What is the difference between suspected shoulder 'evil' rotator cuff tear and frozen shoulder during exercise?
Sep 03, 2024
#. Mr. A in his 30s visited the gym together every day after work. Mr. A, who was working hard on his strength, felt a throbbing pain in his shoulder. The pain was okay when I lived my daily life, but the pain worsened when I turned my arm or raised it with strength. At first, he thought it was insignificant, but A, who visited the hospital after having difficulty moving his arms and suffering from insomnia due to pain at night, was diagnosed with rotator cuff rupture.
The most typical rotator cuff tear is the pain when the arm is raised up. The pain is not severe when you stay still unless it is an acute period of rupture, but when you use your arm while working, the pain is severe, making it difficult to lift your arm, and in severe cases, you may not get a normal good night's sleep due to the pain.
The rotator cuff rupture is similar to the initial symptoms of the frozen shoulder, so care should be taken not to leave the disease unattended. The frozen shoulder is an inflammation of the joint membrane of the shoulder, causing pain and exercise restrictions.
Director Park Joon-ho of the Joint Center at Centum General Hospital said "The rotator cuff rupture and the frozen shoulder can be seen by comparing the range of motion of the arm". There is a difference in that the frozen shoulder is painful, but the shoulder is stiff and does not go up well even if someone tries to lift the arm, while the rotator cuff rupture is painful and does not last long, but the shoulder is raised", he explained.
Then "If you think it's a frozen shoulder and leave the rotator cuff rupture for a long time, your arm won't lift and it can lead to shoulder arthritis." If you have frequent shoulder pain, it is more important to visit the hospital for accurate examination and early treatment.'
Although rotator cuff rupture can be diagnosed by ultrasound, MRI examination is sometimes required to know the exact condition and shape of the muscle.
If rupture is diagnosed, the treatment method should be determined. In case of partial rupture, injection therapy and physical therapy are mostly tried first. In the early stages, it can help improve symptoms and prevent recurrence. However, if the rupture size exceeds 1cm, most of the symptoms are severe, so it is highly likely that surgery will be performed.
Manager Park Jun-ho said, `The surgery requires sealing the ruptured area. Most of them are arthroscopic, making about 4 to 5 holes of 0.5 to 1cm, and inserting a joint endoscope to check the damaged area and proceed with suturing. It is a highly preferred treatment with a small incision site, so there is no burden of pain and scarring, and high accuracy."
In order to prevent rotator cuff rupture, it can also be helpful to relax the body's muscles and strengthen the muscles around the shoulders with sufficient stretching before exercising in daily life. Rotator cuff rupture is often not only injured and ruptured, but also slowly ruptured due to many uses. Therefore, it is important to visit the hospital as soon as possible to provide early treatment without neglecting when shoulder pain persists.
The most typical rotator cuff tear is the pain when the arm is raised up. The pain is not severe when you stay still unless it is an acute period of rupture, but when you use your arm while working, the pain is severe, making it difficult to lift your arm, and in severe cases, you may not get a normal good night's sleep due to the pain.
The rotator cuff rupture is similar to the initial symptoms of the frozen shoulder, so care should be taken not to leave the disease unattended. The frozen shoulder is an inflammation of the joint membrane of the shoulder, causing pain and exercise restrictions.
Director Park Joon-ho of the Joint Center at Centum General Hospital said "The rotator cuff rupture and the frozen shoulder can be seen by comparing the range of motion of the arm". There is a difference in that the frozen shoulder is painful, but the shoulder is stiff and does not go up well even if someone tries to lift the arm, while the rotator cuff rupture is painful and does not last long, but the shoulder is raised", he explained.
Then "If you think it's a frozen shoulder and leave the rotator cuff rupture for a long time, your arm won't lift and it can lead to shoulder arthritis." If you have frequent shoulder pain, it is more important to visit the hospital for accurate examination and early treatment.'
Although rotator cuff rupture can be diagnosed by ultrasound, MRI examination is sometimes required to know the exact condition and shape of the muscle.
If rupture is diagnosed, the treatment method should be determined. In case of partial rupture, injection therapy and physical therapy are mostly tried first. In the early stages, it can help improve symptoms and prevent recurrence. However, if the rupture size exceeds 1cm, most of the symptoms are severe, so it is highly likely that surgery will be performed.
Manager Park Jun-ho said, `The surgery requires sealing the ruptured area. Most of them are arthroscopic, making about 4 to 5 holes of 0.5 to 1cm, and inserting a joint endoscope to check the damaged area and proceed with suturing. It is a highly preferred treatment with a small incision site, so there is no burden of pain and scarring, and high accuracy."
In order to prevent rotator cuff rupture, it can also be helpful to relax the body's muscles and strengthen the muscles around the shoulders with sufficient stretching before exercising in daily life. Rotator cuff rupture is often not only injured and ruptured, but also slowly ruptured due to many uses. Therefore, it is important to visit the hospital as soon as possible to provide early treatment without neglecting when shoulder pain persists.
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bellho@sportschosun.com
