Shoulder pain is a common problem, especially in senior citizens. — TNS
If you find yourself rubbing your shoulder after reaching up to take a coffee mug off the shelf, hammering in a nail just over your head or climbing into a pickup cab, you're among millions of adults – particularly those over 60 – with a shoulder issue.
Shoulder pain could be a sign of arthritis, tendonitis, a rotator cuff tear or shoulder instability.
Whatever the cause, you may want to consult with an orthopaedic professional.
That first meeting will include a health history, physical examination, and possibly an X-ray, to determine the underlying cause and extent of your shoulder issue.
Sometimes, additional imaging, such as an MRI (magnetic resonance imaging), may be needed.
Your orthopaedic professional will walk you through treatment options and help you decide what may be the best for you.
The first line of treatment can include:
- Taking over-the-counter anti-inflammatory medications.
- Resting of the affected shoulder/arm.
- Icing the shoulder.
- Modifying your activities to avoid further injury.
- Undergoing steroid injections.
- Doing physical therapy to strengthen the muscles of the shoulder and arm.
Many studies show that people with shoulder injuries respond well to these treatments and are able to go about their daily activities.
However, if you're still experiencing pain and weakness, your orthopaedic professional may recommend surgery.
One cause of pain and weakness is a rotator cuff tear.
The rotator cuff is a group of muscles and tendons.
It holds the shoulder joint in place and assists in arm motion and strength.
If the MRI reveals a tear in the rotator cuff, it may require surgery, although the vast majority don't.
Typically, surgery is outpatient or daycare, and you can go home the same day.
In this procedure, the surgeon inserts a tiny camera (arthroscope) and tools through small incisions to reattach the torn tendon to the bone.
You may need to wear a sling for four to six weeks following surgery to allow your shoulder to heal.
After four to six weeks, you may still have some work restrictions and need to modify your activity.
Your orthopaedic professional also may recommend physical therapy.
Whether you respond to non-invasive treatments or need surgery, your orthopaedic professional's goal is to relieve your aching shoulder so that you can go about your daily activities without pain or restrictions. – By Dr Mark Wikenheiser/Mayo Clinic News Network/Tribune News Service
Dr Mark Wikenheiser is an orthopaedic surgeon in Minnesota, United States.
