Persistent Left Shoulder Pain After Injury: What to Do? - Rehabilitation

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Persistent shoulder pain following an injury can be a significant concern, especially when it affects daily activities and quality of life. Based on your description, it seems that you have sustained an injury to your left shoulder, specifically involving the deltoid and teres minor muscles. Although you have been diagnosed and have experienced some recovery, the ongoing pain and limitations in movement suggest that further evaluation and treatment may be necessary.


Understanding Your Condition
The shoulder is a complex joint that relies on a combination of muscles, tendons, and ligaments to function properly. Injuries to the shoulder can lead to conditions such as rotator cuff tears, tendonitis, or bursitis, which can cause pain, weakness, and limited range of motion. In your case, the pain you experience when moving your arm in certain ways indicates that there may still be inflammation or damage to the soft tissues surrounding the shoulder joint.


Why Pain Persists
1. Soft Tissue Injury: Even if there is no visible swelling or bruising, soft tissue injuries can take time to heal. The muscles and tendons may still be inflamed or partially torn, leading to persistent pain.


2. Scar Tissue Formation: After an injury, scar tissue can form, which may restrict movement and cause discomfort. This can lead to a cycle of pain and limited mobility.

3. Muscle Imbalance: If certain muscles are weaker due to the injury, others may compensate, leading to further strain and pain.

4. Chronic Pain Development: Sometimes, acute pain can transition into chronic pain if not managed properly, leading to long-term discomfort and functional limitations.


Recommended Actions
1. Consult a Specialist: Since you have been experiencing persistent pain for over two months, it is advisable to consult an orthopedic specialist or a sports medicine physician. They can perform a thorough examination and may recommend imaging studies such as an MRI to assess the soft tissues in your shoulder.

2. Physical Therapy: Engaging in a structured physical therapy program can be beneficial. A physical therapist can guide you through exercises designed to strengthen the shoulder muscles, improve flexibility, and restore range of motion. They can also provide modalities such as ultrasound or electrical stimulation to help reduce pain and inflammation.

3. Pain Management: Over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help manage pain and reduce inflammation. However, it is essential to use these medications as directed and consult with your healthcare provider if you have any concerns.

4. Activity Modification: Avoid activities that exacerbate your pain, especially those that require overhead movements or lifting. Gradually reintroduce activities as your shoulder improves.

5. Follow-Up Care: Regular follow-up appointments with your healthcare provider are crucial to monitor your progress and adjust your treatment plan as necessary. If your symptoms do not improve, further interventions, such as corticosteroid injections or even surgery, may be considered.


Conclusion
It is not uncommon for shoulder injuries to take time to heal, and persistent pain can be frustrating. However, with appropriate medical evaluation, physical therapy, and pain management strategies, many individuals can achieve significant improvement. It is essential to address your concerns promptly to prevent the development of chronic pain and ensure a full recovery. Remember, your health and well-being are paramount, and seeking professional guidance is the best course of action.