Swimmer’s Shoulder

***hey guys won’t be able to make it friday, I’m going to watch shoulder surgery for the selective (including a subacromial decompression, coincidence much?). It’s all boiled down to the basics here, you’re all smart kiddies so you’ll manage.*** Nalin

SWIMMER’S SHOULDER
The common shoulder injuries observed in competitive swimmers come under the umbrella term of swimmer’s shoulder. Swimming puts unusual strain on the glenohumeral joint as not only do most strokes rely on the upper limbs for propulsion, but they do so in an environment of increased resistance. Incorrect technique, excessive training and increased resistance swimming all cause microtrauma (tiny tears to muscle fibres and fascia, small scale ligament irritation) that if not allowed to heal can cause more serious problems. This can increase the laxity (instability) of the glenohumeral joint.

ROTATOR CUFF TENDINITIS
= inflammation of rotator cuff muscle tendons. Characterized by ‘deep’ pain towards teh posterior aspect of teh shoulder, or near the deltoid insertion area. Occurs as a result of repeated irritation to the tendons. Treated conservatively with non-steroidal anti-inflammatory drugs and rest to resolve pain, followed by physical therapy to rebuild rotator cuff muscle strength. Rarer surgical intervention can include subacromial decompression or capsulorrhaphy (surgical tightening of teh joint capsule).

SHOULDER IMPINGEMENT SYNDROME
= mechanical impingement of rotator cuff tendons beneath the anteroinferior portion of the acromion.
– symptomatically characterized by a agradual increase in shoulder pain with activity (sudden onset of sharp pain is more consistent with a rotator cuff muscle tear)
– pain with humerus in flexed and internally rotated is consistent with impingement.
Treatment
– physical therapy excercises and elimination of the offending activity can resolve shoulder impingement. May be partnered with subacromial injection of painkillers.
– subacromial decompression = arthroscopic scraping of the inferior surface of the acromion to relieve pressure on the supraspinatus tendon and the subacromial bursa. This gives the rotator cuff tendons room to move freely. Procedure may also include suturing of any torn tendon.

LABRAL TEAR
tear in the labrum surrounding the glenoid fossa. characterized by a painful click during the recovery phase of a swimming stroke. Normally treated conservatively with antinflammatory medication and physical therapy.

NALIN D

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~ by pcl4 on August 7, 2008.

One Response to “Swimmer’s Shoulder”

  1. SWIMMER’S SHOULDER Chiropractic Spinal decompression therapy is meant for patients suffering from back pain due to herniated disc for more than four weeks. Those having recurring back pain even after back surgery, which is more than six months old, can also make use of spinal decompression therapy.

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