Supraspinatus tendinitis can be treated with Physiotherapy, Osteopathy, painkillers and massage. The condition may benefit from injections of corticosteroids, and in rare cases, surgery is necessary.
Shoulder impingement syndrome can be treated in a number of ways. Normally, the condition can be improved with oral anti-inflammatory medication (aspirin, ibuprofen). This medication should be taken for around 8 weeks to be effective.
ACJ Osteoarthritis can be treated with Physiotherapy, with painkillers and anti-inflammatorys and injections into the painful joint can provide temporary relief. When pain cannot be controlled with these measures, surgery may be required.
Rotator Cuff Tear
A rotator cuff tear can be treated with painkillers and anti-inflammatory medication, Physiotherapy or cortisone steroid injections. Surgery to repair the tear may be required if the weakness and pain is not improved with injections and physio, or if the tear follows an injury.
Treatment may begin with anti-inflammatories, painkillers, gentle exercising and resting the shoulder and the application of ice to the area to decrease pain and inflammation. Cortico-steroids can be injected directly into the joint if the pain persists.
Physiotherapy can improve problems arising from instability by training the muscles in the shoulder to control the joint correctly. Anti-inflammatories and painkillers can be used to tackle pain from instability.
Surgery may be necessary depending on the classification of the condition. The degree of damage to the joint is classified by the joint displacement and injury to the ligaments which support the AC joint.
Adhesive capsulitis (frozen shoulder) can be difficult to treat. It is important to try and identify the cause and to appropriately council the patient.
The long head of biceps tendon (LHB) attaches to the glenoid rim at its anchor on the superior aspect. The tendon is an intra-articular structure at this point, passing along the rotator interval until it enters the bicipital groove.
SLAP (superior labrum anterior posterior) Lesions
A SLAP tear usually occurs with heavy forceful lifting, repeated overhead activity (tennis, throwing) or a fall on the outstretched hand.