Shoulder Pain: Can Old Injuries Resurface?

Q: Shoulder Pain: Can Old Injuries Resurface?

Hello, Miss： I would like to respond to your questions and provide the following suggestions： 1. <br>Frozen shoulder, also known as adhesive capsulitis, occurs when the synovial fluid becomes thicker and stickier, making it easy to develop adhesions if joint movement is not perfo

Shoulder pain

Hello, doctor! My mother underwent rehabilitation for frozen shoulder and has since recovered.
Recently, she mentioned that she feels something unusual.
Could her old condition be relapsing? Thank you!

Mifan, 20~29 year old female. Ask Date: 2008/08/31

Dr. Chen Xianchang reply Rehabilitation

Hello, Miss: I would like to respond to your questions and provide the following suggestions: 1.
Frozen shoulder, also known as adhesive capsulitis, occurs when the synovial fluid becomes thicker and stickier, making it easy to develop adhesions if joint movement is not performed for more than 90% of the time.
2.
Movements such as shoulder "elevation," "abduction," "internal rotation," and "external rotation" should be preceded by a proper warm-up to prevent re-injury and inflammation.
3.
Exercises like arm swinging and hanging from a pull-up bar are incorrect shoulder exercises and often lead to injuries; instead, pendulum exercises, shoulder wheels, and finger ladders are recommended.
Lastly, I wish you peace and happiness~~

Reply Date: 2008/08/31

More Info

Shoulder pain can indeed resurface, especially in individuals who have previously experienced shoulder injuries or conditions such as frozen shoulder (adhesive capsulitis), commonly referred to as "五十肩" in Chinese. When someone has had a shoulder issue, there is a possibility that the underlying structures may still be vulnerable to re-injury or may not have fully healed, leading to a recurrence of symptoms.

In your mother's case, if she had previously undergone rehabilitation for frozen shoulder and is now experiencing unusual sensations or discomfort, it is essential to consider several factors. First, the shoulder joint is a complex structure composed of bones, ligaments, tendons, and muscles. Any previous injury can lead to changes in the way these components function together. For example, if there was any residual stiffness or weakness after her initial recovery, it could predispose her to further issues.

Moreover, shoulder conditions can be exacerbated by repetitive movements, poor posture, or even changes in physical activity levels. If your mother has resumed activities that place stress on her shoulder or has altered her daily routine, this could contribute to the resurfacing of pain. Additionally, age-related changes in the shoulder, such as rotator cuff degeneration or arthritis, can also play a role in the return of symptoms.

It is also worth noting that the shoulder is susceptible to various conditions beyond frozen shoulder, including rotator cuff tears, bursitis, and tendinitis. If your mother is experiencing pain, weakness, or limited range of motion, it would be prudent for her to consult with a healthcare professional. A thorough evaluation, which may include physical examination and imaging studies such as X-rays or MRI, can help determine the exact cause of her symptoms.

In terms of management, if her symptoms are indeed related to a recurrence of a previous condition, treatment options may include physical therapy to improve strength and flexibility, pain management strategies such as non-steroidal anti-inflammatory drugs (NSAIDs), and possibly corticosteroid injections if inflammation is present. In some cases, if conservative measures fail and there is significant impairment, surgical intervention may be considered.

In conclusion, old injuries can resurface, and it is crucial to address any new symptoms promptly. Encourage your mother to seek medical advice to ensure she receives appropriate care and to prevent further complications. Early intervention can often lead to better outcomes and a quicker return to her normal activities.

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