There are quite a few shoulder problems that can occur in any individual life time. Apart from injuries arising from accidents or traumas such as shoulder dislocations or rotator cuff tears, the most common problems faced by people affected by a shoulder condition are describable in two groups. On one hand there is the Impingement Syndrome with Shoulder Bursitis and Tendonitis, on the other the Frozen Shoulder, also known as Adhesive Capsulitis.
Let’s start with the first group. When we move an arm, the rotator cuff tendons keep it into place by attaching themselves to the humeral head on one side and the shoulder blade on the other. During the movement they slide effortlessly against a sack called bursa that prevents them from rubbing against the bones causing wear and tear. Normally this happens without a problem, but due to over use in high demanding jobs or sports, or because the person affected has a narrow space between the humeral head and the shoulder socket, inflammation can take place.
Inflammation of the bursa is called Bursitis, and because of the proximity to the rotator cuff tendons, this in turn can lead to Tendonitis. Basically the Bursitis and Tendonitis indicate the same kind of inflammation in two bordering areas. Once they take hold, they lead to a self exacerbating spiral of inflammation and further narrowing of the space between the arm head and the shoulder socket, leading to an ever increasing wear, tear and inflammation that painfully show itself with a pinching, catching feeling. Thus the name Impingement Syndrome.
Impingement, Bursitis and Tendonitis are different aspects of the same problem and can take months to cure. Movements, though painful, are possible.
On the other hand a Frozen Shoulder is caused by a thickening and scarring of a membrane protecting the rotator cuff, like a capsule. These scars are called adhesions, thus the medical term Adhesive Capsulitis. These are different from the Bursitis/Tendonitis inflammations, and can completely jam the rotator cuff like a stick or a stone thrown into a mechanism, limiting the range of motion, especially overhead. Typically a frozen shoulder develops in 3 phases: a freezing phase lasting 1 to 3 months, when the pain is greatest, similarly to bursitis/tendonitis, but the range of motion is still possible. A frozen phase, lasting up to 6 months, when the pain subsides but the arm is severely limited in all mundane movements such as combing air or reaching for a cupboard. Finally a thawing phase, lasting up to 1 year, when the adhesions gradually break down and motion is gradually restored.
Impingement Syndrome can be treated with rest, ice packs, anti inflammatory drugs and cortisone injections. Best of all, recovery can greatly be accelerated by following specific rotator cuff exercises devised by a specialist. A Frozen Shoulder can be Treated by heat, ultrasound, anti inflammatory drugs, manipulation, which is the physical breaking of the adhesions under general anesthesia, or arthroscopy in the most severe cases. In the thawing phase, recovery can be greatly sped up by performing key exercises for rotator cuff problems.
There is no need to rely on drugs and putting up with discomfort for months or even years to recover from these common shoulder problems . If you want to cut down on recovery times and have your rotator cuff restored to full functionality in weeks rather than months or even years, I urge you to check out this shoulder problems therapy program.
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