What Causes the Most Common Shoulder Injuries? - Dr. Jonathan Kuttner
Failure to attend to shoulder bursitis often results in a worsening of the condition
The subacromial bursa is the largest and most commonly injured bursa in the shoulder region.
Bursitis may be caused by a combination of factors including rotator cuff dysfunction, instability in the joints of the pectoral girdle, osteoarthritis, postural misalignments, bone spurs and anything that decreases space in the limited subacromial space.
Common Cause of injury
Overuse from throwing activities, tennis, swimming or baseball. Falling onto an outstretched arm. Local infection.
Signs and symptoms
Pain in the shoulder, particularly when raising the arm. Pain on lying on or compressing the injured shoulder. Loss of strength and limited motion of the shoulder.
Complications if left unattended
Failure to attend to shoulder bursitis generally results in a worsening of the condition, a further thickening of tendons and bursa(e) leading to increased inflammation and pain.
The client runs the risk of developing a chronic condition, as well as a danger that the fluid in the bursa(e) becomes infected, a potentially more serious situation sometimes necessitating surgery.
Discontinue all activity causing inflammation of the shoulder. RICER regimen and analgesics to reduce inflammation and pain. Then heat to promote blood flow and healing.
Rehabilitation and prevention
The client should avoid pressure to the injured shoulder and inflamed bursa(e) during recovery as well as any activities likely to irritate the condition. Begin exercising the shoulder when instructed by a healthcare professional in order to restore strength and shoulder mobility.
Warming-up and cooling-down exercises, with an emphasis on stretching, strength training and maintaining looseness in the shoulder can help prevent bursitis from developing.
Shoulder bursitis tends to ease with proper healing and minor rehabilitation, and a full recovery to activity can usually be expected, particularly if no infection of the bursa is present. In some cases, aspiration of bursal fluid by needle is recommended to reduce inflammation and ensure no infection is present.
Latent trigger points in the shoulder muscles (rotator cuff) may be part of the cause of the initial injury as trigger points make their host muscles shorter, weaker, and less efficient. Compensatory factors come into play which cause additional strain on other muscles.
In almost cases of shoulder injury, trigger point activity will likely increase in what many believe to be a key element in the body's natural protect and defend mechanism.
These trigger points will need to be identified and treated as part of the rahabilitation program, and also to help avoid re-occurrence or the development of other related complications to the shoulder unit.
Note: Trigger points in the teres minor muscle mainly cause a deep pain in the shoulder which can sometimes be misinterpreted as bursitis.
This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
- Levator Scapulae Trigger Points - Treatment
Treating Levator Scapulae Trigger Points Ischemic Compression Technique Almost all neck pain is associated wi...
- Trigger Point Therapy - Treating The Hamstrings
Treating Hamstring Tightness and Trigger Points The hamstrings are amongst the most overworked muscles in...
- Lower Back Pain - An Overview of the Key Muscles Involved
Treating QL Trigger Points - Dr. Jonathan Kuttner MD Most cases of lower back pain are associated with my...
- Effective Cupping for ITB
ITB Syndrome - Vacuum Cupping Treatment Links Find a Trigger Point Professional in your area More Articles Abou...
- Trigger Point Therapy - Treating the Scalenes
Treating Scalenes Trigger Points - Dr. Jonathan Kuttner Treating scalenes trigger points can bring fast relief ...
- Common Painful Conditions that can be addressed with Trigger Point Therapy
How Often To Treat Trigger Points? What are the most common chronic pain syndromes that respond well to trigger...
- Trigger Point Therapy - Multifidus / Rotatores
Treating Trigger Points in Multifidi - Dr. Jonathan Kuttner Trigger Points in Multifidi may be the cause of a...
- Trigger Point Therapy - 5 Great Shoulder Stretches
How to Stretch Supraspinatus - Dr. Johnathan Kuttner Simple Shoulder Stretches Here are 5 other shoulder...
- Trigger Point Therapy - Treating Pectoralis Major
Pectoralis Major Trigger Points - Dr. Jonathan Kuttner M.D. Most therapists could keep themselves busy full t...
- When Stretching Isn't Enough - Treating Hypertonic Muscles
Treating hypertonic muscles in athletes is a vital step in helping to avoid the development of trigger points ...
Share this post