Category Archives: shoulder injury

Broken Shoulder Treatment

In my last post What is a Broken Shoulder I explained all about the causes of broken shoulder and just how common it is to break your shoulder.

In this article I’m going to outline the various treatment options available.

Firstly the good news, most broken shoulders or proximal humerus fractures can be treated without surgery.

If the shoulder break is clean, meaning that there are no bone fragments displaced, the arm will be treated by being placed in a sling.

Eighty-five percent of shoulders which are broken, are nondisplaced, and do not require surgery.

The shoulder cannot be placed in a cast for healing, therefore a sling is worn, giving the shoulder time to heal, and preventing further damage.

Shoulder surgery

When the shoulder is broken due to traumatic injury such as a vehicle accident, or forceful fall, treatment may involve surgery.

If bone fragments are shattered, and shifted out of position, surgery is necessary. The fractured bone may be repositioned and fixated with screws, pins, or plates.

If the fragments are too small, or cannot be correctly positioned, shoulder replacement surgery may be necessary.

Factors that determine Broken Shoulder Treatment

Broken shoulder treatment depends on several factors.

Treatments can include wearing a shoulder sling, surgery to replace bone fragments, or shoulder replacement surgery.

Some important factors in determining the proper treatment are:

  • Age of the patient

  • Patient’s general health-is there pre-existing bone disease?

  • How much time has passed between the shoulder injury and diagnosis or treatment?

  • Bone density – is osteoporosis present?

  • Fracture placement-where is the break located in proximity to the shoulder?

  • Condition and placement of fracture fragments-are the fragments scattered or can they be fixated into place?

  • Extent of nerve and/or soft tissue damage surrounding the break

After any broken shoulder treatment, physical therapy is recommended. Supervised physical therapy exercises can help to preserve range of motion.

Normal recovery can be expected for most patients. Only a small percentage of shoulder fractures result in permanent nerve damage.

A period of immobilization will be necessary for approximately 4-6 weeks.

After the first few weeks of healing, more intensive exercises will decrease arm stiffness, and improve the shoulder’s range of motion.

A Broken shoulder is a great inconvenience, but can be managed with proper diagnosis and treatment.

I have produced a complete shoulder relief program that could help you relieve shoulder pain and rehabilitate your shoulder.

Always check with your doctor before doing any exercise and stop the exercise immediately if it causes pain.

—>CLICK HERE to order My complete Shoulder Program to rehabilitate your shoulder pain<—

Kind Regards,
Tim Allardyce DO MCSP SRP

Related Articles:

What is a Broken Shoulder

Should I Have Shoulder Surgery

 

What is a Broken Shoulder?

Broken shoulders actually account for 1 in 20 broken bones.

This is perhaps surprising because must of us are probably more used to seeing people with broken arms and legs.

What exactly is a broken shoulder?

broken shoulder

broken shoulder

A Broken shoulder in medical terms, is a proximal humerus fracture. In other words a break at the top of the upper arm.

Proximal indicates nearest to, humerus is the upper arm, and fracture meaning a break.

A proximal humerus fracture usually occurs after a hard fall. The fracture or break is at the top of the arm bone, but the shoulder is not usually displaced. A broken shoulder, shoulder fracture, or proximal humerus fracture is also more prevalent in the elderly, and those with osteoporosis.

Diagnosis of a Broken Shoulder

A broken shoulder occurs when the ball of the shoulder joint is broken. The break is at the top of the humerus that forms the shoulder joint. The break does not usually involve the shoulder being pulled completely out of place.

The proximal humerus, or upper part of the shoulder, is where the important rotator cuff muscles are located. Injury to the proximal humerus affects the function of the rotator cuff muscles, which gives the shoulder stability and movement.

What causes a broken shoulder?

When bones become too porous because of aging, or disease, they are prone to breaks. Osteoporotic bone is the major cause of a broken shoulder. The bone becomes less dense, and fragile to exterior pressures applied. This is why the elderly are at greater risk for breaking their shoulder during a fall. Broken shoulders account for approximately five percent of all fractures. The number is rising however, due to people living longer lives.

When the shoulder is broken, the axillary nerve is the most commonly injured nerve. The axillary nerve carries sensory information from the shoulder to the brain. If the shoulder is broken, the patient will lose skin sensation over the lateral, or outer deltoid muscle. The deltoid muscle is just beneath the skin, giving the shoulder a rounded appearance, and is used to raise the arm. The deltoid muscle will also lose its ability to contract, or move if there is a fracture.

Broken Shoulder Symptoms

Some other specific symptoms of a broken shoulder are severe swelling, very limited movement, and severe pain.

The symptoms are very similar to a dislocated shoulder. If the shoulder is dislocated however, you may see an irregular shape to the arm, or it looks deformed.

It is possible for the shoulder to be dislocated and broken at the same time, therefore an x-ray or computed tomography (CT) scan may be ordered to diagnose the shoulder properly.

Get my  free Shoulder Pain Special Report with important advice about shoulder pain. Enter your name and email address to receive this valuable report.

Kind Regards,
Tim Allardyce DO MCSP SRP

Related Articles

Broken Shoulder Treatment

Should I Have Shoulder Surgery

 

Understanding Your Shoulder Pain

Shoulder pain can be caused by any of the muscles, tendons, and ligaments that make up the complex structure of the shoulder.

Understanding your shoulder pain

Understanding your shoulder pain

To understand your shoulder pain it is helpful to know the basic structure of the shoulder, and what part of the shoulder is causing the pain and why.

Shoulder Components Overview

There are a few bones and joints in the shoulder complex, which might prove useful to know about, before and after you are stricken with shoulder pain.

There is much more entailed in the construction and operation of the shoulder, but if the basics are known, the pain may make more sense. Because the intricate muscles, tendons and ligaments are not visible, it is hard to imagine what is causing pain. This is a very brief description of some major components that I hope you will find helpful.

Shoulder Bones and Joints

Clavicle – is also known as the collarbone, and is the only bony attachment between the trunk and upper arm (humerus). It is S-shaped, and connects with the chest bone (sternum), and acromion of the shoulder blade (scapula).

Scapula – is the shoulder blade, and is a flat, triangular bone. Along with the acromion, spine, and coracoid process, the scapula forms the back portion of the shoulder.

Humerus – is the upper arm, which extends from the shoulder to the elbow.

Cortacoid process – is a structure which projects from the scapula (shoulder blade), and is the attachment point of shoulder ligaments and muscles.

Acromion – is the outer end of the scapula (shoulder blade), to which the clavicle (collar bone) is attached, and forms the “point” of the shoulder.

Acromioclavicular Joint (AC Joint) – is the point where the clavicle (collar bone) meets the acromion of the scapula (shoulder blade).

Shoulder Ligaments

Shoulder ligaments are soft tissue structures, which connect bones to other bones. Along with ligaments which join the bones, are muscles, which may be superficial (extrinsic muscles), or deep (intrinsic muscles). When the ligaments are stretched unnaturally, sprained, strained, inflamed, or torn, there will unfortunately be pain. Between the acromioclavicular joint (AC Joint), there are some primary ligaments to be aware of.

Glenohumeral Ligaments (GHL) – are three ligaments which maintain the stability of the shoulder, and help to keep the shoulder in place.

Coracoclavicular Ligaments (CCL) – are two extremely strong ligaments (trapezoid and conoid), which help to stabilize the AC joint, and help to keep the shoulder “square”.

Coracoacromial ligaments (CAL) – link the coracoid process (a small, hook-like structure on the scapula), to the acromion.

Shoulder Muscles and Brief Function Overview

Serratus Anterior muscle – stabilizes the scapula (shoulder blade) when the hand exerts pressure on an object.

Subclavius muscle – depresses the shoulder, draws the shoulder down and forward.

Pectoralis Minor muscle – lowers the shoulder blade (scapula).

Sternocleidomastoid muscle (SCM) – flexes and rotates the head.

Levator Scapulae – raises the shoulder blade (scapula).

Trapezius – lifts the clavicle (collarbone), elevates and rotates the shoulder blade (scapula) outward.

Deltoid – flexes, extends, and rotates the arm.

This is a long and technical list, but the shoulder is very complex and I hope this helps you to understand your shoulder pain a little better.

Do  enter your details in the box on this page because I would like to send you my completely free shoulder pain report.

Kind Regards,
Tim Allardyce DO MCSP SRP

Exercises For Shoulder Pain

 

 

How to choose the Right Shoulder Brace

Choosing the Right Shoulder Brace for your Shoulder Injury

Shoulder Brace

Shoulder Brace

Choosing the best suited shoulder brace for specific type of injury may not be an easy task.

Though there are lots of braces for general purpose, most often than not, these braces are not enough to ease the pain and improve the condition of the hurting shoulder.

And if used long-term, chances are the unsuited brace may even aggravate the condition, which may cause more serious problem for the shoulders.

This article is all about the selection process in choosing a shoulder brace. Read on and find out how you can get the best brace for your shoulder condition.

There are many types of shoulder brace available in the market, there are shoulder supports for better posture, surgical braces for rehabilitation, shoulder immobilizer for serious shoulder injuries, compression brace for sports and sling brace for minor injuries.

Each type has its particular function, which obviously affects the materials used for the construction of the brace.

Choosing a shoulder brace by Support level

Support rating schemes are used to rate the support level of a particular type of brace. Usually, braces are labeled as “basic, moderate and high.”

Basic Support Shoulder Brace

This type of support brace is usually made up of smaller and stretchable fabric or light neoprene.

This is good for people looking for minor support for their shoulder during normal day of work or even during sleep, as it’s fairly comfortable to wear. I

f you’re looking for this kind of brace and wear it for long periods of time, then your best bet is to wear something with a strap, as this will help hold the brace in place.

Also, consider the shape of the brace, where do you want it to cut across?

There is a basic shoulder with a narrow strap and cuts right across the chest, and there are types with multiple and even wider straps.

This type however, is uncomfortable to wear, especially for women. And if the brace is made up of neoprene, it can cause sweating, and can be very uneasy to put on. [easyazon-block asin=”B002DPBH1G” align=”none”]

Moderate Support Shoulder Brace

This type shoulder brace support is made up of thicker neoprene, and it covers more shoulder area than the basic type. The fabric is a more comfortable version though, and it usually includes more than one strap to lock in and secure its place in the shoulders.

McDavid 462R Universal Shoulder Support

One of the most popular choices for this type of shoulder brace in Amazon is the [easyazon-link asin=”B000Y8IB3G”]McDavid 462R Universal Shoulder Support[/easyazon-link].

This brace retains therapeutic body heat though its thermal neoprene, which definitely helps promotes healing for the injured shoulder.

This support works best for athletes and active day, as it allows shoulder movement and better support at the same time.

However, if you intend to use a brace for a long period of time, then you might settle for the Basic support with stretchable fabric style. [easyazon-block asin=”B000Y8IB3G” align=”none”]

High Support Shoulder Brace

This type of support level is usually used to completely immobilized the injured shoulder joint or for post-operative recovery.

High support shoulder brace is not usually used for any sports or strenuous activity as it simply doesn’t allow its wearer to move the covered shoulder.

This type of brace may also be made up of tougher materials such as carbon fiber or metal to prevent its wearer in moving the affected shoulder.

Mueller Shoulder Brace

The popular choice for this type of support brace in Amazon is the [easyazon-link asin=”B001IF5X1M”]Mueller Shoulder Brace[/easyazon-link].

This brace is perfect for dislocation injuries and shoulder rehabilitation where total arm rehab is needed. T

his brace includes a 6” wide elastic shoulder strap anchored to a 10” wide band that wraps all over the chest and has a Velcro closure. This creates a backward pressure and a downward pull on the shoulder, helping to reduce subluxation of the joint.

Remember to chose left or right shoulder version depending upon which shoulder is injured. [easyazon-block asin=”B001IF5X1M” align=”none”]

Choosing Shoulder Brace by injury type

Posture related shoulder injuries

For Posture related injury or clavicle problems, then a posture shoulder brace is usually required.

The [easyazon-link asin=”B004CUKPLI”]OPPO Posture/Clavicle Brace[/easyazon-link]and [easyazon-link asin=”B0007D34KI”]Saunders Posture Support[/easyazon-link] are two of the most popular choice for this type of shoulder support. Both provide good support down from the lower back, to spine and shoulders while allowing its wearer for a freer and comfortable movement. [easyazon-block asin=”B0007D34KI” align=”none”] [easyazon-block asin=”B004CUKPLI” align=”none”]

Shoulder Joint injuries

For Joint injuries, then shoulder braces that holds the joint in place can make a lot of difference, as it provide better support in the soft tissue through compression. T

he type of support needed of course depends on the severity of the injury. For minor problems, braces with basic level support are usually enough.

Frozen shoulder and shoulder arthritis

For arthritis problems and frozen shoulder conditions, a [easyazon-link asin=”B00132UPUY”]shoulder brace with thermal wrap[/easyazon-link] can help alleviate the condition by providing heat therapy in the affected area.

These braces though provide heat therapy, and not support. [easyazon-block asin=”B00132UPUY” align=”none”]

Consider these tips in choosing a shoulder brace for your shoulder condition and wear the one best suited to address your shoulder injury.

If in any doubt, always seek proper medical advice from your doctor before using a shoulder brace.

Shoulder Exercise and Shoulder Pain Relief

Exercise is an important part of shoulder treatment. My shoulder program contains full details to help rehabilitating and strengthening you shoulder simple to do at home, you can order it by clicking the link below:

—>CLICK HERE to order My complete Shoulder Program to quickly and easily relieve your shoulder pain<—

Always check with your doctor first, but generally exercising your shoulder regularly will help you get relief from shoulder pain. Never repeat an exercise if you feel that it aggravates your pain. Stop the exercise immediately if it hurts.

Kind Regards,
Tim Allardyce

DO MCSP SRP

Exercises For Shoulder Pain

 

11 Common Causes of Shoulder Pain

Shoulder pain is suffered by many individuals and is associated with several common causes. It is crucial to identify the causes of your shoulder pain and get suitable treatment as early as possible. neck shoulder painKnowing what is causing your shoulder pain is vital to getting the right shoulder treatment quickly.

Common causes of shoulder pain

1.Bursitis or rotator cuff Tendonitis

Bursitis or rotator cuff Tendonitis is associated with tendonitis of the rotator cuff and is the main cause for shoulder pain.

2.Rotator Cuff Tear

Sometimes the tendons of the rotator cuff get parted out from the bone and results in tear out of rotator cuff. Shoulder surgery is often required for this condition and your Rotator Cuff Tear injury may worsen if left untreated.

3. Frozen Shoulder

Frozen Shoulder is also termed as ‘adhesive capsiliitis’ and is generally accompanied with firmness of the joints. Individuals suffering with this problem are typically advised to have physiotherapy and shoulder stretching exercises.

4. Calcific Tendonitis

Calcific Tendonitis occurs when calcium gets deposited inside the tendons and particularly rotator cuff tendons which are more prone to calcification. The  treatment given is based on the advancement of symptoms.

5. Shoulder Instability

Shoulder Instability is mainly associated with loose joint and may happen due to dislocation of the joint caused by severe injury or as a result of developed condition.

6. Shoulder Dislocation

Shoulder Dislocation happens when the top of the arm bone gets separated from scapula because of an injury.

7. Shoulder Separation

Shoulder Separation is unique type of shoulder dislocation and mainly caused due to the accidental breakeage of acromioclavicular joint and is also referred as AC separation.

8. Labral Tear

Labral Tears occurs in different forms and is cured by giving treatment at different levels depending on the extent of injury.

9. SLAP Lesion

SLAP Lesions are also associated with labral tear and it mainly happens when something falls onto an outstretched hand.

10. Arthritis

Unlike knee and hip arthritis, Shoulder arthritis is very rarely reported. Shoulder surgery may necessary for joint replacement if the Shoulder arthritis is severe.

11. Biceps Tendon Rupture

Biceps Tendon Rupture happens when the biceps tendons located behind the joint gets ruptured.

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Kind Regards
Tim
Exercises For Shoulder Pain

How to Treat Shoulder Dislocation

Shoulder Dislocation Treatment

For all types of shoulder dislocation, the treatment of choice is painkillers, muscle relaxants and reducing the humeral head to its original position. The problem is that this is often easier said than done!

Putting the shoulder back in after dislocating your shoulder may require an anesthetic because of muscle spasm and adhesion. The patient is continued on painkillers, kept in a sling and gradually encouraged to do home exercises. Subsequently the range of movements is increased over a few weeks to regain strength and stability.

Shoulder Dislocation Recurrence

A big problem with shoulder dislocation is recurrence. If the first dislocation occurs within the age of 20, there is a 90% chance of shoulder dislocation recurrance, however physical therapy and a good shoulder strengthening program will reduce the likelihood.

Claim your free Shoulder Pain Special Report….just enter your email address in the box above.

How To Treat Rotator Cuff Injuries

Rotator Cuff Treatment

Often with Rotator Cuff injuries your doctor or therapist will advise complete rest or extremely limited activity, followed by gradual shoulder strengthening exercises and physical therapy.

There are several treatment options for rotator cuff tears.

Non-surgical rotator cuff tear treatments include using a sling for the affected arm, medication to relieve the pain and inflammation, and steroid injections.

Rotator Cuff Surgery

Rotator Cuff Surgery may be required if non-invasive treatments fail.

For further information see the following Rotator Cuff articles:

Rotator Cuff Surgery

Rotator Cuff Tear

Rotator Cuff Treatment


What Causes Rotator Cuff Tear?

Causes of Rotator Cuff Tear

A torn rotator cuff is often caused by a sudden and acute fall.

People most likely to suffer a torn rotator cuff are those whose jobs involve repetitive overhead movement, such as construction, stocking shelves or even painting.

Swimmers, tennis players, pitchers and other athletes, where their sport  continuously stretches the upper body, are also very susceptible to injuries rotator cuff tears.

People suffering from prolonged or repetitive trauma are also likely to suffer rotator cuff injuries. It is also common among people who have shoulder dislocation or shoulder fractures.

For further information see the following articles:

Rotator Cuff Tear

Rotator Cuff Treatment

Rotator Cuff Surgery

What Causes Shoulder Bursitis?

Shoulder Bursitis

Most of the patients that I see who have Shoulder Bursitis have never heard of the condition until they are diagnosed with it!

Shoulder Bursitis is often caused by repetitive overhead movements that can cause compression of rotator cuff tendons and inflammation of the bursa that lies beneath the roof of the shoulder blade.

Shoulder Bursitis can develop quickly.

Bursitis symptoms include aching, swelling, and limited shoulder movement. Sometime discoloring of the injured area also occurs.

Bursitis can be caused by a bone spur. (A bone spur is calcium deposit in the rotator cuff.)

Torn, frayed, or irritated tendons can cause shoulder bursitis. If rotator cuff muscles weaken, they may fail to support the shoulder, making actions such as reaching overhead, swimming, throwing, and hair brushing difficult and painful.

Sometimes bursitis develops alongside other diseases such as arthritis or gout.

See the following links for further information about bursitis:

Bursitis

Shoulder Bursitis

Bursitis Treatment

Bursitis Surgery

Keyhole Shoulder Surgery

For further information about shoulder pain relief please enter your name and email address above and I will send you my special report on how to relieve shoulder pain.

Causes of Pain under the Shoulder Blade

There are many possible causes of pain under shoulder blade and as I explained in my previous post, some of these causes are very serious.

For that reason my advice if you experience pain under your shoulder blade is to see a doctor immediately.

Causes of Pain under Shoulder Blade

Heart Attack

The most serious cause of pain under the shoulder blade can being pain from a heart attack.

In a heart attack the be localized to the shoulder or it may spread to the arms or neck and be accompanied by nausea, shortness of breath, or sweating.

Abdominal Conditions

Gallbladder disease can cause pain that is often located on the right under the shoulder blade, or on the tip of the shoulder.

Other abdominal condition can cause pain under the shoulder blade.  These abdominal condition include peptic ulcer disease, pancreatitis, and esophagitis.

Ectopic Pregnancy

In women of childbearing age pain under the shoulder blade can be a symptom of an ectopic pregnancy.

Chest conditions

Chest conditions that can cause pain under the shoulder blade include: blood clots in the lungs, pleurisy and pneumonia. Pleurisy is an irritation and inflammation of the surfaces of the lungs.

Shoulder injuries and strains

Shoulder injuries can cause pain under the shoulder blade.  Muscle strains or tears can also cause pain under the shoulder blades.

For further information see Pain Under the Shoulder Blade