Understanding Shoulder Pains and Problems

Ever wonder why shoulder problems are sohowever, about 12% of people experience the
common? Think of the shoulder is a modified ball andproblem on both sides. The condition lasts an average
socket joint, a good design for mobility, but an unstableof 30 months and can be classified into three phases:
one nevertheless, making dislocation and injury to the· Freezing
area fairly common. To improve the stability of the(1-8 months) - Considered to be the most painful phase
shoulder, a cuff of four muscles, referred to as theof the condition, especially at night.
rotator cuff, stabilizes the joint. Surrounding the· Frozen
shoulder joint is a "bag" called the Capsule.(9-16 months) - The arm becomes stiff. Pain may still
Frozen shoulder syndrome starts in this sack-like areabe a problem especially at night, but it usually diminishes.
that stretches when the arm is raised above the head· Thawing
and hangs down like a sack when the arm is lowered(12-40 months) - Characterized by recovery and the
to the side. In frozen shoulder syndrome, inflammationgradual return of mobility .
of the joint causes this sack to stick to itself. TheMost medical experts agree that conservative
inflammation spreads and can cause swellingmanagement, usually involving anywhere from 4-30
throughout the shoulder area. Within several days, armsessions of physiotherapy and exercise is the best
movements start to diminish. Within a few weeks, theway to treat Frozen Shoulder, however opinions and
arm literally becomes frozen and in many casestreatment methods vary among caregivers. Some
cannot be raised more than 40 degrees. As a result,administer cortisone injections, which typically relieve
the muscles of the rotator cuff become weak andsymptoms for only a week or two. Manipulation under
start slowly to waste away. Muscle atrophy sets in,general anesthetic followed by physiotherapy is also a
rendering the entire arm totally useless.possibility, however manipulation can cause further
A painful and often debilitating condition, Frozencomplications such as rotator cuff tears, increased
shoulder syndrome affects 2-5% of the population. It isinflammation and nerve damage. It might be helpful to
more common in women and diabetics are particularlyseek the advice of several medical professionals
vulnerable to the affliction. It is mainly a problem thatbefore deciding on a treatment program that best suits
affects people 40 years and older. The arm that isyour needs.
used less is most likely the one to be involved;