A painful shoulder is characterized by pains in the shoulder region, causing limited motion. In expert terminology, left shoulder pain can be recognized as periarthritis humeroscapularis (PHS). This kind of terminology is mostly used by doctors, but you can often find it in everyday situations as well. After the condition has been diagnosed, the patient needs to undergo months’ worth of all kinds of procedures and physical therapies with common injections in different parts of the shoulder.
This diagnosis alone is enough to indicate a severe problem with the shoulder, with the most common symptom being limited movement. Before starting with the treatment, it is necessary to properly confirm the diagnosis so that the patient can be helped with rather than harmed with improper practices.
Frozen shoulder is a syndrome best suited to be called PHS. It’s a syndrome with unknown etiology, characterized with pain and limited movements in the shoulder in all directions. The cause for this to happen may be other conditions, including tumors and it’s most common with patients in between 40 and 60 years of age. It’s fairly more common with diabetics. This syndrome has four phases to it. The first phase lasts about four months where patients will complain about shoulder pain. This can easily be linked to a minor arm injury.
In the second phase the shoulder starts to “freeze” and it can last up to 6 months. This phase is characterized by strong pain and reduction of all movements in the shoulder. Loss of motion freedom is a consequence of shortening and thickening of the joint. The third phase basically represents the frozen shoulder. It can last up to 6 months as well, with both active and passive movements being severely obstructed.
The fourth phase is the phase of recovery which lasts up to 9 months. Freedom of joint movement slowly returns, with pain slowly drifting away.
Rear shoulder dislocation
Rear shoulder dislocation is a fairly rare condition, but it can easily be overseen. Patients with chronic, unrecognized rear shoulder dislocation will go through all kinds of different physical therapy procedures without much improvement. It can happen during an epileptic attack, electroshocks as well as rough fall on the shoulder in question. Clinical report is very characteristic – the arm is kept in the inside rotation area, from which it’s impossible for the patient to rotate the arm into the outside circle. The main reason for this is failure to recognize the acute rear shoulder dislocation, which is a consequence of improper radiology processing. With a chronic rear shoulder dislocation, the head of the bone is rubbing against the rear edge of the shoulder which causes impression type of upper elbow bone breakage.
Size of this defect greatly affects the mean of treatment. With lesser defects, transposition of the head of the humerus needs to be returned in its rightful place. In some more severe defects end prosthesis is done in order to isolate the problem and prevent any further injuries from developing.