Know the signs and treatments
Are you experiencing pain in your shoulder at night or when you reach above your head? You may have a shoulder injury.
History of shoulder pain can help lead to answers
- How long has your shoulder been hurting?
- Was there any injury involved?
- Is it hard to sleep?
- Is there a history of diabetes?
- Is it better with anti-inflammatory medications (NSAIDs)?
After asking these questions along with any other information needed, they will test muscles, range of motion and motor and sensory exams. In special circumstances, such as showing signs of a rotator cuff tear or impingement, special tests may be ordered.
When to go to the doctor
If there is lasting pain due to a significant injury, such as falling on an arm or shoulder, it is suggested to make an appointment with your doctor if it is still present after several weeks. X-rays and an MRI may be ordered to check for a torn rotator cuff. If a tear is present, it is likely it will require surgery. It is best to have surgery in the first few months, as you could further damage the tissue by waiting.
Differential diagnosis by age
Injuries can happen at any age, but as you age, you are more susceptible to certain injuries than others. Those who are 30 years old and younger are most likely to experience traumatic injuries and instability versus other conditions such as impingement syndrome and rotator cuff tears, as those are the most common in people ages 30 to 60. Individuals ages 60 and older are most likely to become injured easily during day-to-day activities and are at greater risk to experience injuries such as impingement and rotator cuff tears. In fact, one in five people ages 70 and older have an asymptomatic tear in their shoulder without being aware of it.
Types of injuries and treatment
If pain has been present for weeks and is not improving with rest, heat, ice or NSAID pain relievers (Advil or Aleve), it may be time to contact an orthopedic doctor. Some treatments may include using a sling, attending physical therapy or receiving corticosteroid injections. If the pain still persists for two to four months after those treatments and an MRI, follow up with your doctor so they can help you choose the best path to relief and recovery. In the case of a tear, whether partial or full, it may be recommended to receive surgery to promote the best healing.
Rotator cuff tear
If needed, rotator cuff surgery may be needed with a lengthy recovery. Patients can expect to see improvements over the course of several months to a year. The surgery often can be performed as an outpatient procedure and the use of an arthroscope may eliminate the need for large incisions. Patients wear a special sling for four to six weeks after surgery, and usually require weeks to months of physical therapy.
To watch an animated video of how rotator cuff surgery and other procedures are performed, click here.
For more information on shoulder injuries and treatment options, click here to watch short videos from Prevea orthopedic experts.
If you have an injury or condition that is causing pain or discomfort, contact an orthopedic specialist today to discuss the right treatment options for you.