Shoulder is the most moveable joint of our body. Shoulder moves our hand in all directions; upward and backward, back and front or in circular motion. Shoulder has three main bones which help in movement. When something goes wrong with your shoulder, it hampers your movements and cause discomfort. When a pain persists for longer period, it affects our daily activities; whether it’s practicing sports or our other hobbies. Shoulder pain at night may keep you awake at nights.
What causes shoulder pain?
Several factors can contribute to shoulder pain. Sometimes we work a little too hard, sleep on it wrong, or twist the wrong way and we end up feeling stiff and sore for a few days. Sometimes shoulder pain develops slowly or is the result of a sudden injury.
Some very common reasons of shoulder pain include the following.
Avascular necrosis: It’s a condition in which bone tissue become dead due to the lack of blood supply. Also called as osteonecrosis, it causes tiny breaks in the bones which eventually lead to bone’s collapse. As a result, broken bone blocks or disturbed the blood flow to a section of bone. This condition is most common in people between the ages of 30 and 50.
Usually most people don’t feel any symptom in the early stages, after time your affected joint hurts when you put on weight on it.
Brachial plexus injury: Brachial plexus is the network of nerves; the function of these nerves is to sends signals from your spinal cord to your shoulder, arm and hand. An injury of brachial plexus occurs when these nerves are stretched, compressed, or in the most serious cases, ripped apart or torn away from the spinal cord.
Minor injuries of brachial nerve are common in sports like football. Most severe injuries results from auto or motorcycle accidents which often lead your arm paralyzed. Surgical procedures such as nerve grafts, nerve transfers or muscle transfers can help restore functions.
Broken arm: Broken arm involves one or more of the three bones of your arm. Most common reason of a broken arm is falling onto an outstretched hand. More complicated break may require a surgery.
Broken collarbone: Collarbone breakage is more common in children and young adults. Common causes of a broken collarbone include falls, sports injuries and trauma from traffic accidents. Most collarbone breakage can heal with pain relievers, physical therapy and with time.
Bursitis: It’s a painful condition which affects the small, fluid-filled sacs called bursae. Bursae cushion the bones, tendons and muscles near your joints. Bursitis occurs when bursae become inflamed.
By resting the affected joint and protecting it from further trauma, we can treat bursitis. . In most cases, bursitis pain goes away within a few weeks with proper treatment.
Polymyalgia rheumatica: Inflammatory disorder that causes muscle pain and stiffness, especially in the shoulders. This condition is common in people older than 65.
Osteoarthritis: Osteoarthritis is affecting millions of people around the world. When protective cartilage that cushions the ends of your bones wears down; cause osteoarthritis.
Damaged joint can’t be reversed but staying active, maintaining a healthy weight and some treatments might slow progression of the disease.
Rotator cuff injury: Rotator cuff is a group of muscles and tendons that surround the shoulder joint. It keeps the head of your upper arm bone firmly within the shallow socket of the shoulder. A rotator cuff injury can cause a dull ache in the shoulder, which often worsens when you try to sleep on the involved side.
Tendinitis: Inflammation of tendon; condition causes pain and tenderness just outside a joint. Tendinitis most commonly occurs on your shoulders, elbows, wrists, knees and heels.
Thoracic outlet syndrome: Group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib are compressed. This can cause pain in your shoulders and neck and numbness in your fingers.
Zaki Anwar MD is an Anesthesiologist and Interventional Pain Management Specialist. He has vast expertise for the diagnosis and treatment of back pain, headaches, migraines, neck pain, sciatica pain and various pain conditions.
For further queries call on 815-412-6174