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Shoulder AnatomyDescription
The two main bones of the shoulder are the humerus (the bone from the shoulder joint to the elbow) and the scapula (shoulder blade). The joint cavity is cushioned by articular cartilage covering the head of the humerus and the face of the glenoid. The scapula extends up and around the shoulder joint at the rear to form a roof called the acromion, and around the shoulder joint to the front to form the coracoid process. Shoulder ProblemsWhile shoulder problems may arise as the result of a specific traumatic incident - a fall, work-related accident, or sports injury - they often seem to appear out of nowhere. In cases where there's no obvious cause for pain, the culprit is often the cumulative stress, strain, and abuse from years of poor posture and body mechanics. In young people and active adults, problems tend to be related to sports, which can be punishing to the shoulder. Symptoms come in many varieties. Pain can be:
The shoulder muscles are common sites of shoulder dysfunction. Certainly the mildest dysfunction is the tendency of these muscles to become stiff or tight in response to heavy shoulder activity. The result of muscle tightness is usually minor, such as short-term achiness, and may be no great cause for concern. On the other hand, muscle tightness does diminish the shoulder's range of motion, which, unless the muscles are warmed up and stretched, puts the shoulder at risk of injury when called upon to push beyond that range. More worrisome is the accumulation of excess lactic acid and other chemicals in the shoulder muscles whenever they are subject to excessive or repetitive stress over time. The cellular and chemical responses to excessive stress almost inevitably lead to muscle inflammation and the development of hard knots of muscle and pain, which only increase if the stress is unrelieved. Shoulder TreatmentsSome shoulder conditions, such as mild strains, sprains, and tendonitis, call for simple home treatments such as:
Others demand more advanced physical therapy techniques: carefully and scientifically tailored exercises to strengthen the shoulders and improve range of motion; adjustments of posture; mobilization; and perhaps ultrasound, magnets, and electrical stimulation. |
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