Pain Culprits!: Surprising Truths Behind Pain, How to Uncover the Cause, and What to Do about It by Kopsaftis Eileen

Author:Kopsaftis, Eileen [Kopsaftis, Eileen]
Language: eng
Format: epub, azw3, pdf
Publisher: Best Seller Publishing, LLC
Published: 2020-10-05T16:00:00+00:00

About 40% of cases persist for longer than one year with rates of recurrence and chronicity of shoulder pain rated as moderate to high.

40% to 50% of those who experience shoulder pain report recurrence within 1 to 5 years later.

About 13% were still attending medical services during the third year of follow-up.

About 50% of all new episodes of shoulder pain continue to show symptoms or recurrences at six months, with as many as 40% still with symptoms at one year.

Common Treatments for Shoulder Pain

This topic was mostly covered in Chapter 2, but I want to remind you here that imaging and structural issues do not line up accurately with the report of (or lack of) symptoms. 7 - 9 Please remember if the reason for your shoulder pain is an unstable ankle, like it was for Kevin our athlete, whatever is “found” on imaging and treated medically will not permanently fix the problem if the ankle is not improved.

I have seen many patients given steroid injections as a first attempt to address shoulder pain without recommending any physical therapy (PT) at all. Most were not informed of potential risks and benefits and they often don’t succeed at alleviating pain. Ask Beth.

Remember the side effects of these injections? Death of nearby bone (osteonecrosis), joint infection, nerve damage, deterioration of cartilage, tendon weakening or rupture, and thinning of the adjacent bone (osteoporosis). 10 Medically managing inflammation does not address weakness, imbalance, or joint biomechanics. Decreasing inflammatory pain puts a person at a higher risk of further injuring the joint, since pain is generally a warning sign that something is wrong.

Since corticosteroid injections don’t work any better than manual PT for treating shoulder impingement, why not go to PT first? 11 If only six visits of therapy in two weeks can alleviate pain and there are no risks or side effects, it seems this would be the wisest course of action, don’t you think?

Remember, regarding rotator cuff issues, no evidence was found in favor of any intervention, either non-surgical, surgical or post-surgical. 12 The data implies it may be wise to attend physical therapy before agreeing to surgery right away. This is not to say someone should never have shoulder surgery, but the primary goal is to ensure the true culprit for the shoulder pain is addressed appropriately.

The last data for shoulders I want to share is regarding manual therapy and shoulder pain. 13 By 24 weeks, 32 out of 40 participants had recovered entirely, and the other 8 were improved. How’s that for success?

I will recap briefly here. If your back has issues, your shoulder will have issues. If your hip is weak and has restricted motion, your shoulder will most likely suffer. If your ankle lacks stability and strength, your shoulder may be forced to make up for that lack when you are throwing a ball or swinging a golf club, or believe it or not, just walking.

It is vital to look at your body as a whole to determine where the restrictions live in order to restore healthy shoulder function.

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