Description

Shoulder Pain Treatment

Shoulder pain is a common problem. Many factors and conditions can contribute to shoulder pain. Repetitive
overhead activities and sports activities can cause rotator cuff tendinitis,
which is the most common cause of shoulder pain. Other causes of shoulder
pain are shoulder impingement syndrome, calcific tendinitis, frozen shoulder,
etc. In this context, physical medicine and rehabilitation play a
fundamental role. There are various conservative treatment approaches. Nonsteroidal
anti – inflammatory drugs (NSAIDs), cortisone injections, stretching and
strengthening exercises, manual therapy, cryotherapy, extracorporeal shock wave
therapy (ESWT), laser therapy, ultrasounds, etc. The aim is to reduce
shoulder pain and regain shoulder function, reduce the degree of urgency, to
reduce swelling and inflammation and minimize the risk of further injury. The
rehabilitation program should always be planned during clinical evaluation,
focusing on the state of functional impairment, range of motion, and pain
arising during evaluation. The goal is to provide long-term results in
joint mobility, reduce stiffness and improve function. It is important to
maintain shoulder range of motion to prevent sticking and reduce compression. Exercise
program constitutes the basis of conservative treatment and no therapeutic
application alone may be sufficient to alleviate long-term pain and increase
functional status. Manual therapy can be a useful adjunct to exercises and
other therapeutic modalities in the treatment of diseases that cause shoulder
pain.