Shoulder Pain: When to Seek Medical Help for Sports Injuries - Orthopedics

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Pain in the levator scapulae muscle?


I used to engage in intense physical activities frequently, and I'm not sure if I have injured my shoulders.
I often experience soreness on both sides of my neck extending to my upper back, especially when I doze off; my entire upper body feels weak and painful, and I have a strong urge to massage it.
I can only apply a cooling ointment on my shoulders to alleviate the pain.
Which specialty should I consult to determine if I have sustained an exercise-related injury?

Xiao Zhen, 10~19 year old female. Ask Date: 2017/07/30

Dr. Hong Ximing reply Orthopedics


If you are experiencing muscle soreness from the sides of your neck to your shoulders, you should consult a specialist in sports rehabilitation.

Reply Date: 2017/07/30

More Info


Shoulder pain, especially in the context of sports injuries, can be a complex issue that requires careful evaluation. Given your history of engaging in intense physical activities, it’s important to understand the potential causes of your discomfort and when to seek medical help.


When to Seek Medical Help
1. Persistent Pain: If your shoulder pain has been ongoing and is not improving with rest, ice, or over-the-counter pain medications, it’s time to consult a healthcare professional. Persistent pain can indicate underlying issues such as tendonitis, bursitis, or even rotator cuff injuries.

2. Pain During Movement: If you experience pain while performing specific movements, such as lifting your arm, reaching overhead, or throwing, this could suggest a more serious injury. Pain that limits your range of motion or affects your ability to perform daily activities warrants a medical evaluation.

3. Swelling or Bruising: Any visible swelling, bruising, or deformity in the shoulder area after an injury should be assessed by a medical professional. These symptoms may indicate a fracture or dislocation.

4. Numbness or Tingling: If you experience numbness, tingling, or weakness in your arm or hand, this could suggest nerve involvement, which requires immediate attention.

5. Acute Injury: If you have recently sustained an injury during sports, such as a fall or a direct blow to the shoulder, it’s advisable to seek medical help to rule out fractures or severe soft tissue injuries.


Which Specialist to See
For shoulder pain related to sports injuries, you should consider seeing a sports medicine physician or an orthopedic specialist. These professionals are trained to diagnose and treat musculoskeletal injuries. They can perform a thorough physical examination, assess your range of motion, and may order imaging studies such as X-rays or MRI to determine the extent of any damage.


What to Expect During Your Visit
During your appointment, the physician will likely:
- Take a Detailed History: They will ask about your symptoms, the nature of your pain, any previous injuries, and your activity level.

- Conduct a Physical Examination: This will include assessing your shoulder’s range of motion, strength, and any areas of tenderness.

- Order Imaging Tests: If necessary, imaging tests like X-rays or MRIs can help visualize the structures in your shoulder and identify any tears, inflammation, or other issues.

- Discuss Treatment Options: Depending on the diagnosis, treatment may include physical therapy, medications, corticosteroid injections, or in some cases, surgery.


Self-Care and Prevention
In the meantime, you can manage your symptoms with some self-care strategies:
- Rest: Avoid activities that exacerbate your pain.

- Ice Therapy: Apply ice packs to the affected area for 15-20 minutes several times a day to reduce inflammation.

- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce swelling.

- Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore function and prevent future injuries. A physical therapist can guide you through appropriate exercises.


Conclusion
Shoulder pain, especially in athletes, can stem from various causes, and understanding when to seek medical help is crucial for effective treatment and recovery. If your symptoms persist or worsen, don’t hesitate to consult a sports medicine physician or orthopedic specialist. Early intervention can lead to better outcomes and a quicker return to your favorite activities. Remember, taking care of your body is essential for long-term health and performance in sports.

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