Thursday, October 1, 2015

Best Treatment for Painful Arc of the Shoulder in Malaysia


Treatment for Painful Arc of the Shoulder

Our last article generated a lot of feedback, and we wanted to provide our reader with a better understanding of what happens when they have shoulder pain. Impingement Syndrome is an all too typical of shoulder dysfunction. Our clinical teams are well aware of the pitfall of inadequate therapy or patient management. Therefore, when you get your shoulder pain treatment through our physiotherapy or chiropractic in Malaysia, you can rest assured that the care you get is of the best clinical teams in town. 

The glenohumeral joint is a relatively unstable ball-and-socket joint as the glenoid cavity is shallow. Static stabilizers of the joint include glenohumeral ligaments, glenoid labrum, and capsule. Rotator cuff and scapular stabilizing muscles are the primary dynamic stabilizers of the shoulder. The impingement of rotator cuff tendons usually happens as they pass through the subacromial space formed between the acromion above and the glenohumeral joint below. Abnormalities of the structures around this region that compromise the subacromial space would cause irritation and damage to the tendons.
Shoulder joint shown
The acromion may be beaked, curved or hooked in shape due to a congenital abnormality or osteophyte formation. This may irritate the tendon from above due to the close proximity of both structures. Weaknesses of the scapular stabilizing muscles such as serratus anterior and excessive tightness of the pectoralis muscle would cause excessive angulation of the acromion. The acromion would move forward and downward into subacromial space. Muscle imbalance between humeral head elevators (deltoid) and stabilizers (rotator cuff muscles) results in an excessive upward movement of the humeral head. This would further damage the tendons as the humeral head pushes them up against the undersurface of the acromion.
Painful arc of shoulder shown

Swimmers and athletes with overhead activities such as throwing and overhead shots in racquet sports are prone to shoulder pain due to repetitive trauma to the rotator cuff. A painful arch of the shoulder while lifting up the arm at the side of the body between 70-degree and 120-degree is commonly seen. Difficulty combing the hair and reaching behind the back are common with impingement syndrome. The front and side of the shoulder may be painful upon palpation.


What are the common types of shoulder pain or injury?


What is the best method of treatment for shoulder pain? 

There are various forms of shoulder therapy:

Steroid Injections
Pain Medication
Shoulder Surgery

Physiotherapy and chiropractic treatment in Malaysia for shoulder pain ranks among the most and most sought after methods of treatments. However, the new trend in treating shoulder is through the combination of chiropractic and physiotherapy. Nowadays, some center offers combined care to enhance physiotherapy and chiropractic. Chiropractic Specialty Center® started combined treatments of the spine and joint pain, including shoulder pain in 2007. Our methods of combined care have produced better results compared to chiropractic or physiotherapy alone. It has also given patients lasting improvements without Medication, injections, or surgery.

Impact of medication and steroid injection on shoulders

Medication such as Non-Steroidal Anti-Inflammatory Drugs (NSAID) does provide some relief of symptoms. However, they do little to fix the damage or injury within the shoulder joint. Steroidal injections are another common treatment. However, published research has when tissue damage in patients who were treated with steroidal injections. As a result, the vast majority of patients who get serious injected into their shoulder end with should surgery.

When should you go for shoulder surgery?

Before opting for shoulder surgery, you should exhaust a focused therapy and rehabilitation of your shoulder injury or shoulder pain. Surgery for the shoulder should be the last option. However, if you have a broken shoulder, or a severely torn muscles and tendons; you will need surgery right away. Also, some shoulder dislocations will need surgery. Other than these, you should always opt for non-surgical rout first. Shoulder surgery is all too common. Surgery of shoulder should be performed as a last resort or when muscles or tendons are fully torn. Learnmore about the best non-surgical shouldr pain treament in Malaysia, before you opt for surgery. Let our clinicalexperts help yur recovery without surgery or injections. 

For more information about a painful arch of the shoulder or shoulder pain, call 03 2093 1000. 

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