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My shoulder hurts...is it osteoarthritis?
Osteoarthritis is a very common problem. Most people know someone who is dealing with arthritis of at least one joint. Spine, hips, knees, and hands are the most common places for osteoarthritis to cause symptoms. However, any joint can be affected and a common question I hear when a patient presents with shoulder pain is: Do I have arthritis?
First, a bit of anatomy -- the shoulder is composed of two separate joints:
(1) the acromioclavicular joint where the collarbone meets the shoulder bone(2) the glenohumeral joint where the ball of the humerus articulates with the shoulder blade (scapula). Both joints can be affected by osteoarthritis. It is relatively uncommon for osteoarthritis to develop in the glenohumeral joint without a history of trauma or previous injury. We'll discuss that in a minute. First, let's review the acromioclavicular joint.
Causes of Shoulder Pain Besides ArthritisThe glenohumeral joint is the most mobile j...
Most people associate Botox with treatment for wrinkles and droopy eyelids -- cosmetic therapy by dermatologists and plastic surgeons with good benefit for those who can afford it. In patients with a 6-month history of moderate to severe shoulder pain, the ability of Botox to provide meaningful relief when injected into the joint space suggests a novel form of pain therapy for osteoarthritis. Botox may prove beneficial at multiple sites, including knees, ankles and the small joints of the hands and wrists. Recent data from the November meeting of the American College of Rheumatology includes a report from the Minneapolis Veterans Administration Medical Center regarding use of botulinum toxin (Botox is the brand name) to manage shoulder pain caused by osteoarthritis. Dr. Singh studied a treatment group of 43 patients with moderate to severe shoulder osteoarthritis. Twenty-one patients received joint injection with Botox while 22 patients received a sham injection to the shoulder...
"Separation" of the acromioclavicular (AC) joint, where the end of the collarbone meets the shoulder blade, is actually a sprain of the ligaments that connect the two bones. "Separation" is an old medical term that has been applied to the widening of the space between the bones. Since this problem involves ligaments, it really should be called a sprain.AC separation is typically an injury of young, active people who fall on the shoulder. Most commonly, it occurs when a person lands on the point of the shoulder, driving the shoulder blade down relative to the clavicle. Patients often tell of being thrown over the handlebars when bicycling, being tackled while playing football, or being upended while skiing. As with sprains, there are degrees of severity.Weight lifters, in particular those who do bench presses, often get AC separation. It can also occur in other situations where lifting occurs, or with injury such as falling on the shoulder.A mild, or first-degree, s...
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