What's the difference from the shoulder collision syndrome that's hard to lift an arm?
Dec 10, 2024
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Bad lifestyles tend to put pressure on joints. In particular, many people suffer from diseases caused by weakening muscle strength as they enter the middle and old age. Among them, the shoulders are more easily managed than the waist and knees, so special attention is needed. According to data from the Health Insurance Review and Assessment Service, 2,446,860 patients visited the hospital last year due to shoulder lesions, of which 60.4% were between the ages of 50 and 69. In addition, 12.6% of patients in their 40s showed four times more patients than those in their 30s (3.4%).
Among the shoulder lesions, there is a disease that people in their 40s or older should pay attention to. It is a disease that occurs when the shoulder structure is out of balance due to repeated movements, which is 'shoulder impact syndrome'.
"Shoulder impact syndrome is often mistaken for frozen shoulders due to the characteristics of shoulder joint pain and frequent after middle and old age," said Kim Tae-jung, an orthopedic surgeon at Gangnam Bedro Hospital. "As inflammation and damage caused by excessive movement repetition in life are the main causes, it is important to find the right cause and treat it."
◇Shoulder impingement syndrome, the difference from the frozen shoulder is even more painful when 'specific posture'
Shoulder collision syndrome is literally a disease caused by a collision of joints between arms and shoulders.
Excessive repetition of the arm up and down increases the likelihood of hitting the humerus femoral nodule and the scapular shoulder stick. At this time, if inflammation or damage occurs in the tendon of the rotator cuff and the sub-segmental mucous sac between the joints, pain appears on the outside of the shoulder joint and in the deltoid area.
It is characterized by sharp pain when moving or lifting the arm, and the pain is also severe when the arm is raised forward or stretched out. In the lying position, you may feel pain or night pain, and you may hear a salting sound from your shoulder joint.
Shoulder collision syndrome mainly occurs for reasons such as ▲ repetitive lifting of the arm upward ▲ shoulder muscle imbalance ▲ formation of subclinical bone pole due to degenerative change ▲ trauma. For example, if you exercise your arms repeatedly up and down, such as swimming, badminton, and baseball, it is easy to cause mechanical collisions of joints.
The important point is that usual posture and habits can also cause posture imbalance and be a major cause of shoulder collision syndrome. Manager Kim Tae-jung explained, "If you continue office work, driving a large vehicle, and using a smartphone for a long time, your shoulder will be in a rigid position, and if you lift your arm forward and proceed with the work, your shoulder joint will be in an abnormal position and will be prone to intra-joint collisions."
The biggest difference between shoulder collision syndrome and frozen shoulder is that the pain gets worse in certain positions.
Manager Kim Tae-jung said, `Fifty shoulder is a disease that limits the range of motion of the joint in general, but shoulder collision syndrome differs in that the limitation of the range of motion of the shoulder is minor, but pain is caused when the arm is lifted between 30 and 120 degrees", he explained. The fact that the symptoms get worse when exercising is also different from the frozen shoulders.
◇Risk of rotator cuff rupture when left unattended...Initial diagnosis can be improved with non-surgical treatment
Shoulder impact syndrome does not have severe initial pain, but it is a kind of inflammatory disease and it is difficult to expect natural healing as it is difficult to reduce the use of shoulders and arms in life. If this is taken lightly and left as it is, it may lead to damage and rupture of the rotator cuff, so care should be taken.
However, most cases of shoulder collision syndrome improve symptoms even with non-surgical treatment, so surgical treatment is rarely required. The treatment of shoulder collision syndrome mainly consists of conservative treatments such as drug treatment using anti-inflammatory drugs, physical therapy, and extracorporeal shock wave therapy. Exercise therapy such as manual therapy for muscle movement around the scapula and recovery of the range of motion of the joint is also performed. If the symptoms are slightly more severe, ultrasound-guided subsegmental mucous sac injection treatment is also performed.
If these treatments do not improve or recur repeatedly even if they are treated for more than four to six months, or if they interfere with daily life, arthroscopic surgery will be performed to perform acinar plastic surgery and subacid mucosal resection.
To prevent recurrence, first of all, you must maintain a proper lifestyle after treatment and surgery. In addition to maintaining a correct posture, it is also recommended to exercise muscles around the scapula and stretch to restore the range of joint motion.
Manager Kim Tae-jung advised "If you continue the cause activity of lifting your arm repeatedly after treatment, there is a possibility of recurrence, so it is most important to pay attention to it consciously and change your lifestyle habits.".
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This article was translated by Naver AI translator.
