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08.04.2014

Shoulder pain that radiates down arm, best ab machines - .

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What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm — from scratching your back to throwing the perfect pitch.
This article explains some of the common causes of shoulder pain, as well as some general treatment options. The biceps muscle (in front of your upper arm) helps you bend your elbow and rotate your forearm. On top of the shoulder: May be caused by acromio-clavicular (AC joint) problems (AC Joint Degeneration and AC Joint Dislocation).
In the neck and upper part of the shoulder: May be caused by referred problem from the neck. In the neck, shoulder and radiating down the arm into the hand: Consider neurological problems like disc problems in the neck or Thoracic Outlet Syndrome. Other conditions may cause intermittent pain depending on position of the arm and the activity. If the pain is constant and running from the neck down to the shoulder and hand it is most likely from a nerve problem in the neck or thoracic outlet.
If the pain is more mechanical (occurring with movements only) it would suggest a damaged structure in the shoulder.
Bursae are small, fluid-filled sacs that are located in joints throughout the body, including the shoulder. Sometimes, excessive use of the shoulder leads to inflammation and swelling of the bursa between the rotator cuff and part of the shoulder blade known as the acromion.
The most commonly affected tendons in the shoulder are the four rotator cuff tendons and one of the biceps tendons.
Shoulder impingement occurs when the top of the shoulder blade (acromion) puts pressure on the underlying soft tissues (bursa and rotator cuff) when the arm is lifted away from the body.
Shoulder instability occurs when the head of the humerus is forced out of the shoulder socket (glenoid). Once the ligaments, tendons, and muscles around the shoulder become loose or torn, dislocations can occur repeatedly. Shoulder fractures commonly involve the clavicle (collarbone), humerus (upper arm bone), and scapula (shoulder blade).


In the case of an acute injury causing intense pain, seek medical care as soon as possible. Your doctor will conduct a thorough evaluation in order to determine the cause of your shoulder pain and provide you with treatment options. Your doctor may order specific tests to help identify the cause of your pain and any other problems. X-rays: These pictures will show any injuries to the bones that make up your shoulder joint.
Computed tomography (CT) scan: This tool combines x-rays with computer technology to produce a very detailed view of the bones in the shoulder area. Activity Changes: Treatment generally involves rest, altering your activities, and physical therapy to help you improve shoulder strength and flexibility.
It may lead to increasing problems with instability or impingement of the soft tissue or bony structures in your shoulder, resulting in pain. Usually shoulder instability does not affect sleep but most other conditions do when a person lies down at night. Most tendinitis is a result of a wearing down of the tendon that occurs slowly over time, much like the wearing process on the sole of a shoe that eventually splits from overuse. The rotator cuff is made up of four small muscles and their tendons that cover the head of your humerus and keep it in the shoulder socket. Recurring dislocations, which may be partial or complete, cause pain and unsteadiness when you raise your arm or move it away from your body. This sometimes leads to a tightening or stiffening of the soft tissue parts of the joint, resulting in a painful restriction of motion.
If the pain is less severe, it may be safe to rest a few days to see if time will resolve the problem. Your doctor may ask how and when the pain started, whether it has occurred before and how it was treated, and other questions to help determine both your general health and the possible causes of your shoulder problem.
It may help your doctor identify injuries to the ligaments and tendons surrounding your shoulder joint. Arthroscopy may show soft tissue injuries that are not apparent from the physical examination, x-rays, and other tests.


Common sense solutions such as avoiding overexertion or overdoing activities in which you normally do not participate can help to prevent shoulder pain. Certain types of shoulder problems, such as recurring dislocations and some rotator cuff tears, may not benefit from exercise. The reason is that any inflammation is worse when the position of the structure is lower due to the pressure effect of gravity – in the upright position the shoulder is elevated. On the other hand certain conditions cause constant pain unrelated to movement – these would be pain from nerve conditions like referred from the neck or Thoracic Outlet Syndrome. Shoulder dislocations can be partial, with the ball of the humerus coming just partially out of the socket (called a subluxation). The most common type of arthritis in the shoulder is osteoarthritis, also known as "wear and tear" arthritis. In younger patients, shoulder fractures are often caused by a high energy injury, such as a motor vehicle accident or contact sports injury.
Because most shoulder conditions are aggravated by specific activities, and relieved by specific activities, a medical history can be a valuable tool in finding the source of your pain. In addition to helping find the cause of pain, arthroscopy may be used to correct the problem.
Your doctor may also recommend injections of local anaesthetics or steroids to relieve pain.
Surgery can involve arthroscopy to remove scar tissue or repair torn tissues, or traditional, open procedures for larger reconstructions or shoulder replacement. There is a lubricating sac called a bursa between the rotator cuff and the bone on top of your shoulder (acromion). This bursa allows the rotator cuff tendons to move freely when you move your arm in all directions.




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