Tuesday, March 24, 2009

Shoulder Tendonitis

Shoulder tendonitis is defined as chronic inflammation of the shoulder muscles, tendons, bursa, and articular capsule. It usually happens to those over the age of 50 and is often referred to as the “Fifty-year-old Shoulder.” During its late stage when the shoulder joint becomes stiff and mobility limited, it then referred to as “Frozen Shoulder.” The lady we mentioned at an earlier time was diagnosed with frozen shoulder.

The beginning stages of shoulder tendonitis are pain and stiffness, which gradually worsen with time. Once it reaches a certain level, the stiffness can gradually decreases and can even cure itself. However, this whole process can last for two years.

Even if shoulder tendonitis can cure itself, treatment is still suggested. The main reason is that shoulder tendonitis causes severe shoulder pain, which then affects one’s daily work and life. Another reason is that because the period of self-healing usually takes two years, without any treatment, most people will suffer mobility dysfunction.

The type of treatment you receive will depend on what stage of shoulder tendonitis you have.

Acute stage: This is when people complain the most about pain. The pain is serious and get worse at night. People find it difficult to fall asleep because of the severe pain they feel. At this stage, the principle of the treatment is to get rid of the inflammation and relieve pain. We use acupuncture, ultrasound and Tui Na.

Adhesive stage: At this stage, pain is not as severe. Most people feel that the mobility in their shoulder joint is limited. Depending on the person, shoulder muscles may have different levels of shrink. Starting exercise is usually suggested. A combination of acupuncture and heat treatment can help release the adhesive muscles.

Recovery stage: Pain at this point has nearly disappeared and the shoulder joint is on its way to recovery. It can take anywhere between two months to one year to reach this stage. It is at this stage that exercise is most important.

How to protect your shoulder?
1. Moderate exercise is very important: moderate meaning don’t take it too easy, but don’t overdo it
2. Keep your shoulder warm: especially at night while you sleep, keep your shoulder covered; avoid direct cold wind to the shoulder area; after exercise, if you intend on taking a bath or shower, be sure the water is warm or hot – do not use cold water
3. Pay attention to your posture: for example, when you read, write or use the computer, don't tense your shoulder muscle
4. Avoid injury: stay away from extreme exercises

No comments: