Shoulder Pain, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Shoulder Pain, Diagnosis and Treatment and Related Diseases

Shoulder pain is the main symptom of many shoulder disorders.

Movement of the shoulder joint can be extremely painful and may be extremely difficult.

When something goes wrong with the shoulder, it hinders the ability to move freely and can produce a great deal of pain and discomfort.

The shoulder is a ball-and-socket joint that comprises 3 main bones: the humerus (long arm bone), the clavicle (collarbone), and the scapula (also known as the shoulder blade).

These bones are enclosed by a layer of cartilage.

There are 2 main joints:

1. The acromioclavicular joint connects the highest part of the scapula and the clavicle.

2. The glenohumeral joint comprises the top, ball-shaped part of the humerus bone and the outer edge of the scapula.

This joint is also termed the shoulder joint.

The shoulder joint is the most movable joint in the body.

It moves the shoulder forward and backward.

It also permits the arm to move in a circular motion and to move up and away from the body.

The shoulder has many important parts:

1. The rotator cuff is a group of muscles and tendons that enclose the shoulder, giving it support and permitting a wide range of motion.
2. The bursa is a small sac of fluid that cushions and protects the tendons of the rotator cuff.
3. A cuff of cartilage termed the labrum produces a cup for the ball-like head of the humerus to move into.
4. The humerus goes relatively loosely into the shoulder joint.
This supplies the shoulder a wide range of movement, but also makes it vulnerable to injury.

Causes of shoulder pain

Several risk factors and disorders can cause shoulder pain.

The most frequent cause is rotator cuff tendinitis.
This is a disorder featured by swollen tendons.

Another frequent cause of shoulder pain is the impingement syndrome where the rotator cuff gets wedged between the acromium (part of the scapula that covers the ball) and humeral head (the ball part of the humerus).

Sometimes shoulder pain is the result of injury to another location in the body, normally the neck or biceps.
This is termed referred pain.

Referred pain normally does not become worse when the patient moves the shoulder.

Other causes of shoulder pain are:
1. Arthritis
2. Torn cartilage
3. Torn rotator cuff
4. Swollen bursa sacs or tendons
5. Bone spurs (bony projections that develop along the edges of bones)
6. Pinched nerve in the neck or shoulder
7. Broken shoulder or arm bone
8. Frozen shoulder
9. Dislocated shoulder
10. Injury due to overuse or repetitive use
11. Spinal cord injury
12. Heart attack

Shoulder Disorders

Frozen shoulder:
The inflammation happens in the shoulder that causes pain and stiffness.

Osteoarthritis:
The frequent "wear-and-tear" arthritis happens with aging.

Rheumatoid arthritis:
This is a form of autoimmune arthritis in which the immune system attacks the joints, producing inflammation and pain.

Gout:
This is a form of arthritis in which crystals form in the joints, producing inflammation and pain.

Rotator cuff tears:
A tear may happen in one of the muscles or tendons covering the top of the humerus.

Shoulder impingement:
The acromion (edge of the scapula) compresses on the rotator cuff when the arm is lifted.

Shoulder dislocation:
The humerus or one of the other bones in the shoulder moves out of its normal position.

Shoulder tendonitis:
This is the inflammation of the tendons in the shoulder's rotator cuff

Shoulder bursitis and labral tears can also cause pain.

TABLE OF CONTENT
Introduction
Chapter 1 Shoulder Pain
Chapter 2 Acromioclavicular Joint Injury
Chapter 3 Shoulder Arthritis
Chapter 4 Shoulder Dislocation
Cha

• Language: English
• Publisher: Kenneth Kee
• Release date: Jan 9, 2020
• ISBN: 9780463436813

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Shoulder Pain,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2020 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Shoulder Pain, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Shoulder Pain)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Shoulder Pain

What is Shoulder pain?

Shoulder pain is the main symptom of many shoulder disorders.

Movement of the shoulder joint can be extremely painful and may be extremely difficult.

When something goes wrong with the shoulder, it hinders the ability to move freely and can produce a great deal of pain and discomfort.

The shoulder is a ball-and-socket joint that comprises 3 main bones: the humerus (long arm bone), the clavicle (collarbone), and the scapula (also known as the shoulder blade).

These bones are enclosed by a layer of cartilage.

There are 2 main joints:

1. The acromioclavicular joint connects the highest part of the scapula and the clavicle.

2. The glenohumeral joint comprises the top, ball-shaped part of the humerus bone and the outer edge of the scapula.

This joint is also termed the shoulder joint.

The shoulder joint is the most movable joint in the body.

It moves the shoulder forward and backward.

It also permits the arm to move in a circular motion and to move up and away from the body.

The shoulder has many important parts:

1. The rotator cuff is a group of muscles and tendons that enclose the shoulder, giving it support and permitting a wide range of motion.

2. The bursa is a small sac of fluid that cushions and protects the tendons of the rotator cuff.

3. A cuff of cartilage termed the labrum produces a cup for the ball-like head of the humerus to move into.

4. The humerus goes relatively loosely into the shoulder joint.

This supplies the shoulder a wide range of movement, but also makes it vulnerable to injury.

From Wikipedia

From Wikipedia

The shoulder joint gets their range of motion from the rotator cuff.

The rotator cuff comprises 4 tendons.

Tendons are the tissues that connect muscles to bone.

It may be painful or difficult to lift the arm over the head if the tendons or bones around the rotator cuff are damaged or swollen.

The patient can injure the shoulder by performing manual labor, playing sports, or even by repetitive movement.

Certain disorders can cause pain that radiates to the shoulder.

These are diseases of the cervical spine (neck), as well as liver, heart, or gallbladder disease.

The patient is more likely to have disorders with the shoulder as the patient grows older, particularly after age 60.

This is due to the soft tissues enclosing the shoulder tending to degenerate with age.

In many cases, the patient can treat shoulder pain at home.

The use of physical therapy, medications, or surgery may also be essential.

This is what the patient need know about shoulder pain, such as causes, diagnosis, treatment, and prevention.

What are the causes of shoulder pain?

Causes of shoulder pain

Shoulder pain that does not become better after 2 weeks might be produced by something that requires treatment.

Several risk factors and disorders can cause shoulder pain.

The most frequent cause is rotator cuff tendinitis.

This is a disorder featured by swollen tendons.

Another frequent cause of shoulder pain is the impingement syndrome where the rotator cuff gets wedged between the acromium (part of the scapula that covers the ball) and humeral head (the ball part of the humerus).

Sometimes shoulder pain is the result of injury to another location in the body, normally the neck or biceps.

This is termed referred pain.

Referred pain normally does not become worse when the patient moves the shoulder.

Other causes of shoulder pain are:

1. Arthritis

2. Torn cartilage

3. Torn rotator cuff

4. Swollen bursa sacs or tendons

5. Bone spurs (bony projections that develop along the edges of bones)

6. Pinched nerve in the neck or shoulder

7. Broken shoulder or arm bone

8. Frozen shoulder

9. Dislocated shoulder

10. Injury due to overuse or repetitive use

11. Spinal cord injury

12. Heart attack

Shoulder Disorders

Frozen shoulder:

The inflammation happens in the shoulder that causes pain and stiffness.

As a frozen shoulder persists, the movement in the shoulder can be seriously limited.

Osteoarthritis:

The frequent wear-and-tear arthritis happens with aging.

The shoulder is less often affected by osteoarthritis than the knee because of the usage of the knee.

Rheumatoid arthritis:

This is a form of autoimmune arthritis in which the immune system attacks the joints, producing inflammation and pain.

Rheumatoid arthritis can affect