Treatment for active shoulder pain


Anatomy:
The shoulder organ is composed of three chapters: The main joint which can be found between reveille, reveille node between the thorax, reveille Monht actually connected on the ribs by muscles only joint between reveille clavicle. Multi joints allows shoulder movement but sometimes comes at the expense of stability. Stability of the shoulder is also achieved in active and passive way: through the active muscles of the shoulder stabalizing rotator cuff group of 4 muscles function to keep the head of arm bone in place while making a movement. Passive: by a large number of tracks on Hmfrkim guard in place. Multi-tracks creates muscle area density Hmaofein Anatomy lot.


Biomcnika of a shoulder:
Hmfrkim Performance: While the movement of the shoulder, for example: While making raising arm movement occurs Hmfrkim three at once, but the main movement occurs Bmfrki arm reveille. Relation between the movement arm reveille is 2:1. Two degrees on each arm moving up and moving early rising one.

Bmfrk action of muscles:
There are 3 types of muscles that run during a shoulder

1. Hmizvim muscles of the shoulder: internal muscles connect the head near the arm bone, and time to do the shoulder are Mtkootzim Omiizvim the head arm Bmfrk. Delicate operation, and are very close to each other so their tear or inflammation will cause pain to appear.
2. The arm muscles motives: a large number of muscles that connect centimeter below the Top arm. The fact that they are large, the connection arm bone anatomy of their remote location. Causes that do not directly cause pain or injury to shoulder functionality. High hand main arm is running Hdltoaid muscle, muscle that passes over a large shoulder, it can be divided into 3 parts, the front part is responsible for raising the arm forward, together with muscle Hbisfs, the middle section is responsible for raising the arm sideways and the rear arm helps to attract back. Information they Hfktorilis muscle (chest muscle) responsible for the approximation of the horizontal arm, responsible for the firm expand the raid back and downloading of hand.
3. Reveille muscles: the very early rising with moving arm on the chest so a large number of muscles is relatively strong stabilizing it. Muscles usually work at the same time one group (upper muscles) and attracts up to the upper part and a second (lower muscles) attracts the reveille down inside. העיקרים muscles: muscle trapeze divided, upper, lower medium, muscle sparingly front seratus antrior very important muscle שבזמן shoulder movement motivates reveille externally and in fact is responsible for about 10% of your traffic while raising arm.
Rupture or infection, or high hand grabbed shoulder: rottator cuff syndrom, impingment
-10-15% Of the population as adult Isblo opener or inflammation of the muscles of the shoulder Hmiizvim. Sometimes without a reason. No part of the population will lead to rupture and the pain in some other sore shoulder may cause strong pain. There are several factors associated with higher Lscihot Kraim or Dlkot:

1. Higher load on the shoulder starts usually caused incorrect training fitness room.
2. Bscmot weakness of the muscles that causes a greater burden on Hmiizvim.
3. Lack of scheduling operation Hmiizvim shoulder muscles.
4. Kifoseh increased at the chest: (flexion Hsl Page Hshidra Hezi) causes the position of the shoulder is not valid.
5. Working with actions and hand Mormt such as: teacher writing on the board וכ"ו. Is characterized also by a number of athletes who many movements when hand over head, Shacheinim, Volleyball tennis players.
6. Weakness of the shoulder belt.
7. מפרקית stiffness or shoulder movement restriction.
8. Rupture due to trauma of the shoulder, for example: braking of the fall
Symptoms:
The pain appears suddenness not necessarily as a result of a sharp movement, pain during movement in a hand behind your back (closing bra) or while raising the head above the object. Pain usually appears in the shoulder itself did not those along the projected arm.
Night pain: sleep difficulty on the side Hkoab.
A sharp pain that appears during the motion of the shoulder.
In a more serious difficulty Bharmt hand to head height, difficulty Bharmt hand side.


Treatment
Strengthening the muscles:
Physiotherapist primary treatment is the strengthening and shoulder muscles. Initially recommended to strengthen the muscles of the shoulder Hmsobbim, using rubber band. On the basis of daily practice that enhances the action of their schedule while performing operations with the shoulder. It also recommended strengthening the shoulder muscles of the motives of practice by the early rising instability Hamst weight. Standing 6 or shutdown making a blanket on the wall or on the floor.
Practice over time causes a decline in pain of the muscles to function properly, and to improve the daily performance.


Saving shoulder ranges:
Often limited to the shoulder because of damage to elements Hfsibim Hmfrk: a decrease in the range Hmfrkim, in short shoulder muscles, limitation of movement at the chest. Therefore making moves passivity Ohnat Hmfrkim various levels, the elasticity of the muscle strips of the shoulder will cause movement to improve the shoulder pain and reduction.


Making a change to shoulder position in motion, active - Mlign technique:
Making active movements while changing position on the shoulder of the handler, effectively lower the pain and improve range of movement.


Treatment ברקמה soft:
Tight as a result of the shoulder is not normal, the number of muscles motives reveille mainly work overload causes the release of their action part of shoulder.


Release of Hmfrkim:
: Stiffness Bmfrkim especially between reveille wishbone backbone may restrict the movement of the shoulder, muscles and cause increased load. Release of Hmfrkim are passive manner by handler.


Benefits of combined active treatment:
That the principal targets of the treatment of pain and even lower return performance shoulder is good for active treatment. Strengthening professional of all shoulder muscles using appropriate equipment significantly improves the treatment results. Work is more correct muscles of the shoulder reveille motives, combined with work focused on the muscles Hmsobbim, combined with passivity techniques are more effective than passive therapy only.

Rotator Cuff Exercises

Rotator Cuff Exercises:

Before you begin:

The exercises described below are set to help strengthen the muscles in your shoulder, especially rotator cuff muscles, the part that helps circular motion. These exercises should not cause pain if the exercise causes pain to stop exercising. Start again with a lighter weight

Warm the area before adding weights. Stretch your arms and shoulders and then in the form of pendulum exercises: Bend from the waist letting his arms hang. Keep your arm muscles and shoulders relaxed and move your arms slowly back and forth. Do this exercise slowly: Lift your arm slowly counting up the number three (3) and lower your arm slowly counting up to six (6).

Keep repeating each exercise until your arm is tired. Use a weight light enough so that you do not get tired to repeat the exercise about 20 to 30 times. Each week increase the weight a bit but never until the weight causes pain). Start with two ounces the first week. Increase to four (4) ounces the second week.

Each time you finish the four years to complete, place an ice pack on his shoulder for 20 minutes. It is better to use a plastic bag with ice or inside a bag of frozen peas instead of those bags with gel inside. If four years ago of three (3) to five (5) times per week, your rotator cuff muscles will strengthen and you will regain normal strength in his shoulder.

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Exercise 1

Exercise 1 Start by lying on your stomach on a table or a bed. Place your left arm out at shoulder level with your elbow bent 90 ° and the hand down. Keep your elbow bent and slowly raise your left hand. Stop when your hand is level with your shoulder. Lower the hand slowly. Keep repeating each exercise until your arm is tired. Then do the same with his right arm.
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Exercise 2

Exercise 2 Lie on your right side with a rolled towel under the right armpit. Stretch your right arm over his head. Keep your left arm on the side with your elbow bent at an angle of 90 degrees and the forearm resting against your chest with the palm facing down. Make circular movements with his left shoulder lifting out the left forearm until it is at the same level with your shoulder. (Hint: this is how raquetazo back in tennis. Lower the hand slowly. Keep repeating each exercise until your arm is tired. Then do the same with his right arm.
Back

Exercise 3

Exercise 3 Lie on your side. Keep your left arm along the top of your body. Bend the elbow in 90 ° angle. Keep the right forearm resting on the table. Now make circular movements with his inside shoulder, raising his right arm upward until your chest. (Hint: this is how raquetazo forward in tennis). Lower the forearm slowly. Keep repeating each exercise until your arm is tired. Then do the exercise with your left arm.
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Exercise 4

Exercise 4 In a standing position with your right arm begins to half the height between the front and the side of your body, thumb down. (You may need to lift his left arm for balance). Lift your right arm until almost reaching almost to the level (more or less at an angle of 45 ° F). (Hint: This is like emptying a can. Do not lift beyond the point of pain. Lower your arm slowly. Keep repeating each exercise until your arm is tired. Then do the exercise with your left arm.

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