Winter is finally coming to an end, and the warmer weather of spring is upon us. After being cooped up indoors for the entire winter, many of us are excited to get outside and get active. For some, this means going camping, doing yard work, playing a round or two of tennis, or hitting the golf ball around. In order to successfully accomplish all of these activities, we must have good shoulder function.
The shoulder is a uniquely designed joint. It allows for a wide range of mobility. However, its lack of surface contact means that when a person moves a lot, their shoulder is susceptible to injury. The shoulder is a ball and socket joint. This means that all of its stability comes from the ligaments and muscles that surround the shoulder. These include the rotor cuff and scapular muscles.
As a result of the unique shoulder design, which includes a lack of joint surface contact, many people injure their shoulders. This especially true when they are playing overhead sports such as basketball or tennis, when they collide with others, or when they fall.
Shoulder injuries fall into two categories. They can either be acute, or they can be chronic. Many who suffer shoulder injuries also deal with referred pain. This is pain in the arm or in the neck that comes as a result of a shoulder injury.
Shoulder injuries can happen as a result of trauma. For example, a person may injure their shoulder if they trip and fall while playing basketball. Or shoulder injuries can come as a result of biomechanical malfunctions. If a person plays tennis for eight hours a day, their shoulder will eventually give out. Regardless of the reasons for the injury, it is essential that all shoulder injuries are cared for appropriately and promptly.
In order to accurately diagnose a shoulder injury, a doctor will review a person’s health history. They will do an examination of the shoulder and perform other investigations. Some of the more common shoulder injuries include AC joint sprains, rotor cuff injuries, fractures, dislocated joints, frozen shoulder, and Labrum injuries.
If you injure your shoulder, there are things that you can do before you visit a medical professional. These steps will help you to reduce inflammation, minimize the pain, and most importantly prevent further shoulder damage.
First, put ice on your shoulder. Never put it directly on your skin, but instead place the ice between multiple layers of clothing.
Second, rest. Your shoulder is already injured and exerting yourself more may increase your risk of further injury.
Finally, immobilize your shoulder by using a sling.
Anytime you sustain a shoulder injury, it is wise to get help and advice from professionals like those found at the New York Dynamic Neuromuscular Rehabilitation Center. These professionals will work with you by providing you with tools and techniques that will help you along the road to recovery and regaining your functional independence.
The spring and summer months provide a welcome break from winter’s cold weather. Get out there and enjoy the weather.
and a faulty diagnosis can make treatment a total waste of time.
Failure to accurately diagnose a condition in its early stages can lead
to chronic problems and sometimes devastating results.
Diagnostic musculoskeletal sonography (MSUS) provides the perfect tool for the rehab practitioner. Yet many doctors and physical therapists have no experience with MSUS, are unaware of its advantages, and have no idea how to use it as a diagnostic tool.
Below is a prime example of how ultrasound can take the guesswork out of diagnosis.Successful Treatment
A bad physical therapy experience is one of the primary causes of unnecessary surgery.
We have equipped our clinic with the latest research-grade technology to arrive at objective and accurate diagnoses, and to objectively measure our patients’ progress.
Most importantly, we are the only facility in the US where structural medical diagnosis is reflected in functional treatment, and vice versa.
In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.
Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.
The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.
Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup
Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)
Complete tear of rectus femoris
with large hematoma (blood)
Separation of muscle ends due to tear elicited
on dynamic sonography examination
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