Shoulder Injuries

Common Shoulder Injuries

The anatomical structures of the shoulder are all highly interconnected. So much, in fact, that shoulder injuries rarely affect just one area of the joint. A single shoulder injury can affect multiple muscles, ligaments, cartilage areas, tendons, and bones.

Unfortunately, injuries are most likely to occur in those who rely on their shoulder the most—over-head athletes. Shoulder injuries are exceedingly common among athletes, especially those who compete in baseball, swimming, tennis, and football. This is often due to the repetitive workouts and intense competition that high-performance athletes endure.

Shoulder injuries, of course, are not limited to athletes. Professionals who frequently use their shoulder—such as those involved in painting, yard care, or construction—experience a higher risk of injury as well.

No matter how a shoulder injury occurs, everyone wants the same result: a fast recovery.

Shoulder Anatomy

The shoulder is the most mobile joint in the body. It consists of three bones: the humerusscapula, and clavicle. It also consists of many muscles and tendons that hold the shoulder bones in place and stabilize the arm through its full range of motion. The four major muscles and tendons of the shoulder come together to form the rotator cuff.

Rotator Cuff Tears

A rotator cuff tear occurs when any tendon of the rotator cuff rips, either partially or completely. Rotator cuff tears are among the most common types of shoulder injuries.

Rotator cuff tears are most common in people who repeatedly perform overhead motions. These tend to be people with active jobs—such as construction workers—or athletes, though anybody can end up with a rotator cuff tear whether they’re active or not.

Rotator cuff tears vary in severity from partial- to full-thickness tears, with partial tears being far more common. It’s possible for a patient to have a partial-thickness rotator cuff tear without even realizing it.

Shoulder Impingement

Shoulder impingement occurs when one or more rotator cuff tendons get trapped and pinched between shoulder bones during arm movement, causing extreme pain and swelling/inflammation of the rotator cuff.

Shoulder impingement is most common in people who participate in physical activities requiring repeated overhead movements—again, mostly athletes. Swimmers, softball players, basketball players, tennis players, and golfers are all high risk for impingement. In fact, shoulder impingement is so common in swimmers that it has the nickname “swimmer’s shoulder.”

Physical Therapy

In the majority of instances, an orthopaedist will recommend physical therapy as part of the patient’s treatment plan. Which makes patients great candidates for the NIOS Procedure.

How to Prevent Shoulder Injury & Pain

If you notice shoulder pain during certain activities, say while throwing a baseball or swimming, stop that activity for a period of time and find an alternative exercise, such as riding a stationary bike. Doing so can give your shoulder some time to rest and heal, while maintaining your cardiovascular fitness.

If you notice pain in your right shoulder, don’t sleep on your right side. Try sleeping on your left side or back instead. If sleeping on your back irritates your shoulder, try propping your arm up with a pillow.

Exercising cold muscles is never a good idea. Before practicing your volleyball serve or baseball pitch, warm up your body with mild exercise. For example, start walking for a few minutes and gradually build up to a jog. Doing so raises your heart rate and body temperature and activates the synovial fluid (lubricant) in your joints.1 In other words, a mild warm up gets your body ready for the intense workout that follows.

It’s a good idea to increase your endurance over time. If it’s been a few weeks or months since you’ve hit the tennis court, consider playing for a short period of time—maybe just 20 minutes to start—and build up to a longer period of playing time. Don’t fall into the trap of doing too much too soon, especially when your body is not used to it.

Strengthening your shoulder muscles can help provide support and stabilization to your shoulder joint. This, in turn, may prevent painful injuries like a shoulder dislocation, which is when the ball of your shoulder comes out of its socket.

Contact us before starting a strengthening program. We can suggest exercises to perform or may recommend physical therapy.

Some sports are particularly taxing on the shoulder due to repetitive, overhead movements. So you may want think about cross-training. If you’re a swimmer, for example, alternate some of your swimming workouts with a running or biking workout to reduce the stress on your shoulder, while still staying physically fit.

Alternatively, if you’re a painter or construction worker—two occupations commonly associated with repetitive, overhead movements—talk to your boss and ask if there are other non-repetitive tasks you can take on.

Above all, listen to your body and be proactive. You may need to make some adjustments to workout or daily routine to help prevent further damage down the road. It may also be worth getting your doctor’s input, even if you think you’ve got a minor injury. Catching injuries or discomfort early may help keep you in the game and prevent painful injuries down the road.

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