Shoulder Injury Treatment Bangalore | Bone and Joint Consult
Overhand throwing in the case of athletes causes immense stress on the shoulder. There is a huge strain on the parts that keep the shoulder stable. Athletes experience high stress frequently that can lead to many injuries.
Shoulder injuries are commonly seen in athletes who participate in sports such as volleyball, tennis, and track events.
Shoulder is a ball-and-socket joint. It is made up of three bones:
1.Humerus or the upper bone
2.Shoulder blade or the scapula
3.Collarbone or the clavicle
The strong tendons and muscles keep the shoulder stable.
In addition to this, the ligaments, rotator cuff, muscles in the upper back play an important role in keeping the shoulder stable.
The most vulnerable structures in the shoulder are rotator cuff and labrum.
Common Throwing Injuries in the Shoulder
- SLAP Tears injury
In this injury, the top portion of the labrum is injured.
SLAP injury symptoms include a locking sensation, and pain during shoulder movements
- Bicep Tendinitis and Tendon Tears
Irritation and inflammation of upper biceps tendinitis is called bicep tendinitis. Common symptoms include pain and weakness in the front of the shoulder. A sudden sharp pain the upper arm indicates a torn biceps tendon.
- Rotator Cuff Tendinitis
Rotator cuff tendinitis is caused in throwers due to frequent injury and overwork. Symptoms of rotator cuff tendinitis include severe pain from the front of the shoulder to the side. The throwers may also experience the pain at rest too.
Rotator cuff injuries may lead to shoulder bursitis. This occurs when the bursa (a lubricating sac ) becomes inflamed and painful. The bursa is required to allow the tendons glide freely during motion.
- Internal Impingement
During internal impingement, rotator cuff tendons at the back of the shoulder can get sandwiched between the humeral head and the glenoid and results in partial tearing of the rotator cuff tendon.
Shoulder instability occurs when the head of the humerus slips out of the shoulder socket causing a dislocation. Chronic Shoulder instability is caused when the shoulder is loose and moves out of place repeatedly.
In athletes, shoulder instability develops slowly over the years from repetitive throwing.
Sometimes, the thrower may feel the arm go motionless.
Medical History and Physical Examination
The doctor will take the complete medical history of the patient that includes a discussion about your medical health, symptoms, and the frequency of shoulder usage. The doctor will then do a physical examination, that includes a thorough check of motion, strength, and stability of the injured shoulder.
The doctor then decides on the next steps to proceed with.
Some of the diagnostic tests that the doctor may suggest are as follows:
- X-rays. X-rays are an imaging test that will show any problems within the bones of your shoulder
- Magnetic resonance imaging (MRI). This imaging test shows clear images of soft tissues. It helps examine injuries to the labrum, ligaments, and tendons
- Computed tomography (CT) scan. This imaging test combines x-rays with computer technology and the doctor can see a very detailed view of the bones
- Ultrasound. This imaging test can diagnose rotator cuff tears and also the tendons, ligaments, and tissues.
Patients with these symptoms must get medical help before it gets complicated
Initially the doctors would prefer to treat the injury caused due to throwing in a non-surgical manner. Treatment options may include:
- Activity modification.
- Applying Ice.
- Anti-inflammatory medication
- Physical therapy. Doctors may recommend certain exercises to strengthen the muscles.
- Change of position. Excessive stress on the joints can be reduced by correcting body positioning during throwing.
- Cortisone injection— A dose of a cortisone injection can relieve pain. Cortisone is a very effective anti-inflammatory medicine.
Your doctor may recommend surgery based on your imaging tests and physical examination.
- Arthroscopy. Arthroscopic surgeries are used commonly to treat throwing injuries. During this procedure, the surgeon inserts a camera into the shoulder joint and uses the images to operate.
- Open surgery. If the injury is large or severe, the doctor would recommend open surgery.
Recently, seasoned athletes are putting in lots of effort to prevent shoulder injury. Adequate rest, proper body positioning, and techniques help prevent severe injuries and pain.
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