Shoulder Pain Diagnosis and Treatment
Since the shoulder joint is the most mobile joint in the body, it has a special structure. Along with the waist and knee, it is one of the joints that most commonly causes pain. Due to its special structure, there may be difficulty in diagnosis and treatment or patient dissatisfaction.
It is more common in overhead athletes (swimming, tennis, basketball, volleyball, javelin, etc.) and those with professions that require head-to-head work (painter, car mechanic, cameraman, etc.). As in other musculoskeletal structures, the correct diagnosis of shoulder pain is based on a detailed history and examination.
There are 5 causes of shoulder pain:
Labrum cartilage and bone damage,
Ligament damage and loose joint condition,
Stiff shoulder joint
Weakness and movement problem in the scapula muscles.
If the patient or athlete thinks that shoulder pain has started after a fall or impact, we may suspect cartilage and ligament damage. Tendon injuries may also have occurred here. These can be detected by examination, ultrasonography and MRI. The source of pain is the source of pain.
Most of the shoulder pains arise over time and from overuse of tissues and do not develop as a result of impact. In such shoulder pain, tendon problems, stiff joints or shoulder blade (scapula) movement problems are seen. These come together in a way that can be alone or together with time.
Tendon injuries are seen in the forms of edema (tendinitis),partial or complete tears, chronic tendinopathy and calcific tendinopathy (tendon calcification). Tendon pain can be detected by examination, ultrasonography and MRI.
Weakness in the stiff shoulder joint and scapula muscles and the problem in the way of movement can only be detected by examination. That is, they cannot be detected by ultrasonography and MRI.
After Definitive and Accurate Diagnosis, Treatment Options
Resting and applying ice in the first days,
Surgery if necessary (in cartilage, bone and ligament damage),cortisone injections, if needed
If necessary, PRP, prolotherapy, needle tenotomy,
Physical and exercise therapy if needed.