Harmony Pain Management

Tendinitis and Bursitis of the Shoulder

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Understanding Back and Neck Pain

Radiculopathy occurs when a nerve root in the spine becomes compressed or inflamed, leading to pain, numbness, and weakness. It can affect both the lumbar (lower back) and cervical (neck) regions, often causing distress but is typically treatable. The compression of the nerve can result from various factors, including herniated discs, spinal stenosis, or degenerative changes in the spine. Symptoms can radiate down the arms or legs, depending on the location of the affected nerve. While radiculopathy can cause significant discomfort, treatment options such as physical therapy, medications, and in some cases, surgery, can help alleviate symptoms and improve mobility. Early diagnosis and intervention are key to managing the condition effectively.

Lumbar Radiculopathy

This condition results from nerve compression in the lower back, often due to herniated discs, degenerative disc disease, or spinal stenosis. Symptoms include sharp pain, tingling, numbness, or weakness radiating down the legs, commonly referred to as sciatica. Activities like bending, lifting, or twisting can aggravate the pain.

Cervical Radiculopathy

Cervical radiculopathy involves nerve compression in the neck, often caused by herniated discs or bone spurs. Symptoms include neck pain, tingling or numbness radiating into the arms, hands, or fingers, and weakness in the arms or hands, which may affect motor skills or grip strength.

Symptoms

  • Pain: Sharp, burning, or stabbing pain radiating into the limbs.
  • Numbness: Pins and needles sensation or loss of sensation along the nerve path.
  • Weakness: Decreased strength in affected muscles, leading to difficulty with movements.
  • Reduced Reflexes: Diminished or absent reflexes in the affected limb.

Diagnosis
A physical examination helps identify muscle strength, reflexes, and sensory deficits. Imaging tests like MRI or CT scans pinpoint the source and location of compression, and electromyography (EMG) may further assess nerve and muscle function.

Why Choose Harmony Pain Management?

Personalized Care

Custom treatment plans tailored to your needs

Advanced Treatments

Safe, effective interventional pain solutions

Comprehensive Approach

Multi-modal therapies to restore function

Compassionate Expertise

Care led by Dr. Manjunath Shetty with empathy and professionalism

Full Support

Guidance through every step of your recovery and documentation

Support for Personal Injury Cases

We specialize in treating patients injured in auto accidents, workplace incidents, or other personal injury cases. Our team works closely with attorneys, insurance adjusters, and medical providers to ensure your treatment and documentation are handled with precision throughout your recovery process.

What are Tendinitis and Bursitis?
Tendinitis is the inflammation of tendons, often affecting the rotator cuff in the shoulder. Bursitis involves inflammation of the bursa, which cushions the joint. Both conditions can arise from repetitive motion, injury, or age-related changes, and may occur together.

Symptoms

  • Pain: Localized to the shoulder, worsening with movement or overhead activities.
  • Stiffness: Reduced mobility, affecting daily tasks.
  • Swelling and Tenderness: Tenderness and mild swelling around the joint.
  • Weakness: Decreased muscle strength, limiting arm movement.
  • Grinding or Popping: Sensation of grinding or popping during shoulder movement.

Causes and Risk Factors

  1. Repetitive Overhead Activities
  2. Age-Related Degeneration
  3. Acute Injury
  4. Poor Posture or Biomechanics
  5. Medical Conditions: Such as diabetes and rheumatoid arthritis.

Diagnosis
Diagnosis involves a physical exam, X-rays, ultrasound, and MRI to assess tendon and bursa inflammation, and to rule out other injuries.

Treatment

  1. Rest and Activity Modification: Avoiding exacerbating activities.
  2. Medications: NSAIDs for inflammation and pain relief.
  3. Physical Therapy: Exercises to improve flexibility and strengthen muscles.
  4. Ice and Heat Therapy: Ice for inflammation and heat to relax muscles.
  5. Corticosteroid Injections: For persistent pain.
  6. PRP or Regenerative Therapy: To promote healing.
  7. Surgical Intervention: In severe cases, for tendon repair or bursectomy.

Prevention

  • Strengthening Exercises for rotator cuff and scapular muscles.
  • Proper Technique during sports or repetitive tasks.
  • Gradual Progression in activity intensity.
  • Posture Correction to reduce joint stress.

Conclusion
Tendinitis and bursitis in the shoulder are treatable with rest, therapy, and medications. Early intervention typically leads to significant relief, though surgery may be necessary for chronic cases. Consult a healthcare provider for an individualized treatment plan.

 

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