Shoulder Pain: Treatment Options and Expert Care in Taichung - Orthopedics

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I won't?


However, I don't experience pain when I rotate my arm upward.
What should I do for treatment? I visited a doctor today, and he said it's just inflammation.
I had an ultrasound and X-ray done.
He mentioned to follow up in a few days, but he didn't prescribe any medication (although this condition has been ongoing for a while).
I'm about to enlist in the military, and I'm worried that I won't be able to do push-ups.
Which hospital in Taichung is known for its orthopedic expertise?

A Cheng, 10~19 year old female. Ask Date: 2004/11/05

Dr. Shi Qiming reply Orthopedics


Dear Sir/Madam: Pain and weakness in the shoulder joint are often associated with improper use of the surrounding muscle groups and tendons, leading to tendonitis or muscle strains.
Rehabilitation, medication, and rest can all be effective treatments.
In the Taichung area, hospitals such as Taichung Veterans General Hospital and China Medical University Hospital are excellent options.
Sincerely, Dr.
Wang Zikang, Chief of Orthopedics, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/11/05

More Info


Shoulder pain can be a complex issue, often stemming from various causes, including inflammation, muscle strain, or even structural problems within the shoulder joint itself. Given your situation, where the doctor has diagnosed inflammation and has not prescribed medication, it’s essential to understand the nature of your pain and explore treatment options available in Taichung.


Understanding Your Shoulder Pain
1. Inflammation: Inflammation in the shoulder can result from overuse, injury, or repetitive strain. This is often seen in individuals who engage in activities that require overhead motions or heavy lifting. The fact that you do not experience pain when rotating your shoulder backward suggests that certain movements may not be aggravating the inflamed area, while others might.

2. Rotator Cuff Issues: The rotator cuff, a group of muscles and tendons that stabilize the shoulder, can become inflamed or injured, leading to pain. This is particularly common in athletes or those who perform repetitive overhead activities.

3. Bursitis: Inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues, can also cause shoulder pain. This condition often arises from repetitive motion or prolonged pressure on the shoulder.

4. Tendinitis: Similar to bursitis, tendinitis involves inflammation of the tendons around the shoulder, often due to overuse.


Treatment Options
1. Rest and Activity Modification: It’s crucial to allow your shoulder to rest, especially if certain activities exacerbate the pain. Avoiding overhead movements and heavy lifting can help reduce inflammation.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can design a rehabilitation program tailored to your needs, focusing on strengthening the shoulder muscles, improving flexibility, and correcting posture.

3. Ice Therapy: Applying ice to the affected area can help reduce inflammation and alleviate pain. It’s advisable to ice the shoulder for 15-20 minutes several times a day, especially after activities that may aggravate the pain.

4. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): While your doctor hasn’t prescribed medication, over-the-counter NSAIDs like ibuprofen can help manage pain and inflammation if you choose to use them.

5. Corticosteroid Injections: If inflammation persists, corticosteroid injections may be considered to provide relief. This should be discussed with your healthcare provider.

6. Surgery: In cases where conservative treatments fail, surgical options may be explored, especially if there are structural issues within the shoulder joint.


Expert Care in Taichung
In Taichung, several reputable hospitals and orthopedic specialists can provide expert care for shoulder pain. Some of the well-regarded institutions include:
- Taichung Veterans General Hospital: Known for its comprehensive orthopedic department, they have experienced specialists who can diagnose and treat a wide range of shoulder conditions.

- China Medical University Hospital: This hospital has a strong orthopedic department with specialists who focus on sports medicine and shoulder injuries.

- National Taiwan University Hospital, Taichung Branch: They offer advanced diagnostic and treatment options, including physical therapy and surgical interventions.


Conclusion
It’s essential to follow up with your healthcare provider, especially since you have concerns about your upcoming military service and physical requirements. If your symptoms persist or worsen, consider seeking a second opinion from an orthopedic specialist. They can provide a more detailed assessment and recommend a tailored treatment plan to ensure you can perform physical activities without pain. Remember, early intervention is key to preventing chronic issues and ensuring a swift recovery.

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