According to many people who need to be known here, the cause of the pain that occurs in this area is bursitis, which is the edema of the sac located on the shoulder and called the bursa.
Along with bursitis, tendon injury, which we call tendinitis, is also an additional cause of pain in tears in the muscle-tendon structure that makes most of the shoulder functions, called the rotator cuff. However, these causes of pain are not the cause of impingement disease but its consequences.
Shoulder compression or impingement syndrome is caused by friction of the rotator cuff rotator sheath tendons with the acromion located on the roof of the shoulder joint or the acromioclavicular joint of the acromion with the collarbone. There are three main bones in the structure of the shoulder joint. These are the shoulder blade, that is, the scapula, and the clavicle, which is the collarbone, along with the humerus, the arm bone. Here, the rotator sheath, the structure that connects the arm bone to the shoulder blade, serves as a binding. This sheath consists of four tendons of the muscle structure (supraspinatus, infraspinatus, teres minor, subscapularis). The structure we call the rotator cuff allows the arm to move up from the shoulder part, as well as all the movements found on the shoulder.
At the same time, when moving the arm upwards, it ensures that the arm joint is connected to the shoulder blade joint. In addition, the bones in the nest also ensure that it stands firmly. There is a sac called the bursa between the acromion structure and the Decubitus cuff. This structure provides friction between the bone and the joint thanks to the lubricating liquid. Decongestant. Thanks to the fact that the muscles are also involved in this friction, the sac called the bursa also minimizes the damage caused by friction. Again, in order to ensure the continuation of the range of motion and to create a large zone in the range of motion, this process ensures that it continues continuously.
In general, there is enough room for movement between the acromion and the rotator cuff to allow the tendons to slide and move during the lifting event above the Decapitation. Normally, every time a person raises their arm, some friction between the acromion and the Decubitus cuff and in the bursa tissue is natural. Compression disease, on the other hand, is a condition of friction sufficient to damage the bursa and rotator cuff tendons.
When is Shoulder Impingement Syndrome Seen?
Impingement syndrome, which occurs at a young age, is usually due to structural abnormalities of the acraomion. In some sports, such as bodybuilding, adele imbalances, shoulder injuries are among the causes. Degenerative disorders in the acromion and acromioclavicular joint can be caused in advanced age.
The disappearance of gravity during the lifting movement of the arm or while lying down and the approach of the shoulder head to the roof causes the Decapitation between the acromion of the arm bone. Due to excessive use of the arm and shoulder area with time after this compression, this condition causes swelling on the bursa tissue. Not only swelling but also pain occurs on the bursa tissue. Night pain is typical.
When the area between the acromion and the rotator cuff Decays, the movement of the arm, especially to the back, begins to be restricted. After a while, the restriction in shoulder movements may increase. Again, the bone protrusions located between the Decollete will become even more noticeable during each movement. These protrusions, on the other hand, show a spiky structure on the bone from the outside.
In the early stages of the disease, a constant pain occurs on the shoulder. At the same time, although pain appears at an early stage when a person moves his arm forward or sideways, after that, this mobility is also restricted. Most people who experience this discomfort express that they cannot sleep on the shoulder where the cause of pain and discomfort.
In addition, the person expresses that they feel sharp pains while reaching into their back pocket with their arm on the shoulder side where they have pain. This is actually known as a definite symptom of impingement syndrome. As the condition progresses further, the restless condition that occurs in the patient's shoulder part increases even more. In addition, the weakness that occurs in the arm and the inability to lift the arm, and again the occurrence of numbness in the arm, actually appear as another symptom of compression.
A person who feels such symptoms in shoulder impingement syndrome should consult a doctor as soon as possible. The disease, which can initially be treated with simple medications, injections, physical therapy, causes rupture of the roator cuff over time and conditions requiring surgery.
Treatment of Shoulder Impingement Syndrome
Orthopedic problems are problems that arise for different reasons and disrupt the patient's quality of life and daily living comfort, causing movement restrictions and intense pain. There are quite reliable and easy treatment methods for these problems today. As a result of developing technology and research, Impingement syndrome and all other orthopedic problems can be treated with many diagnostic and therapeutic methods.
What Are the Treatment Methods?
In the patient diagnosed with shoulder impingement syndrome, the most appropriate treatment planning is made by evaluating the patient's lifestyle and complaints caused by the problem. Surgical and non-surgical treatment methods can be applied. In the non-surgical treatment method; the use of drugs with pain relief effect, ice compress applications and cortisone-containing injection treatments are applied in severe pain situations. In cases where these methods do not benefit, surgical methods are resorted to.
In the surgical treatment method; shoulder arthroscopy, resection arthroplasty and subacromial decompression applications can be resorted to. After the application of surgical methods, it is of great importance that the patient does not go beyond the recommendations of the doctor and does not disrupt the physical therapy-rehabilitation process.