Humeral Diseases

HUMERAL DISEASES (TENDINITIS, BURSITIS, PERIARTHRITIS, FROZEN SHOULDER, IMPINGEMENT)

Shoulder joint which allows us to use our arms is the most complex joint enabling us to move in 6 directions. Consisting of muscles, bones, nerves, veins, number of bonds and other supporting tissues, shoulder joint may cause pain for different conditions affecting these components. If the disorder is not treated in a timely manner, lifelong movement restrictions and weakness and increasing pain may be observed.

Shoulder diseases can result both from the shoulder area and from heart, lung, liver or cervical disk hernia.
 

Shoulder complaints can be observed in various types 

  • Trauma (falling from height during window wiping or reaching to a high bookshelf, using computer or driving at an incorrect position for a long time, lifting heavy items),
  • Falling down,
  • Due to the effect of immobility following shoulder fractures and dislocations,
  • Increasing pains on shoulder and arm with a slow start,
  • During or after doing exercises.
 

Common causes of shoulder pain

  • Muscle tears and injuries,
  • Bursitis and tendinitis (fluid filled vesicles, tendon inflammation),
  • Fractures and dislocations,
  • Nerve compressions,
  • Arthritis,
  • Rheumatic diseases (particularly polymyalgia rheumatic),
  • Frozen shoulder (movement restriction on the joint),
  • Lung tumours and pneumonia,
  • Liver and gall bladder diseases,
  • Cervical disk hernias
 

When should you see a doctor in case of shoulder pain?

  • If shoulder pain starts after shoulder joint traumas,
  • If a deformation is observed on the shoulder,
  • If you feel increasing pain on your shoulder,
  • If you have a shoulder pain which lasts even in case of resting and/or wakes you up at night,
  • If any slight pain on the shoulder does not get well despite of 3 days resting and use of a painkiller,
  • If you have difficulty in raising your arm,
  • If you have difficulty in raising any object which you can raise by using your arm under normal conditions,
  • If there is redness and temperature increase on your shoulder joint.
 

FROZEN SHOULDER DISEASE

If you have difficulties in raising your arm, cannot comb your hair or overlie on your arm, we can say that you are a possibly suffering from the frozen shoulder disease.

Frozen shoulder is a condition characterized by pain and movement restriction on the shoulder due to insufficient mobility of the shoulder joint for various reasons. It recovers in time only when a proper treatment is applied. The individuals suffering from this disease have difficulties in spreading their arms laterally, taking their arms to their back, combing their hair or taking an object from high.

Movement restriction may be necessary for some time in case of muscle injuries and tears resulting from exercising as well as fractures and dislocations, frozen shoulder disease may appear after the immobility period. Restriction of movement on the arm for some weeks may lead to frozen shoulder disease.

Frozen shoulder pains may be observed for a long period of time if an individual strains his/her shoulder. Frozen shoulder disease is frequently observed in individuals with a cardiovascular disease, chronic lung disease, tuberculosis, lung tumours, diabetes, high cholesterol and thyroid gland disease. The patient avoids of moving his/her arm due to the initial pain. Movement of joint subsequently becomes more restricted due to the contraction of muscles and bonds.

Unfortunately patients do not pay attention to shoulder pains at the initial stage unless the pain is severe and they use their shoulders actively in daily life. This, in turn, leads to late commencement of the treatment. The patients who are not properly treated have to put up with lifelong restriction of shoulder movements.
 

Symptoms of the Frozen Shoulder Disease:

  • Increasing shoulder pain with the movements of arm,
  • Increasing shoulder pain with overlying,
  • Inability to raise or rotate the arm higher than a certain level.
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Shoulder joint consists of various components. You can raise, rotate and shake your arm thanks to these components. However, if you are suffering from the frozen shoulder disease, deformation occurs on certain parts of the joint and you feel pain and seizure when you want to move your arm.

An examination and pain assessment are performed for diagnosing the frozen shoulder disease. After this process, shoulder radiography, MRI or tomography may be requested.  If another underlying disease exists, relevant examinations may also be required.

Protecting shoulder joint from immobility is the most important precautionary action. The frozen shoulder disease can be treated if physiotherapy and rehabilitation methods are successfully applied.

Such electrotherapy devices as hyle therapy and ultrasound, exercises specifically intended for the frozen shoulder disease and manipulative methods form the basis of the treatment. Accurate arrangement of exercises is major step of recovery.  The factors leading to the disease should also be taken into consideration. Intra-articular cortisone injections on the shoulder must not be randomly performed. They are preferred only for reducing the pain because they can prevent tissue recovery.

Surgical methods are applied for the patients with advanced stenosis and contraction on their shoulder joint capsules.

It is possible to recover from lifelong shoulder pain and inability to use one’s arm completely after patient evaluation and the designation of a root cause oriented treatment.