Baseball-Related Shoulder Injuries: When to Seek Help - Orthopedics

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Sports Injuries (Baseball)


Hello Doctor: I have been playing amateur baseball, and about a month or two ago, while throwing a baseball, I felt a strong pain in the back of my arm, approximately around the area of the deltoid and teres minor muscles (the area that gets pulled when throwing, though I'm not exactly sure of the precise location).
It feels somewhat like a strain.
I initially thought resting for a while would help, but after nearly a month of rest, there has been no improvement, and I still experience pain when I exercise.
Should I seek medical attention? Which specialty should I consult?

A-Rui, 20~29 year old female. Ask Date: 2018/04/13

Dr. Shen Boquan reply Orthopedics


Hello, the shoulder is a highly mobile joint in the body, and many people experience prolonged pain due to sports injuries or other unknown reasons.
You may want to consult an orthopedic or rehabilitation physician to help address your issue.
Wishing you good health!

Reply Date: 2018/04/13

More Info


When it comes to baseball-related shoulder injuries, it's crucial to understand the nature of the injury and the appropriate steps to take for recovery. Based on your description, it sounds like you may be experiencing a shoulder injury related to the rotator cuff or surrounding muscles, particularly in the area of the deltoid and teres minor. Given that you have been experiencing persistent pain for nearly a month without improvement, it is advisable to seek medical attention.


When to Seek Help
1. Persistent Pain: If you have been resting for a month and still experience significant pain during activities, this is a clear indication that the injury may be more serious than a simple strain. Pain that does not improve with rest can be a sign of a more complex issue, such as a tear in the rotator cuff, tendinitis, or even a labral tear.

2. Functional Limitations: If the pain is affecting your ability to perform daily activities or participate in baseball, this is another reason to seek medical help. Functional limitations can indicate that the injury is impacting the shoulder's structural integrity.

3. Swelling or Bruising: If you notice swelling, bruising, or any deformity in the shoulder area, these symptoms warrant immediate medical evaluation.

4. Pain During Specific Movements: If certain movements, such as throwing or lifting your arm, exacerbate the pain, this could indicate a specific injury pattern that needs to be assessed by a professional.


Which Specialist to See
For shoulder injuries, you should consider seeing an orthopedic specialist who focuses on sports medicine. An orthopedic doctor can provide a thorough evaluation, which may include physical examinations and imaging studies such as X-rays or MRI scans to assess the extent of the injury.

Potential Diagnostic Steps
1. Physical Examination: The doctor will likely perform a physical examination to assess your range of motion, strength, and areas of tenderness. They may also check for any signs of instability in the shoulder joint.

2. Imaging Studies: If the physical examination suggests a significant injury, the doctor may order imaging studies. An MRI is particularly useful for visualizing soft tissue injuries, such as tears in the rotator cuff or damage to the shoulder ligaments.

3. Diagnosis: Based on the findings from the physical exam and imaging studies, the doctor will be able to provide a diagnosis and recommend a treatment plan.


Treatment Options
Treatment for shoulder injuries can vary widely depending on the specific diagnosis. Common treatment options include:
- Rest and Activity Modification: Avoiding activities that exacerbate the pain is crucial for recovery.

- Physical Therapy: A physical therapist can design a rehabilitation program to strengthen the shoulder muscles and improve flexibility.

- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.

- Injections: Corticosteroid injections may be considered for reducing inflammation in cases of tendinitis or bursitis.

- Surgery: In cases of severe tears or structural damage, surgical intervention may be necessary.


Conclusion
In summary, if you are experiencing persistent shoulder pain after a baseball-related injury, it is important to seek medical attention from an orthopedic specialist. Early diagnosis and treatment can significantly improve your chances of a full recovery and help you return to playing baseball without pain. Remember, ignoring the pain or delaying treatment can lead to chronic issues that may require more extensive interventions down the line. Take care of your shoulder, and best of luck with your recovery!

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