Shoulder pain: how many types and how to care
The shoulder is the most mobile joint of the human body and for this also the most complex. It can be involved by a wide spectrum of pathologies involving tendon, ligamentous, osteocartilaginous or vascular-nerve structures.
She is often subjected to stress and trauma, both when we play sports and in everyday life: she is involved in most of the movements that we perform with our arms, since the shoulder connects humerus, scapula and clavicle.
The shoulder is very sensitive to pain that varies greatly in intensity and manifests itself continuously, even at rest or only by moving the joint. It is common to “suffer” during sleep, and sometimes an anti-inflammatory is enough to get better, without the need to turn to the specialist. In many cases, however, the cause of shoulder pain is not always easily identifiable: sometimes an al-tooth granuloma can cause inflammation or a cervical disorder can affect the tendons or soft tissues of the joint causing discomfort.
Let’s see together what is the pain that can affect the shoulder
To understand what remedy to take to defeat pain, it is essential to turn to the specialist who with a few simple tests can identify the cause of the pathology:
the localized pain on the outside often affects the rotator cuff and can be caused by bursitis or tendonitis;pain in the back can affect the trapezius muscle; sometimes comes from a bursitis, or a muscle contraction;the pain in the front can result from tendonitis or from the syndrome of impingement and is often the result of problems in the joint with the biceps;the pain in the top usually involves muscles, cartilage or ligaments, and can be inflammatory in nature.
The first and main task of the specialist should be aimed at prevention.
Tendon and ligamentous pathologies often depend on repetitive over-head movements. Degenerative pathologies arise from progressive mechanical stress.
It is important to find the first signs and symptoms of an ailment and try to reduce excessive loads and movements, exceeding our physical possibilities. Research in Preventive Medicine has achieved numerous results in recent years. There are biological therapies able to delay the progression of some pathologies, especially those cartilaginous: from jaluronic acid to mesenchymal cells. When the injuries have reached a surgical “level”, the orthopedist will decide what the appropriate operating strategy is.
What are the new frontiers of surgery?
In recent years, Surgical Research has focused on improving procedures and developing new materials. Arthroscopy of the shoulder significantly improved surgical procedures and the postoperative course of the most common pathologies of this joint.
In the last period, an increasing number of surgeries at the level of the shoulder (tendonitis and ruptures of the tendons of the rotator cuff, instability or relapsing dislocations, calcifications) could benefit from the development and progress of arthroscopic techniques with a significant improvement in clinical results.
In the prosthetic field, after the knee and Hip, also for the shoulder we can use GPS navigation (guided personalized surgery). This aid allows us to implant a prosthesis through the acquisition of the subjective anatomical parameters of each patient thanks to sensors with GPS technology, which guide the surgeon in the procedure.
Through a preoperative CT examination with 3D reconstruction the surgeon is able to study the shoulder joint highlighting any bone deformities.
Thanks to the use of software during surgery, the operator can control each stage of the surgery to optimize the positioning of the prosthetic implant to be used.
The technology in the medical field has gone further: about a year ago the first shoulder prosthesis was implanted with the help of augmented reality. Such technology allows us to “see what the eyes can not see” to be more precise and faster. It’s not virtual surgery, but augmented surgery, and that’s really what’s changing our practices.
In the Sanisystem centers you can do the entire diagnostic, curative and rehabilitative path thanks to the instrumental examinations also in agreement with the National Health Service (X-rays, ultrasound, MRI of the joints), the specialist visits of our orthopedic professionals and the treatments of physiotherapists. In the headquarters of Via Montereale 53/A in Pordenone you can also perform personalized rehabilitation in the heated pool.