It’s an inflammation of a tendon in the foot or ankle, known as tendonitis, occurs due to repetitive motion in the ankle joint.
Cause
The cause often results from overuse, while other factors like infections, rheumatic diseases (like gout or arthritis), and injuries (such as sprains) can also contribute to inflammation in the tendons of the foot or ankle.
Risk Factors
Below are some of the risk factors include:
*Engaging in repetitive sports, particularly those involving the ankle like running, increases the likelihood of foot or ankle tendonitis.
*Individuals over 40, men, and those overweight face a higher risk of developing tendonitis in the foot or ankle.
*Wearing worn-out, unsupportive shoes is a contributing factor to the development of tendonitis.
*Previous injuries to the tendons in the foot can also contribute to the likelihood of developing tendonitis.
Symptoms
The primary symptoms include localized pain, swelling, and stiffness. Pain, the initial indicator, tends to lessen with time but may return when you use the foot or ankle extensively. If the pain and swelling persist even after rest, it’s crucial to actively seek an appointment with your primary care doctor, a podiatrist, or an orthopedic specialist for evaluation and appropriate guidance.
Diagnose
Your primary care provider, podiatrist, orthopedist, or sports medicine physician will diagnose foot or ankle tendonitis through a thorough physical exam and by reviewing your medical history.
In more severe cases, the physician may order an x-ray or MRI to assess fractures, tendon ruptures, or calcifications, guiding the choice of alternative treatments when necessary.
What are the treatments for Ankle Tendonitis?
Rest is the most recommended but for most severe cases, below are some treatments that can alleviate the pain:
*Treatment options include orthotics, splints, and physical therapy.
*Medication or steroid injections may be prescribed for pain.
*In severe cases, options like tendon transfer surgery or ultrasound-guided procedures are considered.
*Your healthcare provider guides you in choosing the best treatment based on your individual situation.
How fast is the recovery for Ankle Tendonitis?
Recovering from tendonitis takes time, and not following the doctor’s orders to rest the affected area can prolong the recovery process.
How effective does an Ankle Brace for Ankle Tendonitis?
Ankle braces support and stabilize the ankle, lowering the risk of injury. They’re proven to be effective in treating Achilles tendonitis by reducing swelling and inflammation. These braces apply pressure to ease pain, support the tendon, and prevent excessive ankle movement, helping avoid worsening the condition.
Where to buy Ankle Brace?
Daphco Medical Equipment has you covered! Explore our range of braces, from back to ankle. Visit our store for a suitable ankle brace. If you’re a Medicare beneficiary, complete the contact form, and we’ll reach out to guide you on getting braces covered by your insurance.
Living a full life brings joy and peace of mind, but too much physical activity can sometimes lead to injuries, broken bones, or wounds, even making you sick. Thankfully, in our modern age, there are medical supports that can help ease the pain and speed up recovery. Let’s talk about the difference between orthopedic wrist braces and splints to understand how they can assist in healing.
What is a splint and a brace?
A splint or brace serves as a supportive device for holding a body part in place, especially following an injury or surgery.
Although the terms “brace” and “splint” are often used interchangeably, there’s a general distinction in their purposes. Typically, a brace is designed to provide support to an injured area, offering stability and reinforcement. On the other hand, a splint is frequently used to immobilize or restrict movement in an injured body part. It’s worth noting that a splint is sometimes referred to as an orthosis.
So, when you hear “brace,” think about added support for a weakened or injured region, while “splint” implies limiting movement to aid in the healing process. Both play essential roles in recovery by providing the necessary assistance to the body part as it heals, helping to minimize further damage and promote a speedier recovery.
In hand therapy, we use two kinds of supports. One is a “splint,” which is a special support made just for you from hard plastic. For example, if you break your thumb, a hand therapist might make a splint molded to fit your thumb and keep the bones still while they heal.
The other type is a “brace,” which is something you can buy without it being made just for you. A hand therapist might suggest a brace, like one to help with pain in the joint at the bottom of your thumb if you have osteoarthritis. It gives support but isn’t custom-made for your hand.
Wrist Brace or Wrist Splint?
Wrist and hand splints are like special helpers for your joints and soft tissues. They’re used when your joints and soft tissues are in pain, swollen, or not very strong, like tendons and ligaments. The goal is to make sure your wrist and hands are in the right position.
There are four types:
1. Resting Splints: These give a break to your wrist and hand joints, allowing them to rest and recover. 2. Supportive Splints: These help your hands do different tasks by providing extra support. 3. Immobilizing Splints: These keep your bones or soft tissues still to help them heal after an injury. 4. Mobility Splints: They help stiff joints and soft tissues move better, increasing flexibility.
So, these splints are like buddies that help your hands and wrists feel better and work the way they should.
Resting splints or braces
Wearing a splint or brace can be a great way to support your joints and ease pain and inflammation. Take, for instance, a wrist support used for conditions like carpal tunnel syndrome. This splint or brace keeps your wrist straight, reducing pressure on the median nerve in the carpal tunnel.
A resting splint, in particular, aims to:
*Reduce Pain: It helps in lowering wrist and hand pain. *Provide Support: By keeping your wrist and hand in the correct position, it offers support. *Alleviate Swelling and Stiffness: This type of splint assists in reducing swelling and morning stiffness.
You might wear your resting splint:
*Overnight or Occasionally During the Day: Especially when you’re resting. *During Painful Joints or Flare-Ups: Offering relief during more challenging times. *As Advised by Your Therapist: Following their guidance for the best results.
Think of it as giving your wrist and hand a helpful break, promoting comfort and aiding in managing conditions like carpal tunnel syndrome.
Working splints or braces
Using a splint can provide valuable support for your wrist and hand joints while you go about your daily tasks. This extra support can make these activities less painful. For instance, a finger splint is crafted to support and ease stress on an arthritic joint.
Consider a working splint for tasks like holding a fishing rod:
*Purpose: It supports your wrist or finger during activities that might normally be painful. *Ease of Tasks: The splint is designed to make daily jobs easier to manage. *Increased Grip Strength: It helps boost your ability to grip things. *Protection and Support: Provides added protection and support for your wrist or finger. *Pain Reduction or Prevention: Aims to reduce or prevent pain in your wrist or finger.
You might choose to wear your working splint:
*During Painful Activities: Especially when certain activities cause you pain. *When Swelling Occurs: If your wrist or finger is swollen. *When Feeling Weak: If your wrist or finger feels weak. *During Increased Discomfort: When you’re experiencing more discomfort than usual. *As Advised by Your Therapist: Following the guidance of your therapist for the best results.
In essence, a working splint acts as a helpful companion during activities, supporting your hands and wrists to make tasks more manageable and less painful.
Splints or braces used for immobilization
This play a crucial role in treating healing bones or specific soft tissue injuries. Their primary function is to prevent unwanted motion that could interfere with the healing process. Typically, these splints are worn continuously and may only be removed for hygiene purposes or to perform specific exercises as directed by medical professionals. The constant use of splints or braces ensures that the injured area remains stable and undisturbed, promoting effective healing and minimizing the risk of further damage.
Certain splints are designed to stretch tight tissues, with some meant for continuous wear, like those enhancing finger straightening. Others are intended for specific durations during the day, like those improving finger bending.
Wearing splint or brace
Sometimes, you might wear more than one splint, like having different pairs of glasses for different activities. For instance, during the day when you’re more active, you may use a light splint that gives support without limiting your movement. At night, a firmer splint is often worn to restrict motion, allowing your muscles and joints to rest, which can help reduce pain and inflammation. For conditions like carpal tunnel syndrome, some people wear a supportive splint during the day and a brace while sleeping to give tendons and nerves a chance to rest.
How can I determine the type of wrist splint/ wrist brace that is suitable for me?
A therapist can assist you in figuring out if a splint or brace would be helpful for your situation. If necessary, they can create a custom splint tailored specifically to your needs. While some braces are sold online or in pharmacies, it’s not advisable to purchase them without guidance from your doctor or therapist. This ensures that the brace is suitable and effective for your unique circumstances. It’s also important not to borrow or share splints with others, as they may not be designed to meet your specific needs.
Looking for a brace? Look no further! At Daphco Medical Equipment, we have different types of braces to help ease your pain and support your injury. Explore our store to find the right one for you. If you’re covered by Medicare, fill out this form, and we’ll give you a call to provide more info on getting a brace covered by your insurance.
As the saying goes, prevention is often better than cure. Neck pain can be truly bothersome and disrupt your daily life. In this article, we’ll provide you with tips on how to proactively prevent neck pain and maintain a healthy, pain-free lifestyle.
Preventing neck pain involves adopting healthy habits and making ergonomic adjustments to reduce strain on your neck. Here are some tips:
1. Maintain Good Posture: Sit and stand with your shoulders back and your head aligned with your spine. Avoid slouching or leaning forward for extended periods.
2. Take Breaks: If you have a desk job or spend a lot of time on a computer, take regular breaks to stretch and change positions. Set a timer to remind yourself.
3. Ergonomic Workspace: Arrange your workspace to support good posture. Ensure your computer monitor is at eye level, and use a chair that provides proper back and neck support.
4. Use a Headset: If you frequently talk on the phone, consider using a headset. Holding the phone between your ear and shoulder can strain your neck.
5. Sleeping Position: Use a pillow that supports the natural curve of your neck. Avoid sleeping on your stomach, as it can strain the neck.
6. Stay Active: Engage in regular physical activity to keep your neck muscles strong and flexible. Include exercises that promote neck strength and flexibility.
7. Mind Your Mobile Devices: Hold your phone or tablet at eye level to avoid bending your neck downward for prolonged periods.
8. Lift Properly: When lifting objects, use your legs to lift rather than bending at the waist. Keep the object close to your body to reduce strain on the neck.
9. Manage Stress: Practice stress-reducing techniques such as deep breathing, meditation, or yoga. Stress can contribute to muscle tension in the neck.
10. Stay Hydrated: Proper hydration supports overall health, including the health of your spinal discs and joints.
If you’re currently dealing with neck pain or discomfort, seeking guidance from a healthcare professional is highly recommended, you may currently have a Cervical Spondylosis. They can offer personalized advice and recommend appropriate treatment options tailored to your specific needs and condition.
Durable Braces for Comfort
Daphco Medical Equipment provides a range of Neck and Cervical braces to aid in post-surgery recovery and offer neck support. Explore our store for the right brace for your needs. If you’re a Medicare beneficiary, fill out our contact form for more information on insurance coverage for braces.
Cervical spondylosis, also referred to as cervical osteoarthritis or neck arthritis, is a common age-related condition impacting the joints and discs in the cervical spine, situated in the neck. The development of this condition arises from the natural wear and tear of cartilage and bones in the neck. Although primarily associated with aging, cervical spondylosis can also be triggered by various other factors.
Studies indicate that this condition is present in more than 90 percent of individuals aged 60 and older. It’s noteworthy that some individuals with cervical spondylosis may remain asymptomatic, experiencing no noticeable symptoms. On the other hand, for some, it can lead to persistent and intense pain as well as stiffness. Despite the potential for chronic discomfort, many individuals with cervical spondylosis are still able to carry out their routine daily activities.
Cervical spondylosis causes
The bones and protective cartilage in your neck are susceptible to the natural process of wear and tear, which can result in the development of cervical spondylosis. Potential causes of this condition are:
Dehydrated spinal discs – Between the bones in your spine, there are cushion-like discs that act as shock absorbers during activities like lifting and twisting. These discs have a gel-like substance inside. As you age, this gel can dry out, leading to the bones in your spine (vertebrae) rubbing against each other more. This increased friction can be painful. This process can start happening in your 30s.
Bone spurs – The extra bone growths happen because the body is trying to make the spine stronger. However, these additional bones can push on sensitive parts of the spine, like the spinal cord and nerves, causing pain.
Injury – If you’ve had an injury to your neck (during a fall or car accident, for example), this can accelerate the aging process.
Herniated discs – The discs in your spine can get little cracks, and the soft material inside them can leak out. This material may push on the spinal cord and nerves, causing symptoms like numbness in the arm and pain that goes down the arm.
Ligament stiffness – The strong cords that link the bones in your spine can become even less flexible as time goes on. This can impact how easily you can move your neck and may make it feel tight.
Overuse – Certain jobs or activities require doing the same movements over and over or lifting heavy things (like in construction work). This extra strain on the spine can lead to it wearing down more quickly.
Risk factors for the condition
The biggest factor that increases the chance of getting cervical spondylosis is getting older. As you age, changes happen in the joints of your neck, leading to the development of cervical spondylosis. Aging can cause disc herniation, dehydration, and the growth of bone spurs.
Factors other than aging can increase your risk of cervical spondylosis. These include:
*Neck injuries *Work-related activities that put extra strain on your neck from heavy lifting *Holding your neck in an uncomfortable position for prolonged periods of time or repeating the same neck movements throughout the day (repetitive stress) *Genetic factors (family history of cervical spondylosis) *Smoking *Being overweight and inactive
Symptoms of cervical spondylosis
Many individuals with cervical spondylosis may not experience noticeable symptoms. If symptoms do appear, they can vary in intensity and onset, either developing slowly over time or suddenly.
A frequent symptom is pain near the shoulder blade. Some individuals may report experiencing pain extending along the arm and into the fingers. The pain may intensify when:
*Standing *Sitting *Sneezing *Coughing *Tilting your neck backward
Another common symptom is muscle weakness, which can make it challenging to lift the arms or grip objects securely.
Additional common indicators include:
*A stiff neck that becomes worse *Headaches that mostly occur in the back of the head *Tingling or numbness that mainly affects the shoulders and arms, although it can also occur in the legs
Less common symptoms may involve difficulties with balance and loss of control over bladder or bowel functions. It is crucial to seek prompt medical attention if these symptoms arise.
When to Consult a Physician
If you suddenly feel numb or tingly in your shoulders, arms, or legs, or if you lose control over your bowels or bladder, it’s important to contact your doctor and get medical help right away. This is a serious emergency.
If your pain is getting in the way of your daily activities, it’s a good idea to schedule an appointment with your doctor. If you don’t have a doctor yet, you can use the Healthline FindCare tool to find one in your area.
Even though cervical spondylosis often happens as you get older, there are treatments that can help lessen pain and stiffness.
Conducting Tests and Diagnosing the Condition
Diagnosing cervical spondylosis requires eliminating other possible conditions like fibromyalgia. The process involves evaluating movement and identifying affected nerves, bones, and muscles.
Your doctor might provide treatment or recommend consulting with a specialist, such as an orthopedic specialist, neurologist, or neurosurgeon, for additional tests.
Physical exam
First, your doctor will ask you about your symptoms. After that, they will perform a series of tests.
These tests usually involve checking your reflexes, looking for muscle weakness or changes in feeling, and assessing how well you can move your neck.
Your doctor might also observe how you walk. All of these steps help your doctor figure out if there’s too much pressure on your nerves and spinal cord.
If your doctor thinks you might have cervical spondylosis, they will then request special pictures of your neck and tests to see how well your nerves are working, confirming the diagnosis.
Imaging tests
*X-rays are employed to examine the presence of bone spurs and detect any other abnormalities.
*CT scans offer more detailed images of your neck.
*MRI scans, which use radio waves and a magnetic field, help locate pinched nerves.
*Myelograms involve injecting dye to highlight specific spine areas, with CT scans or X-rays providing detailed images afterward.
*Electromyograms (EMG) assess the normal functioning of your nerves in transmitting signals to your muscles by measuring their electrical activity.
*Nerve conduction studies evaluate the speed and strength of signals sent by nerves. Electrodes are placed on your skin where the nerve is located to perform this test.
Treating cervical spondylosis
Treating cervical spondylosis aims to relieve pain, reduce the risk of lasting damage, and support a regular lifestyle.
Non-surgical approaches are often highly successful.
Physical therapy
Your doctor may recommend physical therapy as part of your treatment. In physical therapy, you’ll do exercises to stretch and strengthen your neck and shoulder muscles, which can help reduce pain.
Another option is neck traction, where weights are used to create more space between the joints in your neck. This helps ease the pressure on the discs and nerves in the neck.
Medications
If over-the-counter drugs don’t help, your doctor may prescribe specific medications, including:
*Muscle relaxants like cyclobenzaprine (Fexmid) for treating muscle spasms.
*Narcotics such as hydrocodone (Norco) for pain relief.
*Anti-epileptic drugs like gabapentin (Neurontin) to alleviate pain caused by nerve damage.
*Steroid injections like prednisone to reduce tissue inflammation and subsequently lessen pain.
*Prescription nonsteroidal anti-inflammatory drugs (NSAIDs) such as diclofenac (Voltaren-XR) to decrease inflammation.
Surgery
In severe cases where other treatments are ineffective, surgery may be necessary. This can include removing bone spurs, sections of neck bones, or herniated discs to create more space for your spinal cord and nerves.
Surgery is seldom needed for cervical spondylosis, but it might be recommended by a doctor if the pain is intense and significantly impacting your ability to move your arms.
Self-Care Options at Home
If your condition is mild, there are a few things you can try at home to alleviate it:
*Take an over-the-counter (OTC) pain reliever like acetaminophen (Tylenol) or a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Advil) or naproxen sodium (Aleve).
*Apply a heating pad or a cold pack to your neck for pain relief in sore muscles.
*Engage in regular exercise to aid in a faster recovery.
*Consider wearing a soft neck brace or collar for temporary relief. However, it’s essential not to use a neck brace or collar for extended periods as it can weaken your muscles. At Daphco Medical Equipment, we also offer cervical braces which provides support and alleviate the pain in your neck. You can visit our store by clicking this link or if you’re a Medicare beneficiary, you can fill out this contact form to get further information on how to get braces covered by your insurance.
Outlook for cervical spondylosis
Cervical spondylosis is a prevalent, frequently age-related condition that may result in stiffness, discomfort, and headaches associated with neck pain.
While your doctor may not be able to completely reverse the condition, they can often suggest conservative treatments to alleviate the discomfort and pain.
Common elbow pain often arises from strained or inflamed soft tissues like tendons, usually resolving with self-care like over-the-counter pain relief and a few days of rest. Seeing a doctor may not be necessary. Avoid prolonged rest, as it can lead to joint stiffness and weakened muscles. Simple exercises can lower the risk of future issues. Arthritis may cause long-term elbow pain.
How does our Elbow work?
The elbow joint connects the upper arm bone (humerus) to the two forearm bones (radius and ulna). It acts like a hinge, enabling arm bending, and allows the forearm to twist due to the rotation of the upper radius.
The humerus has two bony parts at the end, which you can feel on either side of your elbow. These are;
*the lateral epicondyle on the outside of your arm
*the medial epicondyle on the inside of your arm.
Muscles on the outside of the upper arm help with wrist and finger straightening, connected to the brain through the radial nerve. Muscles on the inside aid in wrist and finger bending, linked to the brain through the median nerve. The ulnar nerve on the inner side is responsible for small hand muscle movements, and hitting the “funny bone” involves pinching the ulnar nerve. Strong cords and tissues like tendons and ligaments support the elbow joint.
Causes
Most elbow pain is a result of strained or inflamed soft tissues like tendons or ligaments, usually improving with self-care at home. Sometimes, medical conditions such as arthritis can cause stiffness in the elbow. Arthritis, indicating a painful and swollen joint, comes in various types and can affect the joint itself, muscles, joint covering, or ligaments. Stiffness may also result from scar tissue formation after an injury or surgery. In some cases, the elbow may temporarily lock due to loose fragments of bone or cartilage, potentially requiring surgical removal.
Arthritis of the elbow
Different types of arthritis can affect the elbow. Osteoarthritis, the most prevalent form, begins with cartilage loss, leading to the growth of bony spurs and increased joint fluid, causing pain, swelling, and stiffness. Elbow osteoarthritis is uncommon unless there’s a history of injury, like a previous bone fracture.
The following types of arthritis can also affect the elbow:
*Rheumatoid arthritis is an autoimmune disorder that induces joint pain and swelling. Affected joints may appear red, feel hot, become stiff, and be tender to touch. Autoimmune conditions occur when the immune system, designed to safeguard against illness, mistakenly attacks the body’s healthy tissue due to confusion.
*Psoriatic arthritis is linked to the skin disorder psoriasis, is an autoimmune condition. It manifests as red, raised skin patches with white or silvery flakes. This condition induces pain and swelling in and around joints.
*Gout is a form of arthritis, results in joint pain and swelling due to the accumulation of urate crystals. Affected joints can be intensely painful, and the skin may appear red and shiny.
When to see a doctor
Most cases of elbow pain improve with self-help treatments. Consult a doctor if the pain persists after two weeks or if you experience tingling, numbness, or weakness in your arm. Seek emergency care if you notice severe pain, swelling, fever, heat, or redness, as these could indicate infection or a fracture.
Managing symptoms
If you experience elbow pain, self-help measures can be beneficial. Consider taking painkillers, applying heat or ice packs, modifying your movements, and incorporating exercises.
Changing how you move
it’s important to modify or possibly cease any movements that may be causing or worsening your symptoms. Avoiding certain positions that exacerbate flare-ups can provide relief. If your work involves repetitive movements, consider consulting with an occupational therapist, who can offer guidance on modifying movements and providing support during the healing process. You can be referred to an occupational therapist by your GP (General Practitioner) or seek private consultation. Occupational health departments in workplaces can also provide assistance.
Reduce pain by taking drugs
Painkillers like paracetamol can help alleviate pain, best taken before it becomes severe. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can also reduce pain, swelling, and stiffness. If stomach issues arise, discontinuing tablets and seeking medical advice is crucial. Anti-inflammatory creams or gels that can be applied directly to the elbow are an alternative without causing stomach problems.
Splints or Braces
For certain conditions like tennis elbow, wearing a splint can provide support and alleviate strain during specific activities that trigger symptoms. These splints, also known as epicondylitis clasps, are accessible at pharmacies, sports shops, and physiotherapists. Consult with a healthcare professional or pharmacist to determine if a splint is suitable for you and to get guidance on when and how to use it.
By consulting a healthcare professional, they sometimes suggest on wearing braces. Braces are a type of medical support that can alleviate the pain, heals injury faster and restrict movement of your elbow. At Daphco Medical Equipment, we offer various types of braces which can help you for daily living, not just by your elbow but throughout any parts of your body. Check our store now or if you’re a Medicare beneficiary, you can fill out this form to get more information on how to have your insurance get you a brace.
Heat or ice packs
Applying a heat or ice pack to your elbow for 10 to 15 minutes every few hours can alleviate pain and stiffness. You can use a reusable pad, microwavable wheat bag, hot water bottle, or even a bag of frozen peas if an ice pack is unavailable.
Ensure you don’t apply the pack directly to your skin; use a tea towel or similar fabric as a buffer. Heat promotes blood flow, aiding in stiffness relief and tissue recovery. However, avoid applying heat to a swollen or recently injured elbow. Ice reduces blood flow, helping to reduce swelling.
Some individuals find alternating between heat and ice effective. Experiment to find what suits you best. Consult a GP or pharmacist if you have questions or concerns.
Exercises
To avoid the stiffening of your elbow joint and the weakening of arm muscles, it’s advisable not to rest for more than a few days. Begin gentle exercises as the pain starts to subside. These simple exercises can aid in restoring your range of motion, preserving strength, and alleviating stiffness.
Initiate exercises with extreme gentleness, gradually increasing the intensity over time. Experiencing muscle soreness after exercise is normal, but cease if you encounter persistent joint pain.
Diagnosis
Most elbow issues can be diagnosed and addressed through a simple examination, typically without the need for specialized tests. However, your doctor may recommend an X-ray to detect new bone growth, loose bone fragments, or signs of arthritis.
In rare cases, an ultrasound or magnetic resonance imaging (MRI) scan might be necessary to confirm a diagnosis. Ultrasound uses sound waves to create images, while an MRI scan involves lying in a tube to generate detailed images using magnetic fields and radio waves.
If nerve problems are suspected, a nerve conduction test may be performed. Small electrodes on the skin stimulate nerves, measuring the speed of message transmission and assessing the severity of nerve compression.
In conclusion, elbow pain is often the result of strained or inflamed soft tissues, such as tendons or ligaments. Most cases can be effectively managed with self-help treatments, including pain relief, modifications to movement, and specific exercises. Understanding the anatomy of the elbow, the causes of pain, and when to seek medical attention is crucial. Whether it’s arthritis, injury, or repetitive strain, a comprehensive approach to managing symptoms can contribute to a faster and more effective recovery. Consulting with healthcare professionals, such as occupational therapists, can provide personalized guidance, and utilizing supportive measures like braces or splints may aid in relieving strain. The key is a balanced approach that includes self-care, medical advice when needed, and a gradual return to movement and exercise to maintain joint health.
In daily activities, your shoulder undergoes extensive movement, enabling you to lift, reach, and perform various tasks. While its flexibility is beneficial, the frequent motions increase the risk of injuries. The shoulder, being the most vulnerable joint, often faces issues due to repetitive movements or excessive arm motion, such as painting or hanging curtains.
But your shoulder can get hurt in other ways too:
*Age. The natural aging process can lead to wear and tear, causing damage to your shoulder.
*Osteoarthritis. The cartilage, which serves as tough rubbery padding to protect your joints, experiences wear and tear.
*Rotator cuff damage. The rotator cuff comprises muscles and tendons that maintain the stability of your shoulder.
*Bursitis. The fluid-filled cushions that provide joint support become inflamed.
*Dislocation. The upper arm bone dislocates from the shoulder socket, causing significant pain.
*Frozen shoulder. The connective tissue capsule surrounding the shoulder thickens and tightens, limiting joint movement.
How to Prevent Injuries?
Fortunately, many shoulder issues can be resolved without surgery. However, prevention is key. Here are some ways to achieve that.
Listen to your body. If you experience persistent shoulder pain after an activity, don’t dismiss it. Consult your doctor if the pain is severe or lingers, as toughing it out could potentially worsen the condition.
Stay in shape. Keep your body in good physical shape with regular exercise and a healthy diet. It’s a way to stay well and it can help you avoid injury.
Exercise the right way. Warm up before you work out. Start slowly if you haven’t done a sport or an activity in a while. Learn how to lift weights the right way. Don’t lift too much.
Watch out at work. Ensure that you avoid shoulder injuries while at work.
*Maintain proper posture while sitting or standing.
*Adhere to safe lifting techniques, keeping your back straight and utilizing your legs.
*Take short breaks every hour to stretch and move around.
*If you have a desk job, ensure your workstation is ergonomically set up for comfortable computer use.
Don’t strain to reach what you need. Utilize a step stool for reaching high places. Store frequently used items in drawers or on lower shelves.
Recovery
To alleviate shoulder pain, prioritize rest and ice applications. Consult your doctor about over-the-counter pain relievers and adhere to prescribed physical therapy. Avoid wearing a sling excessively; maintain arm mobility without overexertion. Wear or buy shoulder brace that can help alleviate the pain or support your shoulder. At Daphco Medical Equipment, we got various types of shoulder sling or braces to help you. Check our shop to learn more!
Shoulder arthritis, characterized by joint inflammation and cartilage loss, brings symptoms like pain, stiffness, and reduced range of motion. Treatments vary from home remedies to surgical interventions.
What is shoulder arthritis?
Shoulder arthritis, marked by inflammation in the joint, induces pain and stiffness, especially during arm movements. The primary joint involved is the glenohumeral joint, a “ball and socket” structure where the humerus connects with the scapula. Additionally, arthritis can affect the acromioclavicular joint (AC joint) where the collarbone meets the shoulder blade. Over time, arthritis causes cartilage deterioration, leading to bone-on-bone contact and loss of the protective cushioning between bones.
What does shoulder arthritis feel like?
If you have shoulder arthritis, you’ll feel mild-to-severe pain and stiffness in your shoulder. Over time, you’ll notice a loss in your range of motion in your shoulder joint, especially if the glenohumeral joint is involved.
You may feel pain when you reach overhead, lift heavy objects or play sports or join in activities that involve a range of arm movements. In late-stage disease, you may not be able to complete simple everyday tasks without pain. These tasks include such things as bathing, grooming and even writing or using your computer.
Where in the shoulder is pain felt and what might it mean?
The location of your shoulder pain may help tell which shoulder joint is affected.
*If you experience pain on the side of your shoulder, and the discomfort feels deep within the joint, it is likely associated with your glenohumeral joint.
*If you are experiencing pain at the top of your shoulder that occasionally radiates to the side of your neck, it is likely related to your acromioclavicular (AC) joint.
Who gets shoulder arthritis?
Shoulder arthritis:
*Is more common in people over age 50.
*Happens in younger people with rheumatoid arthritis or after shoulder trauma, such as from broken shoulder bones, shoulder dislocation or infection.
Symptoms and Causes
What are the signs and symptoms of shoulder arthritis?
Symptoms of shoulder arthritis vary among individuals and may include the following signs.
*Pain in your shoulder joint: This is the most common symptom. Initially, you may experience shoulder pain only during activity. As the disease progresses, you may feel pain at any time of the day, regardless of arm movement. The pain may intensify when lifting heavy objects or after exercise. In cases of severe arthritis, the pain may extend down your arm and even reach your elbow or wrist.
*Stiffness and loss of range of motion: Stiffness in your shoulder and a reduction in range of motion may occur. These symptoms can impede everyday tasks like dressing, bathing, driving, or doing housework.
*Grinding, clicking, popping or cracking in your shoulder joint: The noises, such as popping, clicking, and grinding, result from the loss of cartilage, creating an uneven surface. These sounds can occur with or without associated pain.
*Loss of sleep: Finding a comfortable sleeping position is challenging, as any shoulder movement can induce pain. If you sleep on your back, consider placing a pillow under the elbow of the affected side to provide support and alleviate strain on supporting joint structures. Some individuals find relief by sleeping in a recliner at night.
What causes shoulder arthritis?
Shoulder arthritis has many possible causes. They include:
*Osteoarthritis: This is the most prevalent form of arthritis, characterized by age-related wear and tear on the joints. Cartilage undergoes softening, cracking, flaking, or fraying, eventually wearing away. This exposes the underlying bones, leading to friction or grinding between them. Similar to uneven wear on car tires, joint surfaces don’t erode uniformly or at a consistent rate.
*Rheumatoid arthritis:This is an autoimmune condition, where the body’s immune system targets its own healthy tissues. In rheumatoid arthritis of the shoulder, the immune system attacks the joint and its lining, leading to inflammation and eventual damage to the cartilage.
*Rotator cuff tear arthropathy: The rotator cuff comprises four tendons that encircle the shoulder joint, providing stability as the upper arm’s “ball” rotates in the socket of the shoulder blade during movement. Rotator cuff tears typically result from gradual fraying and wear over time. In some cases, these tears may progressively enlarge, causing the humeral head to displace from its normal position, leading to friction against other shoulder bones and resulting in cartilage wear and arthritis.
*Trauma to your shoulder: Injuries to the bones of the shoulder, such as dislocation, fractures, or severe impact, can harm the cartilage surface.
*Avascular necrosis: Osteonecrosis, also known as avascular necrosis, occurs when a part of the shoulder’s “ball” experiences death due to a lack of blood flow caused by trauma or disease. This leads to cartilage damage and eventual breakdown of the shoulder joint.
Diagnosis and Tests
How is shoulder arthritis diagnosed?
Your healthcare provider will conduct a thorough physical examination of your shoulder, assessing factors such as range of motion and strength. Additionally, they will inquire about your medical history and current symptoms.
Your provider will order imaging tests, including:
*X-rays: X-rays provide a visual assessment of the condition of your shoulder bones. While they don’t directly reveal cartilage, the proximity or contact between shoulder bones indicates cartilage loss.
*Computed tomography (CT) scan: This test offers a more detailed view of the bones in your shoulder joint compared to X-rays and is often requested to aid in surgical planning.
*Magnetic resonance imaging (MRI): This test reveals the soft tissues surrounding your shoulder joint. Your healthcare provider may request it to assess the condition of the rotator cuff tendons.
Management and Treatment
How is shoulder arthritis treated?
Treatment options encompass home-based and lifestyle care, medications, and ultimately, surgical interventions.
Home-based and lifestyle care
The initial approach to shoulder arthritis treatment typically involves nonoperative methods, focusing on home-based and lifestyle care. These measures aim to maintain shoulder mobility and alleviate pain. These treatments include:
*Shoulder exercises: Engaging in stretching exercises aids in enhancing or preserving your range of motion. Your healthcare provider may recommend working with a physical therapist.
*Activity and lifestyle adjustments: Allow pain to guide your actions. Reduce or avoid daily activities, such as lifting heavy objects, and sports activities that result in shoulder pain.
*Ice and heat: Apply either ice or moist heat, depending on your preference, to alleviate inflammation and alleviate pain. If you choose cold, use a reusable frozen cold pad or a frozen bag of peas on your shoulder for 20 minutes several times a day as necessary. Moist heat can be beneficial for warming up before stretching or at any time for added comfort.
Medications
Medications can help alleviate pain and reduce inflammation. Common options include:
*Over-the-counter medications: For short-term pain relief, common options include acetaminophen (Tylenol®) or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil®, Motrin®) or naproxen (Aleve®). Stick to the recommended dosage on the product label or as advised by your provider to avoid stomach irritation or potential issues with the liver or kidneys. If you experience side effects, contact your provider promptly. If a stronger or more extended medication is necessary, discuss it with your provider, who may prescribe a prescription NSAID
*Injections: The most frequent choice is a corticosteroid injection. Your provider administers the medication into the joint space in your shoulder. Cortisone alleviates pain by decreasing inflammation in the joint. Due to its effects lasting a few months, you might require multiple injections throughout the year.
Shoulder surgery
If other treatment methods don’t relieve your pain and your arthritis is getting worse, surgery may be an option. Common surgical options include:
*Total shoulder replacement surgery: In this surgical procedure, plastic and metal components substitute the affected portions of bones in your shoulder joint. Your surgeon removes a section of the humerus head’s “ball” and replaces it with a new metal head connected to a metal stem inside your humerus bone. A sleek plastic socket covers your shoulder socket.
*Reverse total shoulder replacement surgery: In this surgical procedure, your surgeon reverses the positioning of the ball and socket. A metal head is attached to your shoulder blade, and a socket is attached to your humerus.
*Arthroscopic shoulder debridement: In this procedure, your surgeon uses small tools and a camera inserted through small incisions in your shoulder to remove loose fragments of damaged cartilage. Bone spurs, if present, are also filed down. This may be an option for those with early arthritis and some remaining cartilage. While it doesn’t halt arthritis, pain relief may last up to 24 months.
*Resection arthroplasty: This is the most common surgical procedure for arthritis in the acromioclavicular (AC) joint. Your surgeon removes a small amount of bone from the end of your collarbone, and the space between your collarbone and shoulder blade fills in with scar tissue.
Your surgeon may explore different surgical variations depending on the type, location, and severity of your arthritis.
Are glucosamine or chondroitin useful supplements for shoulder arthritis?
Individuals with arthritis may claim that glucosamine and chondroitin alleviate joint pain, but assessing these anecdotal reports can be challenging. Since supplements are not regulated by the Food and Drug Administration and lack substantial scientific evidence for arthritis treatment, it’s important to consult your healthcare provider before considering these or any other supplements, herbal products, or over-the-counter medications. They can provide guidance and ensure compatibility with your existing medications.
Prevention
Is it possible to prevent shoulder arthritis?
You can lower your chances of developing arthritis, in general, by:
*Quitting tobacco products with support from your healthcare provider.
*Engaging in low-impact, non-weight-bearing exercises.
*Maintaining a healthy body weight.
*Following a nutritious diet, such as the Mediterranean diet.
*Mi nimizing the risk of joint injuries by avoiding or limiting activities that may endanger your shoulder.
Early detection of shoulder issues is crucial. By promptly consulting your healthcare provider upon initial symptoms, you can receive guidance on pain management, modification or avoidance of specific activities, and measures to minimize additional cartilage damage.
Is there a cure for arthritis?
While there is no cure for arthritis, various nonsurgical and surgical treatments are available to manage symptoms and support an active lifestyle.
What can I anticipate as the outcome if I am dealing with shoulder arthritis?
The result you can expect from dealing with shoulder arthritis varies based on factors such as age, activity level, specific movements, and the nature of the arthritis. Given the uniqueness of each individual and their shoulder condition, it’s advisable to consult with your provider to understand the expected outcome while considering various treatment options.
Numbness, tingling, and pain in the hand and forearm are caused by pressure on the median nerve in the wrist, resulting in carpal tunnel syndrome. Typically, the symptoms worsen over time, and if left untreated, it can result in permanent hand dysfunction, including sensory loss in the fingers and weakness. Timely diagnosis and treatment are crucial to prevent long-term complications associated with carpal tunnel syndrome.
Early symptoms can often be relieved with simple measures like:
*Using a wrist splint during sleep.
*Engaging in exercises to maintain nerve mobility.
*Steering clear of activities that worsen your symptoms.
*Injecting steroids into the carpal tunnel.
Continued pressure on the median nerve can result in nerve damage and worsening symptoms. To prevent permanent damage, surgery may be recommended for certain patients to alleviate pressure on the median nerve.
Anatomy
The carpal tunnel, approximately one inch wide, is a narrow passage in the wrist. Comprising the floor and sides of the tunnel are small wrist bones known as carpal bones.
The carpal tunnel is confined by a sturdy band of connective tissue known as the transverse carpal ligament, forming its rigid boundaries, limiting its stretch or size expansion.
Originating as a group of nerve roots in the neck, the median nerve consolidates into a singular nerve in the arm. It courses down the upper arm, traverses the elbow, enters the forearm, and passes through the carpal tunnel at the wrist en route to the hand and fingers. The nerve divides into smaller branches, especially in the palm, providing sensation to the thumb, index finger, middle finger, and half of the ring finger (thumb side).
Additionally, the median nerve governs the muscles around the base of the thumb. Accompanying the nerve through the carpal tunnel are nine tendons responsible for bending the fingers and thumb, aptly named flexor tendons.
Description
The onset of carpal tunnel syndrome occurs when the tunnel narrows or when the synovium, the tissue encompassing the flexor tendons, swells. This swelling exerts pressure on the median nerve, diminishing its blood supply. The abnormal pressure on the nerve manifests as sensations of numbness, tingling, pain, and weakness in the hand.
Cause
A blend of factors typically contributes to most cases of carpal tunnel syndrome. Research indicates a higher likelihood of the condition in women and older individuals.
Other risk factors for carpal tunnel syndrome include:
*Genetics play a crucial role, with heredity being a significant factor. Some people naturally inherit a smaller carpal tunnel or have anatomical differences that affect the nerve space. These traits can run in families.
*Engaging in repetitive hand use, where the same motions or activities are repeated over an extended period, can exacerbate wrist tendons, leading to swelling that applies pressure on the nerve.
*The position of the hand and wrist during activities is crucial. Prolonged engagement in activities that entail extreme flexion or extension of the hand and wrist can elevate pressure on the nerve.
*Pregnancy can lead to hormonal changes that induce swelling, putting pressure on the nerve.
*Certain health conditions such as diabetes, rheumatoid arthritis, and thyroid gland imbalances are linked to carpal tunnel syndrome.
Symptoms
Symptoms of carpal tunnel syndrome may include:
*Sensations of numbness, tingling, burning, and pain, especially in the thumb and the index, middle, and ring fingers, frequently disrupt sleep, waking individuals up at night.
*Intermittent sensations resembling shocks that extend to the thumb, index, middle, and ring fingers.
*Discomfort or tingling that might extend up the forearm towards the shoulder.
*Weakness and lack of coordination in the hand, potentially hindering precise movements like buttoning clothes.
*Dropping objects may occur due to weakness, numbness, or a diminished sense of proprioception (awareness of your hand’s position in space).
Typically, carpal tunnel syndrome symptoms develop gradually without a specific injury, with initial occurrences being intermittent. As the condition progresses, symptoms may become more frequent or persistent. Nighttime symptoms are prevalent, often awakening individuals due to wrist bending during sleep. Daytime symptoms often manifest when holding something for an extended period with the wrist bent, such as while using a phone, driving, or reading. Some patients discover that moving or shaking their hands provides relief from symptoms.
Treatment
While the progression of carpal tunnel syndrome is gradual, it tends to worsen over time without intervention. Therefore, early evaluation and diagnosis by a doctor are crucial. In the initial stages, it might be possible to impede or halt the disease’s advancement.
Nonsurgical Treatment
When identified and addressed in its early stages, carpal tunnel syndrome symptoms can frequently be alleviated without resorting to surgery. If there is uncertainty in the diagnosis or if symptoms are mild, your doctor will initially suggest non-surgical treatments.
Nonsurgical treatments may include:
*Bracing or splinting. – Wearing a brace or splint during the night prevents bending of your wrist while sleeping. Maintaining your wrist in a straight or neutral position minimizes pressure on the nerve within the carpal tunnel. Using a splint during the day, especially during activities that worsen your symptoms, can also be beneficial. At Daphco Medical Equipment, we also offer various types of wrist/finger splint braces which can alleviate pain and provide support. Click this link to see our full list of wrist braces or if you are a Medicare beneficiary, fill out this form on how to get the brace with your Medicare insurance.
*Nonsteroidal anti-inflammatory drugs (NSAIDs). – Anti-inflammatory medications such as ibuprofen and naproxen can help relieve pain and inflammation.
*Activity changes. – Symptoms often occur when your hand and wrist are in the same position for too long — particularly when your wrist is flexed or extended. If your job or recreational activities aggravate your symptoms, changing or modifying these activities can help slow or stop progression of the disease. In some cases, this may involve making changes to your work site or workstation.
*Nerve gliding exercises. – Some patients may benefit from exercises that help the median nerve move more freely within the confines of the carpal tunnel. Specific exercises may be recommended by your doctor or therapist.
*Steroid injections. – Corticosteroid, or cortisone, is a potent anti-inflammatory agent that can be administered into the carpal tunnel. Such injections frequently alleviate painful symptoms or assist in calming a flare-up of symptoms.
-For individuals with mild, early-stage disease, injections may provide long-term relief of symptoms.
-In individuals with moderate to severe disease, the beneficial effects of the injection may be temporary.
A cortisone injection may also be utilized by your doctor as a diagnostic tool to help identify your carpal tunnel syndrome.
Surgical Treatment
If nonsurgical treatments fail to alleviate your symptoms or offer only temporary relief, your doctor may suggest surgery.
The decision of whether to recommend surgery is based on:
*The intensity of your symptoms.
*Findings in your physical exam
*Unresponsive to non-operative treatments
*Testing results
In cases where there is persistent numbness and muscle wasting in the thumb or when non-operative treatments do not provide relief, surgery may be recommended to prevent irreversible damage. Additionally, significant nerve changes on testing may indicate the need for surgery.
Surgical Procedure
The surgical procedure conducted for carpal tunnel syndrome is known as carpal tunnel release. While there are two primary surgical techniques, both aim to alleviate pressure on the median nerve by cutting the ligament forming the tunnel’s roof (transverse carpal ligament). This release enlarges the tunnel, reducing pressure on the median nerve and facilitating proper blood flow and nerve function.
In the majority of cases, carpal tunnel surgery is performed on an outpatient basis. The procedure can be conducted under general anesthesia, inducing sleep, or under local anesthesia, numbing only the hand and arm. In instances with local anesthesia, a light sedative may be administered through an intravenous (IV) line inserted into a vein in your arm.
Open carpal tunnel release. – In an open carpal tunnel release surgery, a small incision is made in the palm of the hand, providing visual access to the inside of the hand and wrist. During the procedure, the transverse carpal ligament (roof of the carpal tunnel) is divided by the doctor, enlarging the tunnel and alleviating pressure on the median nerve. Post-surgery, the ligament may gradually grow back in a lengthened manner, creating more space in the carpal tunnel and relieving pressure on the median nerve.
Endoscopic carpal tunnel release. – During endoscopic surgery, your doctor creates one or two smaller skin incisions known as portals and employs a miniature camera (endoscope) to visualize the inside of your hand and wrist. Using a special knife, the transverse carpal ligament is divided, mirroring the process in the open carpal tunnel release procedure.
The outcomes of both open surgery and endoscopic surgery are comparable, with each technique having its own set of benefits and potential risks. Your doctor will discuss with you the most suitable surgical approach based on your individual circumstances.
Recovery
Following the surgery, you’ll be advised to elevate your hand above your heart and engage in finger movements to minimize swelling and prevent stiffness.
Post-surgery, you can anticipate experiencing some pain, swelling, and stiffness. Mild soreness in your palm may persist for several weeks to months.
For most patients, nighttime symptoms show significant improvement within the initial week after the surgery.
Grip and pinch strength
*Grip and pinch strength typically recover around 2 to 3 months after the surgery.
*In cases where the condition of the median nerve was compromised before surgery, improvement in grip and pinch strength may take approximately 6 to 12 months.
*In instances of severe cases, the full restoration of the normal strength that existed before the onset of carpal tunnel syndrome may not be achievable. Nevertheless, surgery remains crucial in such cases to prevent further deterioration of the condition and the function of the nerve.
Numbness and tingling
*Numbness and tingling typically show improvement over the initial few months following the surgery.
*Certain patients with mild disease may notice a prompt return of sensation.
*Individuals with severe disease may not regain normal sensation in their fingertips for a period of 6 to 12 months following surgery.
*In extremely severe cases, certain individuals may never fully regain normal sensation. Nevertheless, surgery remains crucial in such cases to prevent the deterioration of the condition.
Following surgery, you might need to wear a splint or wrist brace for several weeks. While you can use your hand for light activities, it’s crucial to avoid significant discomfort. Depending on your recovery, activities like driving, self-care, and light lifting may be permitted shortly after surgery. Your doctor will discuss your return to work and any potential restrictions on your work activities.
Complications
Although complications are possible with any surgery, your doctor and surgical team will take steps to minimize the risks. The most common complications of carpal tunnel release surgery include:
*Bleeding
*Infection
*Wound healing issues
*Nerve aggravation or injury
Outcomes
While surgery typically improves carpal tunnel syndrome symptoms, recovery may be gradual, taking up to a year for complete healing. If you experience significant pain and weakness beyond two months, your doctor might refer you to a hand therapist for assistance in maximizing recovery. Conditions like arthritis or tendinitis can slow overall recovery, and severe cases with muscle wasting may have a slower recovery. Recurrence is rare but may necessitate additional treatment or surgery.
888-616-4156 
