Shoulder Pain
Do you have pain in your shoulder?
Has your shoulder been dislocated?
Do you have problems due to this?
Heavy work, especially work being performed above shoulder level may give rise to wear and tear damage to the joints and soft tissues of the shoulders. Wear and tear of the articular cartilage – arthrosis – in the shoulder is not as common as in the hip or knee joint; but even in these conditions, conservative treatment (non-surgical) is the first choice. Sometimes, however, surgery may be resorted to.
However, most adults have experienced one or more episodes of shoulder pain. It may occur spontaneously after overexertion or caused by a trauma to the arm or shoulder. Often, resting, anti-inflammatory medication, and eventually targeted physiotherapy are sufficient treatment.
At Activemotion Orthopedic Surgery, we offer assessment for adequate treatment, as well as, if deemed necessary, surgery at a private hospital in the Öresund region, most likely in Denmark. As a citizen of a EU-member state you have the right to seek medical care in another country within the European economic community, according to EU Directives, why the cost of having surgery in Denmark is, upon application, reimbursed by the Swedish Social Insurance Agency.
find out more about
some common shoulder diseases.
Pain with movements which are located to the front and outside of the shoulder. More pain is provoked the higher you move your arm. Pain after exertion. May cause sleep disturbances.
Congestion between the upper arm and the shoulder blade (acromion). Irritation in the mucous sac under the shoulder blade roof.
Usually debuts at the age of 40-60, sometimes after you have exerted yourself more than usual.
You should train the strength of the small muscles around the shoulder (rotator cuff) and the muscles that control the shoulder blade with the help of a physiotherapist. The following muscles are to be strengthened: M. Biceps, M. Serratur Anterior, M. Latissimus, M. Trapezius, M. Rhomboideus. Your posture is important. The shoulder blade should return – type “Hand in the back pocket” in opposite to the reflective protruding shoulder that the pain usually causes. In addition, any stiffness should be trained away.
You should not smoke as this impedes the body’s ability to heal.
Most important is specific physiotherapy training. A cortisone injection under the shoulder blade roof can lead to relief of more pronounced pain. If that and training are not enough, we recommend surgery. It has been shown that physiotherapy training has as good results as surgery after 5 years. We therefore only operate if physiotherapy training does not provide improvement.
The operation takes place as day surgery, where you sleep for about 30 minutes. Using an arthroscope (peephole surgery), we remove scar tissue in the narrow space and, if necessary, we mill off bones on the underside of the roof to widen the space. You can use the arm afterwards but should plan to take it easy so that it has time to heal.
The operation is relatively risk-free, but you can always, even with minor procedures, suffer from complications such as infection, blood clots, etc. This should always be discussed with your orthopedist.
Unfortunately, not everyone gets well, but about 80% are satisfied after the operation or physiotherapy.
You should book an appointment with your physiotherapist 10-14 days after the operation to get the first instruction in the continued rehab and to check that you are performing the exercises you received at the hospital correctly. 4 weeks after the operation you can intensify the training; but you must respect the body’s signals and rest if you are in pain again.
Sick leave varies from a few weeks for office work to 3-4 months for heavy physical work. It usually takes about 6 months to become completely well.
Pain with movements which are located to the front and outside of the shoulder. More pain is provoked the higher you move your arm. Pain after exertion. May cause sleep disturbances.
Congestion between the upper arm and the shoulder blade (acromion). Irritation in the mucous sac under the shoulder blade roof.
Usually debuts at the age of 40-60, sometimes after you have exerted yourself more than usual.
You should train the strength of the small muscles around the shoulder (rotator cuff) and the muscles that control the shoulder blade with the help of a physiotherapist. The following muscles are to be strengthened: M. Biceps, M. Serratur Anterior, M. Latissimus, M. Trapezius, M. Rhomboideus. Your posture is important. The shoulder blade should return – type “Hand in the back pocket” in opposite to the reflective protruding shoulder that the pain usually causes. In addition, any stiffness should be trained away.
You should not smoke as this impedes the body’s ability to heal.
Most important is specific physiotherapy training. A cortisone injection under the shoulder blade roof can lead to relief of more pronounced pain. If that and training are not enough, we recommend surgery. It has been shown that physiotherapy training has as good results as surgery after 5 years. We therefore only operate if physiotherapy training does not provide improvement.
The operation takes place as day surgery, where you sleep for about 30 minutes. Using an arthroscope (peephole surgery), we remove scar tissue in the narrow space and, if necessary, we mill off bones on the underside of the roof to widen the space. You can use the arm afterwards but should plan to take it easy so that it has time to heal.
The operation is relatively risk-free, but you can always, even with minor procedures, suffer from complications such as infection, blood clots, etc. This should always be discussed with your orthopedist.
Unfortunately, not everyone gets well, but about 80% are satisfied after the operation or physiotherapy.
You should book an appointment with your physiotherapist 10-14 days after the operation to get the first instruction in the continued rehab and to check that you are performing the exercises you received at the hospital correctly. 4 weeks after the operation you can intensify the training; but you must respect the body’s signals and rest if you are in pain again.
Sick leave varies from a few weeks for office work to 3-4 months for heavy physical work. It usually takes about 6 months to become completely well.
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Impingement
Axeullation
Axel Artros
