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- $Unique_ID{BRK00243}
- $Pretitle{}
- $Title{What Can Be Causing My Shoulder Pain?}
- $Subject{shoulder pain causes treatment Musculoskeletal Connective Tissue
- tissues joint joints Swelling burning tingling numbness inflammation injury
- Arthritis tension fibrositis calcification}
- $Volume{M-17}
- $Log{
- Anatomy of the Shoulder*0006501.scf
- Bones and Muscles of the Shoulder*0015001.scf
- Bones and Ligaments of the Shoulder*0015002.scf
- Bones of the Shoulder*0015801.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What Can Be Causing My Shoulder Pain?
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- QUESTION: The pain is always there, but dull. What can be causing my
- shoulder pain?
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-
- ANSWER: The shoulder joint is the most versatile joint in the body,
- possessing an enormous range of motion. It allows us to perform strenuous
- tasks such as lifting and throwing, as well as simple manual tasks like
- writing or sewing. Because of its anatomical complexity, however, a tradeoff
- is made. The shoulder's extraordinary range of motion, a great advantage for
- many activities, is counterbalanced by an instability that makes it subject to
- injury.
- To diagnose the cause of shoulder pain, a great many factors must be
- considered, including bones, muscles, tendons, ligaments, vessels, and nerves.
- Since countless causes can be involved, the first step in diagnosing the
- problem is to determine the exact location of the pain. The more acute the
- problem, the more likely the patient can pinpoint it. How the pain started is
- important to determine as well. Knowing if there was an injury or if the pain
- came on gradually is a key point in a diagnostic evaluation. If certain
- movements cause pain or are impossible to perform, they should be noted, as
- should any movements that relieve the pain. Swelling, burning, tingling, or
- numbness in the arm will influence the diagnosis as well. Knowing the type of
- activity a person engages in is also a key factor when diagnosing a shoulder
- ailment. For example, sedentary activities such as writing, typing, or sewing
- force shoulder muscles to contract, and prolonged engagement in such tasks can
- cause shoulder spasms. Exercising to stretch the muscles can prevent the
- problem and should be performed because if the joint is not allowed to move
- freely, it can "freeze" and cause the formation of fibrotic adhesions. On the
- other hand, strenuous activities such as swimming or overhead work causes
- certain tendons to stretch and compress. Such violent, repetitive action may
- traumatize the tendon and its sheath, producing pain. Other possible causes
- of shoulder pain can include chronic inflammation of a shoulder joint that may
- develop if a shoulder injury doesn't heal properly or if the joint is
- strenuously worked and abused. Even years after an injury, simple activities
- such as rolling on the shoulder during sleep may cause pain, tenderness, and
- spasms. Arthritis, tension, fibrositis, and bone calcification are still
- further possible causes of chronic shoulder pain. If you are suffering from
- undiagnosed shoulder pain, I suggest that you see a physician in hopes of
- determining the cause. Simple, five-minute examinations have been designed to
- quickly pinpoint possible causes, and it's certainly worth your while to
- investigate them. Relief can be readily achieved in many cases.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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