Pain in the shoulder joint occurs very often, at any age, the causes of pain are different. Most often, pain in the shoulder joints occurs in older people and athletes as a result of heavy loads on the joint or injury. The cause of pain in the right shoulder joint can be physical inactivity, constant performance of monotonous movements with the right hand, joint diseases, infections, allergic reactions, arthritis, arthrosis and other diseases. At the Yusupov Hospital, in the therapy clinic, a rheumatologist conducts appointments and consultations. The hospital is equipped with innovative diagnostic equipment that allows you to quickly and accurately make a diagnosis.
At the Yusupov Hospital, you can undergo treatment for diseases of the shoulder joints, undergo diagnostic examinations, and in severe cases, surgical treatment is performed. The shoulder joint has a complex structure; the basis of the joint is the clavicle, humerus, scapula with the articular surface and processes (coracoid and humerus). The joint has a large number of connecting elements: coracohumeral ligament, coracoacromial ligament, acromioclavicular ligament, articular capsule. Neurotrophic disorders in the joint capsule, trauma, inflammation in tendons and muscles, limit the movement of the joint, leading to the development of degenerative processes.
Pain in hands
Pain syndrome occurs from prolonged work at the computer, perhaps you are a musician, or is your work associated with monotonous hand movements, after which swelling appears? This constant stress on the joints of the hands can lead to pinched nerve endings in the wrist. The cause of pain can be diseases of the spine - intervertebral hernia, osteochondrosis.
You can start taking painkillers, which, of course, will bring you relief, but this is temporary. Without eliminating the cause of the pain, you will not be able to enjoy life as before, continue to work, or play with children. The pain will return sooner or later!
Important information:
Dear patients! If you have been diagnosed with rheumatoid arthritis, you need to see a rheumatologist. With a rheumatological profile, in addition to the joints, internal organs (heart, kidneys, etc.) may also suffer, so rheumatoid arthritis should be treated by a rheumatologist. The treatment of allergic, gouty and infectious arthritis is carried out by specialists of the relevant profile (allergists, rheumatologists and cardio-rheumatologists).
Orthopedic doctors successfully treat all other types of arthritis in children and adults (caused by sports and household injuries, excess body weight, age-related changes in joints).
Treatment
Help before diagnosis
Fractures and dislocations are fixed with a splint and cold is applied. For all injuries and diseases accompanied by swelling of the limb, an elevated position of the hand is recommended. For intense pain, an analgesic is given. In most cases, pain decreases with rest, so patients are advised to reduce physical activity (except for cases where the pain goes away with movement). In case of increasing acute pain, hyperthermia, or intoxication, an urgent consultation with a doctor is indicated.
Conservative therapy
For dislocations and fractures, local anesthesia, reduction, and fixation with a plaster cast are performed. Patients with injuries and diseases of the hand are prescribed:
- Protective mode.
The patient may be recommended immobilization with a plaster cast or scarf, the use of orthoses, and load limitation. - Drug therapy.
For arthritis, arthrosis, and some other pathologies, NSAIDs are used, for infectious processes - antibiotics, for neurological disorders - neurometabolites. If intense pain persists, blockades with glucocorticoids are performed. - Non-drug methods.
They provide massage, exercise therapy, physiotherapeutic procedures, including electrophoresis, UHF, and mud therapy. Laser therapy, magnetic therapy, and other techniques are successfully used.
Joint diseases
In almost every case, when patients have complaints about pain in the joints of the arms (hands), this greatly alarms orthopedic specialists, since such seemingly insignificant cases turn out to be signs of serious diseases of the musculoskeletal system.
The most common joint diseases:
- disc herniation in the thoracic and/or cervical spine;
- disc protrusion in the thoracic and/or cervical region;
- joint arthritis;
- arthrosis of the joints;
- glenohumeral periarthrosis;
- polyarthritis;
- thoracic and/or cervical osteochondrosis;
- scoliosis, kyphosis, kyphoscoliosis, lordosis and other posture disorders.
These high-risk diseases can lead to disability if you postpone a visit to the doctor and suppress the pain with painkillers.
Only a doctor can identify the cause of joint pain and prescribe the correct, complete treatment!
Causes of pain in the joints of the hands
Given the current state of development of science and medicine, when it would seem that so much has been created for a complete cure, it seems incredible that the problem of pain in the hands remains relevant for many.
There may be several causes of pain in the joints of the arms and hands:
- this may be a previous and not fully cured hand injury, heavy professional stress on the joints of the hands, a previous illness, psychological stress;
- development of arthritis and arthrosis;
- Constant work at low temperatures (hypothermia) or large temperature changes significantly increases the possibility of developing various inflammations in the body, and, accordingly, affects the weakest human joints, such as the joints of the hands or feet;
- diseases of the spine (osteochondrosis, vertebral displacement, hernia and protrusion of the intervertebral disc, etc.) - pain in the arms can be one of the symptoms of these and other diseases;
- diseases with poor posture - pain in the arms can be a secondary symptom of these diseases or reflected pain due to overstrains in the muscles and joints.
If you feel discomfort in your hands, pain in your joints, or you have already been diagnosed, but are putting off treatment, then you need a visit to a specialist and competent treatment right now!
Why do my hands hurt?
To answer this question, you need to undergo a competent and comprehensive diagnosis at the Alan Clinic Center for Neurology and Orthopedics, which, with its comprehensive approach to identifying joint problems, will help establish your diagnosis. It includes the following research methods:
- consultation with a specialist;
- special orthopedic tests;
- dynamic active and passive tests;
- local palpation examination of damaged joints;
- assessment of the condition of the musculoskeletal system, posture, gait, uniform distribution of load on joints, range of motion, stability and strength of the joint;
- making and explaining the diagnosis;
- selection of individual complex motivated treatment.
If necessary, the doctor may also prescribe:
- MRI;
- Ultrasound;
- X-ray;
- lab tests;
- diagnostic puncture of the joint.
Diagnostics: looking for a pain point
Often, when the right arm or the opposite limb hurts and goes numb, it is necessary to visit a consultation with a cardiologist, therapist or neurologist. Having decided on the range of questions, the doctor gives a referral for laboratory and instrumental research.
- Examination of the heart using ultrasound makes it possible to identify abnormalities in the functions of the organ, detect structural changes and examine the activity of the heart valves.
- Angiography - studying the condition of blood vessels can indicate disruptions in blood circulation in the shoulder or forearm, as well as the hand area.
- Dopplerography is a diagnostic method for assessing blood flow speed and monitoring potential pathological processes in blood vessels (blood clots or cholesterol plaques).
- Computed tomography (MRI) is suitable for identifying pathologies in the central nervous system and brain, if such abnormalities are associated with numbness and pain in the arms and hands.
Before dealing with the problem, you need to be accurately and comprehensively examined and find out why your right arm or both at once is numb and painful. Based on the results of the examination, a qualified specialist will select an individual treatment regimen, medications, vitamins and a balanced diet to compensate for possible deficiencies.
How to treat hand joints?
All existing treatment methods, both ultra-new and traditional, which the Alan Clinic Center for Neurology and Orthopedics uses in its work, are the safest and exclude surgical intervention.
The treatment process is always a comprehensive program with an individual approach to each of our patients. These treatment methods, consisting mainly of non-drug methods, are available not only to ordinary patients, but are acceptable for the treatment of infants, pregnant and lactating mothers.
We have at our disposal the following methods:
- Manual therapy
- Osteopathy is treatment done by a doctor, with a gentle effect on the musculoskeletal system, nervous and vascular systems, and internal organs.
- Medical massage
- Acupuncture - exposure to biologically active points with microneedles.
- Laser reflexology is a painless effect on reflexogenic zones and points.
- Tsubotherapy is a gentle effect on the reflex points of the body.
- Pharmacopuncture is the introduction of medicinal drugs of natural origin to the source of the problem.
- Plasma therapy is the introduction of the patient’s own purified blood into the site of the disease.
- Isometric kinesiotherapy - individual gymnastic techniques/exercises, according to indications, with elements of joint massage.
- Kinesiotherapy using the Exart installation
- Kinesio taping
- Ozone therapy is treatment with active oxygen.
- Physiotherapy
- Physiotherapy with enzyme preparations
- Medical droppers
- Hirudotherapy - treatment with leeches.
- Botulinum therapy is treatment with botulinum toxin.
- Intra-articular injection of synovial fluid endoprostheses
- Intra-articular blockades
All methods are recognized by official medicine, and doctors using them have appropriate certificates. The decision on the need to use certain medications during the course of treatment is made by the doctor, based on the complexity and severity of the disease, concomitant diseases, as well as the diagnosis.
Neck hurts and radiates to arm
If your neck hurts and it radiates to your arm
, then, in all likelihood, you have a herniated disc in the cervical spine.
During the examination, your doctor should rule out diseases with similar symptoms. Such as:
- Pain in the trapezius muscle, trigger points in it.
- Spondyloarthrosis.
Briefly the essence of this disease:
The human intervertebral disc is very vulnerable and begins to deteriorate early. A crack in the fibrous ring may appear there and a section of the soft nucleus pulposus may be squeezed out through it. The release of the hernia is accompanied by pain in the neck. If the hernia puts pressure on the root, the hand hurts and goes numb.
Here are the main symptoms of this disease:
- First the neck hurts. Neck pain may persist for several years.
- Then the pain moves to the arm, while the neck may stop hurting.
- The pain in the arm can reach the elbow, maybe the hand.
- Fingers go numb in some cases.
How to avoid making a mistake with a diagnosis?
50% is an examination by a specialist. It is very important that the doctor has experience in successfully solving such problems.
To clarify the diagnosis, we prescribe an MRI of the cervical spine. This is usually enough to take the correct treatment tactics
After making a diagnosis, we choose one of 2 ways:
Therapeutic or immediately surgical.
The most therapeutically effective procedures in our experience:
- Blockades under X-ray
- Shock wave therapy
- Kinesitherapy (motion therapy)
- Acupuncture
- Myofascial trigger massage.
Surgical treatment:
The operation is indicated for compression of the spinal cord herniation (required). Or if the hernia puts pressure on the root and the pain does not go away or lasts for more than 2 months.
The operation is performed from a small approach along the front surface of the neck. Lasts about 1.5 hours. Patients are allowed all types of movements 2 hours after surgery in the collar. You can go home the next day after surgery. Light labor in 10-14 days. You will be able to drive a car in a month.
Pain treatment in our Clinic is available to residents in Kaluga. Also, treatment of a herniated disc in the cervical spine in Moscow, Obninsk, Kaluga region, Tula, Bryansk, Serpukhov can be replaced with a comfortable solution to your problem with us. Patients from different cities actively come for treatment at the Kaluga Pain Clinic. For out-of-town patients there is a comfortable hospital and hotel services.
If you need our help, call right now: (4842) 12/28/12 or fill out the call back form or online appointment. If you are from another region, do not forget to reserve a place in the hospital.
And remember:
This type of pain can be treated well in one way or another, and you will be able to fully live again, rather than exist.
Diagnostics
Diagnosis of pain in the arm from the shoulder to the elbow is carried out by a neurologist or therapist.
If, after interviewing and examining the patient, the doctor finds out that the cause of the pain is a disease of the internal organs, he will refer him for a consultation with specialized specialists who will try to eliminate the source of the pain, and will not simply fight the symptoms of the pathology.
- Additional diagnostic methods are:
- X-ray of the spine, shoulder and elbow joints;
- computed tomography or magnetic resonance imaging;
- biochemical and general blood tests to identify autoimmune processes and infectious pathologies;
- densitometric examination for the presence of osteoporosis;
- scintigraphy examination for suspected malignant tumors and metastasis;
- for arthrosis, arthroscopy may be prescribed.
