Due to the complex shoulder joint makeup, these complex movements make the shoulder extremely vulnerable to sprains , strains, tears and inflammation of the capsules, muscles , ligaments and bursa involved in the joint making itself. The shoulder joint actually consists of three joints and one “articulation,” where the humerus head (the upper arm ‘s long bone) meets the collarbone articulation with the shoulder blade (scapula).If you wish to learn more about this, visit pain management austin tx
There are 4 main muscles involved in keeping the joint and the complex movements together whenever the arms are moved. Obviously there are several other muscles involved, but these 4 muscles play a significant role in the integrity of the joint itself. They consist, as a group, of the rotator cuff. The most vulnerable to tears, strains , sprains and inflammatory processes are those muscles.
Where pain occurs in the shoulder area will play a significant role in the diagnosis of the condition itself. Therefore it is recommended that your health care provider treat any person with shoulder pain. The assessment will consist of various tests involving arm movement through all motion range (ROM) and neurological inspection to see if there is any involvement in the nerves. The shoulder should also be x-rayed, particularly if trauma was involved, to rule out fractures, and to see the bones, joint and bursa status. The bursa is a small sack of fluid allowing the muscles to glide smoothly as they are flexed or stretched.
There are two areas of this bursa and they can get swollen, inflamed or even infected. In an acute bursitis, the patient usually complains about any arm movement, and is generally worse at night, with trouble sleeping on the affected side. Pain and tenderness occur usually at the shoulder-point. An untreated acute bursitis may develop into a chronic bursitis. Pains that occur along the top of the shoulder and radiate into the deltoid muscle on the side of the upper arm, and further down the arm, even into the fingers, may be associated with impingement of the nerve (pinched nerve), which may originate in the neck ( cervical spine). The nerve branch involved can be determined depending on the side of the hand, or the affected fingers.
This condition called “Brachial Neuritis” or “Brachial Neuralgia” is due to the involvement of the spinal vertebrae nerve group called the “Brachial Plexus.” The pain on any arm movement and any pressure along the distribution of the nerve pathway can be very intense. Pain that occurs over the shoulder blade (scapula) area may be due to the large muscle (trapezius) and underlying smaller, spastic muscles. Muscle spasticity can be brought on to the muscle by overuse or trauma.
The muscle will develop a nodule or nodules which, in turn, will cause trigger points which often send radiating pains to sites far away from the trigger points. Pains that occur under the blade of the shoulder may signify a warning that the pain is not in the shoulder itself, but may be connected to pain from one of the body’s organs. The shoulder where the pain occurs can give the clue which of the organs are affected and cause the shoulder pain that radiates.