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Peter loved tennis, now, he “hangs the racket on a nail”.

Antonio worked for 30 years as a farmer, now, he must delegate many jobs.

James was a social health worker, now, he carries out small tasks.

Maria was a very active grandmother, now, she cannot play with her grandchildren anymore.

Rose liked sparkling water, now, she drinks from the tap.

Rossella was a cook, now, she buys fresh pasta at the supermarket.

For many people, these sentences may seem meaningless. One in four adults will probably have a similar story to tell. In fact, painful shoulder syndrome affects 10 to 26% of the adult population. The shoulder plays a fundamental part in the daily life.

 

Why does the shoulder hurt?

It was called periarthritis in the past. Currently, medicine is more precise in determining the cause of this condition; the most frequent are identified as:

  • Acromial conflict syndrome;
  • Rupture of the rotator cuff tendon;
  • Scapulohumeral Osteoarthritis

The terminology is difficult, but we can talk about it in a simple and thorough way during the visit.

 

How much does it hurt?

The most important symptom is the pain associated with lack of strength in the arm and hand. Pain is an unpleasant sensory experience and is subjective. It varies from person to person. In most cases, however, they can become very difficult for people suffering from painful shoulder syndrome.

 Pain occurring at night and at night, hindering adequate sleep.

 Pain, if not adequately controlled, can have a negative impact on a person’s life, jeopardizing interpersonal relationships.

 

What to do in case of shoulder pain?

Home remedies and the improper use of drugs with pain-relieving / anti-inflammatory action should be avoided. The family doctor should prescribe diagnostic and instrumental examinations as an X-ray and an MRI.

 

What will the orthopedist do with the shoulder? The conservative treatment

The most appropriate treatment based on the extent of the problem. In general, the first approach is conservative: it consists of taking anti-inflammatories and / or joint infiltrations of cortisone or hyaluronic acid, associated with a physiotherapy rehabilitation process to fully recover shoulder mobility and reduce pain. When conservative treatment fails, the patient must be elevated to surgical treatment.

 

Is the surgery very invasive? 

The arthroscopy is an effective, modern technique for the treatment of arthroscopy. The duration is variable from 60 to 90 minutes.

 

 

Dr. Sabri Dlimi, orthopedist doctor