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Old aged. Shoulder in horrible pain. What could be wrong?

I sure hope you can help. me..I am 50 year s ole and yesrerday i woke uo wyth my shoulder in horrible pain. the pain got worse as the day went on,,,now here is am at 4 in the morning and the pain woke me up. what could be wrong Ia it a rotater cuff or is it just something else ? sincerely, lINDA Jojnson My email is : YYYY@YYYY
Asked On : Mon, 25 Feb 2013
Answers:  1 Views:  25
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General & Family Physician 's  Response
thank you for query
the above history suggest frozen shoulder
Management of this disorder focuses on restoring joint movement and reducing shoulder pain, involving medications, physical therapy, and/or surgical intervention. Treatment may continue for months, there is no strong evidence to favor any particular approachSurgical evaluation of other problems with the shoulder, e.g., subacromial bursitis or rotator cuff tear may be needed.
Medications frequently used include NSAIDs; corticosteroids are used in some cases either through local injection or systemically. Physiotherapy may include massage therapy and daily extensive stretching.
If these measures are unsuccessful manipulation of the shoulder under general anesthesia to break up the adhesions is sometimes used. Hydrodilatation or distension arthrography is controversial.Surgery to cut the adhesions (capsular release) may be indicated in prolonged and severe cases; the procedure is usually performed byarthroscopy
Answered: Mon, 25 Feb 2013
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