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 Arthritis The glenohumeral joint is the most mobile j...
Does John McCain have shoulder osteoarthritis? Is that why he has trouble elevating his arms above his head?
Whatever your political views may be, hopefully we can all agree that we owe a profound debt of gratitude to Sen. John McCain for his honorable service during the Vietnam War. I do not provide medical care for Sen. McCain and I do not know his personal medical history, but a patient with shoulder pain asked me "What's wrong with McCain's shoulders and why can't he raise his hands above his head?"
There are many reasons why a person may not be able to raise his hands high above his head. Many of them deal with shoulder problems. With the disclaimer once more that I don't know Sen. McCain's medical history or the extent of the injuries he incurred as a prisoner of war in Vietnam, there are certain reasonable hypotheses one could make.
While shoulders are not common joints to develop significant osteoarthritis, they are much more prone to developing osteoarthritis if they...
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...
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