Shoulder anatomy. About radiant pain in the shoulder, shoulder pain and frozen shoulder
Yes, in most cases can shoulder pain be removed by surgery. The shoulder joint is the body's most mobile joints and stabilized by four muscles (called the rotator cuff), which encloses the head of the joint. Shoulder pain is often caused by wear of these muscles or squeezing of muscle energy during the hard shoulder cap, others have damage to the muscle tendons and some are struggling with a frozen shoulder. The traditional treatment is painkillers, physiotherapy and perhaps blockade of the shoulder joint. If you are not healthy after traditional surgical treatment should be considered. In a telescope operation seeks to provide more space for the muscles, which is achieved by removing a portion of knogleudvæksten. Simultaneously remove the inflamed bursa. As noted several possible causes for shoulder pain, for example.
Impingement muscle energy
Impingement is the most common cause of shoulder pain. These are some small muscle energy and a bursa, which squeezed under the hard shoulder cap. The reason is that on the underside of the shoulder cap may be a knogleudvækst, which then press the muscle tendons. Typically these are insidious pain for some time, but can also be triggered by a blow or fall. There may be pain at rest, and usually there is always pain or fatigue when working with the arm overhead. Suffering can only be done by many with physiotherapy or blockades with corticosteroids. If you have not been recovered after these treatments, it may be a good idea with a keyhole surgery where knogleudvæksten removed.
Frozen shoulder (Adhesive capsulitis of shoulder)
Frozen shoulder is a disorder that can come on suddenly, and where the shoulder is very painful. It is typical that the shoulder after a short time with pain begins to be rigid, while the arm can not be turned outwards. Everyday chores like to dress on and off, and washing hair can often be troubled. The condition disappears by itself, but can range from months to years. Most often the pain disappears within a few months and the shoulder may eventually moved again. Usually advised facilitate analgesic (paracetamol) or arthritis pills (NSAIDs) when needed. For lack of efficacy inject cortisone into the shoulder joint and the bursa if it is inflamed. For some it continues to hurt, and the shoulder continues to be rigid. In those cases it has been found that there should be operated. However, chiropractic treatment or physical therapy often relieve and shorten the process, since the secondary tension is removed and you are guided in rehabilitation. Furthermore, the use of shock wave therapy should be considered in addition to physiological treatment of frozen shoulder >>
Broken promise energy
Broken promise energy (Rotator Cuff Injury) is an injury to the small muscle energy during the hard shoulder cap. It is the muscles, which helps to control the lifting arm and shoulder movements. Injury can occur after a fall or a sudden movement in the shoulder. The muscle may be torn completely or partially. Some people have no discomfort now, but many feel sorry and have a hard example to lift the arm to the side or turning it outward. Today, the operation can almost always performed with keyhole technique, but in rare cases it may be necessary to open up.
Shoulder anatomy - muscles, tendons and joints
The shoulder joint a very open ball between the shoulder blade bone and arm bone. The shoulder joint can move in all directions and has about 16,000 different positions. It is surrounded by many muscles, tendons, ligaments and stabilizing a joint capsule. - Anatomy: The shoulder joint consists of the head of the joint on the upper arm (humeral head) and the joint surface of the scapula (cavities labrum). All around the edge of the joint surface of the scapula is a meniscus (labrum glenoidale). The joint is surrounded by a joint capsule, which is reinforced by a number of ligaments. Around the joint capsule lies shoulder muscles as further reinforcement of the joint. - Figure: Right shoulder viewed from the front. 1: Shoulder Bone - 2: The upper arm bone.
Who should keyhole surgery?
All who have significant symptoms from the shoulder in the form of pain, discomfort or looseness, and where the surgeon believes that the genes can be significantly reduced by surgery. The assessment is done by an out-patient feasibility study, where the surgeon assesses the shoulder, what is wrong and hence the treatment options available.
How is keyhole surgery of the shoulder?
At surgery sit partially upright. Operation is performed under general anesthesia, and by default placed a telescope into the shoulder joint from behind, and a vehicle entering from the front or side. Typically made three to four small holes in the shoulder, through telescope and instruments used. The shoulder joint inspected. Irritation Hovering removed and the joint capsule is released. Most people will experience significant improvement or pain-free after surgery. Should be noted however, that one year after surgery, approximately 10% still having problems with pain or stiffness in the shoulder joint. After surgery to relieve shoulder for shorter or longer. Then start swinging exercises in the shoulder and under the physical therapist guidance enhanced the movement gradually. Subsequent trained strength. It takes about three months before the shoulder is loaded normally.
When can Job and Sports resume?
It is very different from person to person, but after a keyhole operation, avoid overloading the shoulder. Some people have it pretty good already after 14 days, but the most common being that it takes 4-12 weeks. However, determining the nature and physical character when you can start again. Some may begin work after a few days and the others must wait for months. Regarding sports, it is generally such that the shoulder should be painless, and you must have completed rehabilitation before you can start playing sports again. Races can often start after a few weeks, just strength training of the legs can quickly get started. When other hand may cycle is again very different.