It is very evident so far that although there are multiple conservative treatment for shoulder pain starting from medication to intraarticular injections to physiotherapy or naturopathy but none of these modalities have come up to reduce the difficulty faced by a individual with shoulder pain .
So there is a necessity to think and work on finding the treatment of choice for shoulder pain .
As a matter of fact, there is no proper Gold Standard treatment for a shoulder pain since this treatment depends on multi-input factors , such as the chonicisation or non -chronisation of the pain, Biopsychosocial profil of the patient (Please find the publicatiopn "Integrating osteopathic approaches based on biopsychosocial
therapeutic mechanisms. Part 1: The mechanisms) the associated dysfonctions of movment in amplitude of the shoulder and the adopted behaviour, attitudes, postural answers or any reactions of the patient's body in compensation of the pain / In case of chronicisation of the pain, the treatment of choice is often stelled on a pluridisciplinar approach, such medication in case of high level of pain bound with physical reeducation and reboot or relearn of the patient to be aware of the rehabilitation of the proper fonction of the shoulder in every direction. To summ up, the decreasing pain period due to medication has to be absolutly used to do something else in others fields such as osteopathy , physical reeducation , growing awareness of the releaf function of the elbow .
Ujwal Bhattacharya, isn't it important not to miss ruptured tendons or bony insertions of fibrous capsule-reinforcing ligaments before they become inoperable?
I learned even of missed shoulder-luxations! :((
Not every lesion is palpable or otherwise clinically traceable, so isn't it better. to first get a shoulder MRI?
What is the level of difficulty? If it is mild... I think it is not a problem, patients may have mild difficulty especially with hard work and in case of severe lesion.
What is the type of the lesion (cause of shoulder pain)? If it is mechanical or functional.. I think they improve very well with physiotherapy with nearly no any difficulty.
and so on
Adel Zedan Although we can see a recovery following Physiotherapy but the results are very slow and by the time the patient recovers they already relearn to live with the pain. My concern is that how can we help the patient recover faster.
I doubt about it is very slow.
I think to fasten the recovery, we should target the cause of the lesion or pathology not it is site. For example, patients with shoulder pain may need treatment to cervical spine, thoracic, or lumbar spine, or scapulothoracic junction
stretching and strengthening exercises and joins mobilizations, and also hot/cold therapy can help reduce pain and improve mobility of the joint.
El dolor de hombro no es el mismo en todos los pacientes. Sus causas son múltiples, su etiología es variada. Por lo tanto es imposible que haya un solo tratamiento para Dolor de Hombro. Qué componentes están afectados? qué tipo de dolor predomina ? Nociceptivo, neuropàtico, mixto ? Está comprometido el manguito rotador? Bursitis, desgarros, rupturas totales de tendones, o lesiones del plexo braquial o una de sus ramas?
Lo que no tiene duda es que primero que todo hay que educar. Segundo rehabilitar; tercero medicar con fármacos adecuados ( mucho cuidado con los agonistas potentes); cuarto realizar manejo invasivo dirigdo por ecografía con blancos específicos; Quinto cirugía.
- Badges
- Science topic
- Similar topics
- Entomology
- Resistance