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

Fantástico profesional, he pasado de tener dificultades para realizar actividades básicas a poder realizar todo sin dolor ninguno. Confianza, profesionalidad, trato…100% recomendable. Gracias Dr.!
Response from the owner:¡Nos alegra mucho saberlo Susana! En MIVI Salud, nos esforzamos por ofrecer siempre el mejor cuidado para nuestros pacientes. Estamos aquí para cuidar de ti. ¡Gracias por tu confianza !
Excelente trato por parte de las doctoras y la administrativo. Trato muy cercano y profesional.
Response from the owner:Muchas gracias Álvaro ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Saludos
Unidad del dolor D Garcia es el mejor médico Sta ahora y su secretarías son muy amables y te atienden y ayudan genial!! Súper contenta!!
Response from the owner:Muchas gracias Antonia por dejar esta reseña tan positiva sobre el Dr. García y a nuestro equipo. Nos alegra saber que has tenido una experiencia satisfactoria en MIVI Salud
Response from the owner:Gracias Sebastián por su confianza en MIVI Salud. Un saludo
Buenas tardes, quiero agradecer al Dr. Francisco Duca el tratamiento que me ha realizado. Hasta el momento no he vuelto a tener dolor, y puedo caminar correctamente incluso a paso rápido.
Saludos. Teresa Cebollero Barbera.
Recientemente me sometí a un procedimiento para aliviar un dolor considerable en mi espalda, después de caerme por un tramo de escaleras y dañarme la columna en tres lugares. Este procedimiento lo realizó el Dr. Santiago con la asistencia de Patricia Rodríguez Mederos de Mivi Salud Tenerife, en un quirófano del Hospital Quirón de Adeje, Tenerife, lo que me resultó mucho más cómodo que tener que subir a Sta Cruz. .

Desde que llegué fui muy bien atendido, primero por Atanay quien me preparó para el procedimiento y por Erika quien asistió al Dr. Santiago y Patricia en el quirófano. Me ofrecieron un gotero para ponerme en el brazo, con un sedante para mantenerme relajado, ya que el procedimiento se iba a realizar con anestesia local, en lugar de ponerme a dormir.

Sin embargo, rechacé el sedante porque las sonrisas de bienvenida y las garantías de todos los involucrados me tranquilizaron y no tenía ninguna preocupación. Realmente hace una gran diferencia ser tratado por estas personas tan profesionales, que me mantuvieron tranquila y relajada durante todo el tiempo que estuve allí.

Realmente no puedo elogiarlos lo suficiente y la buena noticia es que lo que hicieron fue muy exitoso y mi dolor de espalda se ha reducido considerablemente.

I recently underwent a procedure to relieve substantial pain in my back, after falling down a flight of stairs and damaging my spine in three places. This procedure was carried out by Dr Santiago with the assistance of Patricia Rodriguez Mederos of Mivi Salud Tenerife, in an operating room in the Quiron Hospital in Adeje, Tenerife, which was much more convenient for me, rather than having to go up to Sta Cruz.

From the moment I arrived, I was very well taken care of, firstly by Atanay, who prepared me for the procedure and by Erika who assisted Dr Santiago and Patricia in the operating room. I was offered a drip to be put in my arm, with a sedative to keep me relaxed, as the procedure was to be done using a local anaesthetic, rather than putting me to sleep.

However, I declined to have the sedative because the welcoming smiles and assurances from all concerned put me perfectly at ease, and I had no concerns whatsoever. It really makes a huge difference when being treated by these very professional people, who kept me calm and relaxed throughout the whole time I was there.

I really cannot praise them enough, and the good news is that what they did was very successful, and my back pain has been greatly reduced.
Response from the owner:Thank you Bruce for the 5 stars and for trusting our services and Dr. Santiago and his team. At MIVI Salud, we're here to help our patients in the best way possible. Best regards.
El Dr. Xavier Morales nos ha tratado de maravilla y nos ha aconsejado y explicado muy bien. Con palabras entendibles. Llevamos unos años que nos atiende y estamos encantados con el.
Response from the owner:Nos alegra mucho saberlo, Jaume! En MIVI Salud, nos esforzamos por ofrecer siempre el mejor cuidado para nuestros pacientes. Estamos aquí para cuidar de ti. ¡Gracias por tu confianza y fidelidad!
Saludos
Mi experiencia con el doctor Nicolás Sarria en la Unidad de dolor es Muy Buena y recomendable.
Gracias a su tratamiento puedo caminar sin dolor y la cintura y cadera han mejorado bastante
Response from the owner:Gracias Mariangeles por compartir tu experiencia en MIVI Salud en ciudad. Nos alegra saber que tuvo una excelente visita con el Dr.Sarria
Saludos
Saludos
Muy buena experiencia atendida y guiada. Cien por cien recomendable.
Response from the owner:Muchas Gracias Adri! Nos alegra mucho saber que te hemos brindado una experiencia tan positiva! En MIVI Salud nos esforzamos por ofrecer un trato cercano y profesional desde el primer momento
Yo estoy encantada ,tanto en el trato personal y humano de la doctora Carla Farrer 👍
Response from the owner:Muchas gracias Viki, por tomarte el tiempo de dejar esta reseña tan positiva sobre el Dr./Dra. Carla Farrer. Nos alegra saber que has tenido una experiencia satisfactoria en nuestra clínica.
Saludos

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