Your shoulder is a very complex, most mobile joint of body, made up of several components. The shoulderjoint is a ball-and-socket joint that has three main bones: the humerus (long arm bone), the clavicle (collarbone), and the scapula (also known as the shoulder blade).there are two main joint:
- glenohumeral joint – where your upper arm bone (the humerus) connects with your shoulder girdle (scapula)
- acromioclavicular joint – where your shoulder blade meets your collarbone (clavicle).
Strong connective tissue forms your shoulder capsule. This capsule and a group of muscles (rotator cuff) keeps the head of the humerus in place in the joint socket.
- Shoulder pain is a common problem
- There are many things that can cause shoulder pain
- For most people, it will improve over time with appropriate treatment
Main causes of pain in your shoulder
TRAUMA AND FRACTURE
SUBLUXATION AND DISLOCATION
NECK AND BACK PAIN
REFERRED PAIN FROM OTHER AREA
Inflammation of the shoulder capsule (synovitis)
Synovitis is when your synovial membrane becomes inflamed. It can occur as a result of other systemic condition ( Rheumatoid arthritis) or infection (tuberculosis) or it may happen as a result of an injury.
Frozen shoulder (adhesive capsulitis) is a common condition that occurs when your shoulder capsule thickens and becomes inflamed and tight. Due to this shrunken shoulder joint capsule your shoulder becomes difficult to move. Frozen shoulder occur more frequently in diabetic patients, or if the shoulder has been immobilised (Due to surgery or injury), or may be due to unknown cause.
Inflamed bursa (bursitis)
A bursa is a small fluid-filled sac that reduces friction between two structures, such as bone and muscle. In your shoulder the bursa that lies between the rotator cuff tendon and the bony tip of the shoulder (acromion) can become inflamed, most commonly with repetitive movements as in many sports.this brush is known as subacromian bursa and mostly inflamed in younger patients
Trauma and fracture
Fracture of proximal humerus, scapula or clavicle can cause severe pain in shoulder joint
Injuries, sprains and tears
Ligaments are soft tissue structures that connect bones to bones. They provide stability to your joints by keeping the bones aligned. If the ligaments are injured or sprained, they can cause short-term pain. Ligaments tear and labral ( The flexible tissue that helps keep your shoulder joint in place ) may be the result of the humerus coming partially out of the joint socket (subluxation) or if the humerus comes completely out (dislocation).
Rotator cuff tear this group of tendons and muscles keep your shoulder stable and positioned correctly for your shoulder and arm to move. Tears to rotator cuff tendons may occur as a result of an injury (e.g. a fall, broken collarbone) or happen over a period of time due to degeneration of rotator cuff.
A direct blow to your shoulder can result in the acromioclavicular joint being sprained or subluxate or dislocate. This type of injury often occurs in people participating in contact sports such as football who take a blow to the shoulder or it can also occur due to fall.
Neck and upper back: problems with the joints and associated nerves of your neck and upper back can also be a source of shoulder pain. The pain from your neck and upper back is often felt at the back of the shoulder joint and/or through to the outside of your upper arm. Pain which is comes from neck to top of shoulder is mainly from neck and back area and the pain which is down to your arm is mainly from shoulder origen.
it is a disease due to wear and tear of cartilage or cartilage may become damaged due to injury or an accident, leading to the development of osteoarthritis. It is occur in neglected cases of rotator cuff tear.
Referred pain: shoulder pain may also be caused by problems affecting your stomach, heart and lungs.
You’re more likely to have problems with your shoulder as you grow older, especially after age 60 years. This is because the soft tissues surrounding the shoulder tend to degenerate with age. Rotator cuff tear, frozen shoulder and osteoarthritis is common in old age group where as subluxation, dislocation, bursitis, labral tear are more in younger age group
We offered all type of treatment of shoulder joint pain like conservative treatment, dedicated physiotherapy, shoulder arthroscopic surgery and all type of trauma and fracture surgery