Shoulder Pain from Heavy Lifting: Is It Tendonitis and Can Rehab Help? - Rehabilitation

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Shoulder pain


If you frequently carry heavy objects and are experiencing shoulder pain over time, it could be indicative of shoulder tendonitis.
Rehabilitation is often an effective treatment option for this condition.
Thank you!

Keliufu, 30~39 year old female. Ask Date: 2007/08/11

Dr. Chen Xianchang reply Rehabilitation


Hello Sir: Thank you for your inquiry.
Here are my responses and suggestions: 1.
Carrying heavy objects primarily leads to overuse of the "levator scapulae" and "trapezius" muscles.
2.
At home, you can apply heat, use topical analgesic ointments and patches, and perform seated exercises that engage the antagonist muscles of the aforementioned actions.
3.
If the soreness persists, you may consider visiting a rehabilitation department for deep heat therapy, electrical stimulation, ultrasound, and other treatments for faster recovery.

Reply Date: 2007/08/11

More Info


Shoulder pain from heavy lifting is a common issue that many individuals face, particularly those who engage in repetitive overhead activities or heavy lifting. Based on your description, it is quite possible that you are experiencing tendonitis, which is an inflammation of the tendons in the shoulder, often due to overuse. This condition can lead to pain, weakness, and limited range of motion in the shoulder.

Tendonitis in the shoulder, particularly involving the rotator cuff tendons, can occur when the tendons become irritated or inflamed due to repetitive strain. Symptoms typically include pain during movement, especially when lifting the arm overhead, and discomfort at night, which can disrupt sleep. You may also experience stiffness and a decreased ability to perform daily activities that require shoulder movement.

Rehabilitation can be highly beneficial for managing shoulder tendonitis. A structured rehabilitation program typically includes several key components:
1. Rest and Activity Modification: Initially, it is crucial to rest the shoulder and avoid activities that exacerbate the pain. This might mean temporarily reducing the weight you lift or modifying your lifting techniques.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the shoulder, improve flexibility, and restore function. A physical therapist can design a personalized exercise program that focuses on stretching and strengthening the shoulder muscles, particularly the rotator cuff and scapular stabilizers.

3. Pain Management: Over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can help reduce pain and inflammation. Ice therapy can also be effective in managing acute pain and swelling.

4. Gradual Return to Activity: Once the pain has decreased, a gradual return to normal activities is essential. This should be done under the guidance of a healthcare professional to ensure that you do not aggravate the condition.

5. Ergonomic Adjustments: If your shoulder pain is related to your work or lifting techniques, consider consulting with an ergonomic specialist. They can provide recommendations on proper lifting techniques and adjustments to your workspace to minimize strain on your shoulder.

6. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and provide temporary relief from pain, allowing you to engage more effectively in rehabilitation exercises.

7. Surgery: While most cases of shoulder tendonitis can be managed conservatively, if symptoms persist despite extensive rehabilitation efforts, surgical intervention may be considered. This is typically a last resort and would depend on the severity of the tendon damage.

In summary, it is likely that your shoulder pain from heavy lifting is related to tendonitis, and rehabilitation can indeed help. It is advisable to consult with a healthcare professional, such as an orthopedic specialist or a physical therapist, who can assess your condition and develop a tailored rehabilitation plan. Early intervention is key to preventing further complications and ensuring a full recovery. Remember, listening to your body and allowing adequate time for healing is crucial in managing shoulder pain effectively.

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