Dr. Waqas Javed: A Trusted Orthopedic Surgeon in Lahore

Shoulder pain is a common complaint, often attributed to various degenerative conditions. The shoulder, a highly mobile joint, is prone to wear and tear from daily activities and aging. This page explores common degenerative shoulder issues, including arthritis, tendonitis, bursitis, and frozen shoulder, providing insight into their causes, symptoms, diagnosis, and management.

Understanding Shoulder Pain

The shoulder joint is a complex structure made up of bones, tendons, muscles, and bursae (fluid-filled sacs). It facilitates a wide range of motion, making it susceptible to overuse and degenerative changes.

Common Degenerative Shoulder Conditions

1. Arthritis:

   • Typically osteoarthritis, involving the gradual wearing away of cartilage in the shoulder joint.
   • Leads to pain, stiffness, and reduced range of motion.

2. Tendonitis:

   • Inflammation of the tendons, often due to overuse or aging.
   • Causes pain and tenderness just outside the joint.

3. Bursitis:

   • Inflammation of the bursae, the small sacs of fluid that cushion and reduce friction between bones and other joint structures.
   • Results in pain, swelling, and limited movement.

4. Frozen Shoulder (Adhesive Capsulitis):

   • Characterized by stiffness and pain in the shoulder joint.
   • Develops when the connective tissue enclosing the joint becomes thickened and tight.

Symptoms of Degenerative Shoulder Issues

• Persistent pain that may worsen at night.
• Limited range of motion.
• Stiffness in the shoulder.
• Swelling and tenderness around the joint.

Diagnosing Shoulder Pain

• Detailed medical history and physical examination.
• Imaging tests like X-rays to identify arthritis-related changes.
• MRI or ultrasound for a detailed view of soft tissues, tendons, and bursae.

Treatment Options

1. Nonsurgical Treatments:

   • Pain relief and anti-inflammatory medications.
   • Physical therapy to improve flexibility and strengthen shoulder muscles.
   • Corticosteroid injections to reduce inflammation and pain.

2. Surgical Treatments (in severe cases):

   • Arthroscopy for removing inflamed tissue or repairing torn tendons.
   • Shoulder joint replacement in advanced arthritis.

Prevention and Management

• Regular exercise to maintain shoulder strength and flexibility.
• Proper posture and ergonomics in daily activities.
• Early treatment of shoulder injuries to prevent degenerative changes.

Recovery and Rehabilitation

• Adhering to a rehabilitation plan is crucial for recovery.
• Recovery time varies depending on the condition and treatment method.
• Regular follow-ups with healthcare providers to monitor progress.

Importance of Early Intervention

Early diagnosis and intervention can prevent the progression of degenerative shoulder issues and improve quality of life. Understanding these conditions and following recommended treatment plans are key to managing shoulder pain effectively. If you experience persistent shoulder pain, consult a healthcare professional for a comprehensive evaluation and personalized care plan.