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Sore shoulder in physical practice
Dzemal Pecar1, Muzafer Mujić, Muris Pecar
1Policlinic Praxis, Center for physical medicine and rehabilitation, Cumurija 3, 71 000 Sarajevo, Bosnia and Herzegovina.
Bosnian Journal of Basic Medical Sciences
|August 2, 2005
Summary
Sore shoulder treatment is effective, with 73% of patients resolving pain using corticosteroid injections. Inflammation of the biceps tendon was the most common cause, successfully treated without physical therapy.
Area of Science:
- Orthopedics
- Physical Medicine and Rehabilitation
- Sports Medicine
Background:
- Shoulder pain affects 15-20% of the 40-45 age group.
- Joint instability results from weak bone support, allowing extensive movement but reducing stability.
- Sore shoulder is a common condition impacting daily function.
Purpose of the Study:
- To evaluate the effectiveness of treatments for sore shoulder.
- To identify the causes of shoulder pain in a patient cohort.
- To assess the success rate of physical medicine and rehabilitation interventions.
Main Methods:
- Analysis of 1115 patients treated between 1996 and 2004.
- Clinical examination and X-rays to determine the cause of shoulder pain.
- Treatment success evaluated on a 0-5 scale for 916 patients.
Main Results:
- Biceps tendon inflammation was the most frequent cause (58%).
- Impingement syndrome was the least common cause (2%).
- Local corticosteroid (Betamethasone 7 mg) injections resolved the issue in 73% of patients, negating the need for physical therapy.
Conclusions:
- Local corticosteroid injections are highly effective for treating common causes of shoulder pain.
- Conservative treatment, particularly corticosteroid injections, can resolve shoulder pain in a majority of cases.
- Physical therapy may not be necessary when conservative treatments are successful.