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...
Esophageal spasms can cause a lot of pain, problems swallowing as well as vomiting. Unfortunately they are also more common in people with GERD or acid reflux disease. Normally the esophagus moves food through to the stomach in a coordinated way. This process is called peristalsis. Esophageal spasms can interrupt this process and cause a host of problems. Some of the symptoms of esophageal spasms include: vomiting, squeezing chest pain, problems swallowing, feeling like food is stuck in your throat. These symptoms must be evaluated by a physician to determine the cause and rule out heart related chest pain.
One of the best tests for diagnosing esophageal spasms is called esophageal manometry. During an esophageal manometry test a tube is placed into the esophagus to asses the effectiveness of your esophageal muscles. Other testing might include: tests to rule out heart disease, x-rays or a barium swallow and a scope or Esophagogast...
Alternative Names Diffuse esophageal spasm; Spasm of the esophagus Symptoms Difficulty swallowing or pain with swallowing Pain in the chest or upper abdomen It can be hard to tell a spasm from angina pectoris, a symptom of heart disease. The pain may spread to the neck, jaw, arms, or back Signs and tests Esophagogastroduodenoscopy (EGD) Esophageal manometry Esophagogram (barium swallow x-ray)
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