A Shoulder to Lean On

Dr. N. Anand MS, MChOrth (U.K.) Orthopaedic and joint replacement surgeon

Dr. N. Anand MS, MChOrth (U.K.)
Orthopaedic and joint replacement surgeon, ph: 98495 98888
 
Simple pain relievers are used in the initial phase, along with physiotherapy. Steroid injections are given when there is intractable pain preventing one from sleeping, but this is not suggested in diabetics or the elderly. It must be mentioned that major treatment consists of giving reassurance and confidence to the patient. The paradox is that the pain is so excruciating, but the treatment is not aggressive because it is a self-limiting problem. In extreme cases, an arthroscopic surgical procedure involving adhesiolysis is done.
 
How can one prevent frozen shoulder?
People should be very careful while doing above-shoulder-level activities, such as removing or placing luggage or heavy objects in the upper cabins of planes. Avoid reaching for anything from the backseat while seated in the front of the car. These rotations will put strain on the ligaments, capsule, and muscles of the shoulder; you will be down for a long time. Even holding on to the hand straps for a short duration in the airport shuttle can cause shoulder discomfort and eventual peri-arthritis. Prolonged immobilisation after an injury to the elbow, wrist or, of course, the shoulder will also increase the likelihood of frozen shoulder. Thus, it is recommended that the shoulder should be mobile and active.
 
Should people with arthritis pain avoid exercise?
This is a new myth catching on because people think that the wear and tear will increase with exercise. This is not true; exercise is the most valuable tool in the fight against arthritis.
 
What are the best exercises for healthy joints?
Walking and yoga are the best ways to keep joints fit. This involves a full range of movements of every joint for a specific time (depending on age). A good physiotherapist can guide individuals with isolated joint pain to maximise benefits.
 
Arthritis has always been around, so why is it significant nowadays?
People have become less active, and this is a cause for concern with healthcare providers. In modern medicine, pain is the fifth vital sign; it is checked after blood pressure, temperature, pulse, and breathing rate. It is a major concern because pain incapacitates people from activity. Without activity, the joints become dormant, and their function reduces considerably. Activity actually reduces pain.