendinitis has healed. Pain between the shoulders can also be referred by the heart, stomach and gallbladder or, if you have osteoporosis, a possible compression fracture. Place the ball or release tool on the floor and lay on your back with the ball or tool between the shoulder blades. A neck pillow designed for side sleeping can add the final touch to a comfortable night’s sleep that reduces pain between shoulder blades. You can control the pressure and when you find a tender area, hold it until the pain gradually fades – about 20 to 30 seconds, although it may take a minute.



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