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Children Orthopaedics
Children Orthopaedics
Symptoms
Pain may also develop as the result of minor trauma or spontaneously with no apparent cause. The pain is usually in the front of the shoulder but many patients feel that the pain also “travels” down the side of the affected shoulder. It is worse when lifting the affected arm. There may be a clicking sensation when moving the shoulder. Ladies would complain of difficulty buckling their undergarments and gentlemen find putting on and taking off their T shirts painful. There may be pain and night and patients will not be able to sleep on their affected shoulder. Occasionally, they are woken up by the sharp pain when they turn in bed at night.
Symptom 1
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Symptom 2
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Doctors In-Charge
Specialist Orthopaedic Surgeon
Specialist Orthopaedic Surgeon
When to see a doctor
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Causes
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Risk Factors/Prevention
Shoulder impingement is one of the most common causes of pain in the adult shoulder. It results from pressure on the rotator cuff on the acromion as the arm is lifted. The acromion is the front edge of the shoulder blade. It sits over and in front of the humeral head. As the arm is lifted, the acromion rubs or “impinges” on the surface of the rotator cuff. This causes pain and limits movement.
Complications from Shoulder Pain
Diagnosis
X-ray may show a bone spur/ hook on the front edge of the acromion. Further imaging studies, such as an ultrasound or MRI (magnetic resonance imaging) may be required to confirm a tear in the cuff tendon.
An impingement test, injection of local anesthetic into the bursa, can help to confirm the diagnosis.
Treatments Provided By Us
Initial treatment is conservative and includes rest, avoidance of overhead activities and stretching exercises. A short course of oral non-steroidal anti-inflammatory medication may be necessary. Some patients may benefit from injection of local anesthetic and steroid into the affected area.
Prevention Methods
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Doctors In-Charge
Initial treatment is conservative and includes rest, avoidance of overhead activities and stretching exercises. A short course of oral non-steroidal anti-inflammatory medication may be necessary. Some patients may benefit from injection of local anesthetic and steroid into the affected area.
