A Simple Guide to Shoulder Muscle Sprain, Diagnosis, Treatment and Related Conditions
By Kenneth Kee
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About this ebook
This book describes Shoulder Muscle Sprain, Diagnosis and Treatment and Related Diseases
Recently an old lady consulted me about the pain in her right shoulder which she sustained after a fall 2 months ago.
She had seen the hospital specialist who had her shoulder X-rayed and found no bony abnormalities such as fracture, dislocations or osteoarthritis.
The shoulder pain was worse at the deltoid muscle area and the movements of the right shoulder were affected.
It was worse at night especially sleeping on her right side because the shoulder was being pressed against the bed.
She had been given pain killers and muscle relaxant without improvement.
She had been treated by a Chinese physician with acupunctures and heat therapy without improvement.
On examination her right shoulder appeared normal except for tenderness at the lower part of the deltoid muscle and supra-scapular area of the shoulder blade.
Movement of the right shoulder forwards and backwards was normal.
Movement of the right shoulder upwards and downwards was limited to 90 degrees.
There is restriction of movement of the right shoulder when performing the hand to shoulder blade test.
There appeared to be a tear of the ligaments of the right shoulder and possibly the deltoid and supraspinatus muscles.
She had a right shoulder sprain after the fall and possible micro-tears of the deltoid and supraspinatus muscles.
The treatment involved painkiller such as brufen, shoulder brace and cold therapy followed by physiotherapy.
If the shoulder does not improve she may require a MRI to assess the tears in the ligaments and muscles and possibly surgical repair of the muscles.
A Shoulder Sprain happens from a tear of the ligaments which attach muscles to bone around the shoulder joint.
The tear in the ligaments may lead to pain and reduced range of motion of the shoulders.
There is a belief that the shoulder joint is a single joint between the humerus and the body but actually the shoulder comprises several smaller joints sited outside of the arm’s socket.
The shoulder ligaments connect 4 bones, vital to smooth functioning of the shoulder.
The triangular shoulder blade or scapula
The bony knob at the top of the scapula or acromion
The collarbone or clavicle
The breastbone or sternum
A sprain that tears ligaments in the shoulder most often happens at the joint between the acromion and collarbone, termed the acromioclavicular joint.
Less often, a shoulder sprain involves the joint between the breastbone and collarbone, termed the sternoclavicular joint.
Normally a shoulder sprain can happen when backward force is placed on the arm and overstretches the shoulder ligaments.
This forceful movement produces the tearing of ligaments of the shoulder joint.
Other causes are:
Direct fall on the shoulder
Falling on the outstretched arm
Getting hit hard on the shoulder
Forceful twisting of the arm
Overuse or repetitive movement of the shoulder, such as in swimming or tennis
Sports injuries affecting the shoulder
Blow to the shoulder blade
Car accidents
A shoulder sprain is due to the rupture or stretching of the ligaments while a shoulder strain is caused by the overstretching or tear of the tendon or muscle.
Most shoulder sprains can be treated with non-surgical treatments such as Rest
Ice
Compression with a brace
Elevation of shoulder with a sling
Surgery can be indicated if pain continues or the deformity is obvious and affecting function.
TABLE OF CONTENT
Introduction
Chapter 1 Shoulder Muscle Sprain
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Shoulder Strain
Chapter 8 Rotator Cuff Tears
Epilogue
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"
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