All about shoulder pain

Symptoms of shoulder pain

Shoulder pain can present itself in many forms, depending on the cause and the structure affected. The
most common symptoms
include:

  • Localized pain in the front, side or back of the shoulder
  • Limitation of movement (difficulty lifting arm, combing hair, fastening bra, etc.)
  • Nocturnal pain that interferes with sleep
  • Feeling of weakness in the arm or loss of strength
  • Clicking or feeling of instability in the joint
  • Radiating pain to the neck, scapula, or arm
  • Inflammation or joint stiffness

These symptoms can appear suddenly (due to injury or overexertion) or progressively, and in many cases worsen over time if not treated correctly.

Causes of shoulder pain

The shoulder is a very mobile but also vulnerable joint. Pain may be due to muscular, tendon, joint or even neurological causes. The
most frequent causes
of shoulder pain are:


  • Rotator cuff tendinopathy
    (supraspinatus, infraspinatus, subscapularis and teres minor)
  • Partial or total rotator cuff tendon rupture of the rotator cuff

  • Subacromial bursitis
    (inflammation of the bursa that cushions movement)
  • Subacromial impingement syndrome

  • Adhesive capsulitis
    (frozen shoulder)

  • Glenohumeral instability
    or recurrent dislocations
  • Shoulder or acromioclavicular osteoarthritis
  • Biceps tendinitis
  • Fractures or traumatic injuries

  • Referred pain
    from the cervical spine, heart or diaphragm

An accurate diagnosis is key to choosing the most appropriate treatment and avoiding complications.

Types of shoulder pain

Shoulder Arthrosis

Shoulder osteoarthritis is a degenerative disease of the joint that joins the humeral head and the glenoid cavity of the shoulder blade. It occurs “through wear and tear” whereby the degenerative disease triggers a loss of the cartilage covering the articular surfaces, so that the joint space progressively disappears.

For more information click here.

Rotator Cuff Syndrome

The rotator cuff is formed by the tendons of the supraspinatus, infraspinatus, subscapularis and teres minor muscles in their insertion in the different bones that are part of the shoulder joint. Their correct functioning allows performing the wide and complex range of movements that the shoulder is capable of executing. Inadequate postures, trauma or the mere passage of time can lead to its wear and tear, producing the condition commonly known as rotator cuff syndrome. This condition can range from minor alterations in the form of tendinitis to partial or total tendon rupture. Depending on the degree of deterioration, pain and functional impairment will vary.

For more information click here.

Shoulder bursitis

One of the most common pathologies at the level of the shoulder joint is the dreaded bursitis.

Before delving a little deeper into the injury, we can define the bursa as a structure, which is a kind of small sacs filled with synovial fluid placed strategically between different structures (one fixed and the other mobile or both mobile) in order to avoid excessive friction between them.

The suffix -itis is added when the bursa becomes inflamed by some cause external to it, which generates an increase of fluid formation within it and the increase in volume of the bursa. This growth of the structure can compromise the proper functioning of the sliding of adjacent structures and excessive pressure on the bursa causing pain by receptors in the walls of the bursa.

For more information click here.

Frozen shoulder

Frozen shoulder, also known and named as adhesive capsulitis or retractile capsulitis, is a pathology that affects the shoulder joint.

It could be defined as “freezing of the joint capsule “. Its main characteristic is pain and limitation of movement.

For more information click here.

Treatments for shoulder pain

At MIVI Salud we apply a multidisciplinary and personalized approach to effectively treat shoulder pain. We combine medical expertise with the most advanced therapies in physiotherapy and interventional pain management. The
most common treatments
include:

Conservative treatment

  • Relative rest and modification of activities
  • Anti-inflammatory or analgesic medication
  • Postural education and ergonomics
  • Application of cold or heat according to the stage of the lesion

Specialized physiotherapy


  • Manual therapy
    to improve mobility and reduce stiffness

  • Therapeutic exercise
    rotator cuff strengthening and movement reeducation

  • Dry needling
    for myofascial trigger points

  • Electrotherapy, tecartherapy or laser
    to reduce inflammation and speed recovery
  • Stretching and functional retraining adapted to the patient

3. Interventional pain treatments


  • Ultrasound-guided infiltrations
    (anti-inflammatories or hyaluronic acid)

  • Nerve blocks
    to relieve chronic pain

  • Radiofrequency
    in cases of persistent or refractory pain

  • Minimally invasive treatments
    to avoid surgery when possible

 

Recover your mobility with MIVI Salud

At MIVI Salud we understand that shoulder pain can limit you in your daily life. That is why we offer you a specialized diagnosis, a treatment adapted to you and a comprehensive support so that you can
get back to moving without pain and with confidence.
.

🩺 Do you have a sore shoulder? Don’t wait any longer.

Book your medical or physical therapy assessment and start your recovery today.

Here begins your life without pain

Our customers say

Andrea es una profesional fenomenal, que, además de tratarte de una forma magnífica, te alegra las mañanas.
Response from the owner:Muchas gracias Pilar por las 5 estrellas y por confiar en nuestros servicios
Saludos!
Vull agraïr enormement al Dr. Ducca els tractaments que m'ha fet i el seu bon coneixement en apaivagar el dolor i fer que la meva vida sigui més digna. Dr. Ducca el seu bon fer enalteix la seva professió que porta a terme a l'Institut Aliaga amb els seus col·laboradors.
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Saludos
¡Perfecto en el trato, buscar soluciones y muy buenos resultados!
Response from the owner:Muchas gracias Maria ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro. Saludos
Ayuda a tener calidad de vida.
Resaltar la atención tan buena y detalle de cada intervención e informes.
Response from the owner:Muchas gracias Nieves. Te agradecemos que manifiestes públicamente tu opinión pues siempre intentamos cuidaros y atenderos con profesionalidad. Saludos.
Mi experiencia fue inmejorable tanto el doctor como sus enfermeras lo más,GRACIAS......
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Llevaba dos años con dolor de cadera por un esfuerzo que hice, fui a muchos médicos y ninguno me ayudaban a remediar este dolor. Fui al doctor Nicolás Sarria, y el ha hecho todo lo posible por qué yo volviera a tener una vida normal. Solo puedo agradecer a Nicolás por todo lo que ha hecho por mi, por su cercanía y su trato. Ojalá te hubiera encontrado antes. También me gustaría agradecer a Paula, por ayudarme a resolver algunas dudas y por ser tan amable siempre. Gracias por todo Nicolás, te quiere tú Martita
❤️
Response from the owner:Gracias Marta por las 5 estrellas y por confiar en nuestros servicios y en el doctor Sarria y equipo. En MIVI Salud estamos para ayudar a nuestros pacientes de la mejor forma posible. Un saludo.
Response from the owner:Muchas gracias Yurena por tu valoración ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro. Saludos
Muy buena persona y muy amable con los pacientes encantadora

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