What to do if the shoulder hurts when raising the arm up: treatment of painful sensations and the probable causes of their occurrence. How to get rid of pain in the shoulder joint when raising your arm to the side

If the patient has pain in the shoulder when raising the arm, then perhaps this is a symptom of inflammation of the shoulder joint. The shoulder is one of the most unique mechanisms human body. Strong physical exercise, hypothermia and injuries lead to the onset of inflammatory processes in the shoulder joint. Subsequently, edema, tendon ruptures, and changes in the skin may appear on the affected area of the body.

The shoulder joint is able to withstand fairly strong loads up to a certain point. Incorrect movements, frequent manipulations, weight lifting can provoke pain in the shoulder joint and failure of its work. On the basis of dysfunction of the joint, various diseases can develop.

Mechanism of pain

If the patient's shoulder begins to hurt when he raises his arm, then this means that some kind of inflammatory process is going on in the body. Pain in the upper shoulder and neck may indicate damage to the intervertebral discs. Such pain is accompanied by numbness of the limbs, limited movement, and these symptoms are a sign of the formation of a vertebral hernia. The destruction of the structure of the vertebral discs can lead to the fact that they lose their flexibility and begin to increase. As a result, the distance between them will be significantly reduced. In this case, pain in the shoulder joint is due to compression of the nerves of the spinal cord. Swelling appears in the affected area, which contributes to a greater pinching of the nerve and the pain intensifies.

When a patient experiences pain in the shoulder joint, it can be triggered by capsulitis, a painful muscle contraction.

This process happens involuntarily. Such a disease is extremely rare, and it is difficult to immediately determine it. In most cases, even the patient himself does not notice that his muscles are in a constrained state. With such a disease, the patient does not raise his hand, it is difficult to put it behind his back. If the disease continues to progress, then in some cases the patient is not even able to perform simple hand manipulations.

Shoulder pain can be a sign of rotator cuff deformity. A similar lesion can occur if you hold your hands in an unnatural position for a long time. Usually pain appear only for 2-3 days. With such a lesion, you should immediately consult a doctor so that he determines how tense the muscles of the shoulder are and wrote out the right treatment. It is possible to indicate the causes of the disease and make a diagnosis mainly by palpation, because X-ray does not see such damage.

Shoulder pain can be caused by severe inflammation of the joint box. This disease is called tendobursitis. Initially, the root cause of the disease is damage to the tendons of the muscles. Pain with tendobursitis is sharp, sharp and occurs even if the arm is at rest. The swelling may extend to the entire arm and neck.

Diseases that cause pain

When a patient has frequent pain in the shoulder joint, this may mean that he develops bursitis. This disease usually appears along with tendinitis. The cause of such pain is overload of the joint and swelling of the articular bag. Similar symptoms may occur as a result of the formation of a tumor in the forearm.

Pain in the shoulder joint can be triggered by the deposition of calcium salts. As a result, the ligaments of the joint suffer. Similar processes can occur both in the tendons and in the articular box. The disease usually affects the shoulder blades and collarbones. Patients have characteristic shoulder pain and cannot raise their arm more than 45°. The onset of pain is not immediately observed, so treatment can be started before they begin.

When a shoulder injury occurs, brachial bone moves and changes position. Such damage can cause prolonged pain. The patient cannot raise his arm and move it normally. In some cases, the injury damages the tendons. If you do not see a doctor in time with a similar injury, then the disruption of the joint will only progress.

Recurrent shoulder dislocation is a cause of pain for many young people and athletes. Such damage can not be immediately noticed and not consult a doctor. But the pain will not subside, but will only intensify. Subsequently, the joint will fall out of the box even with minor hand manipulations. In older people, a similar injury can occur as a result of wear on the joint.

Pain in the shoulder joint can be triggered by a disruption in work internal organs human body. Severe pain in the shoulder can be a sign of angina pectoris, heart attack, sciatica, tumors in chest. A visit to the doctor with prolonged severe pain in the arm and sharp spasms is necessary.

Gradual pain sensations that increase every day can be a symptom of humeroscapular periarthrosis. Such a disease is not provoked by anything, but quickly progresses and prevents the patient from living a normal life. Most often, the disease worsens at night.

During sleep, the patient may experience severe attacks pain. Over time, painful sensations appear not only in the shoulder, but also in the hand. Periarthrosis can last for several days, and even several months.

Relief from shoulder pain

It is advisable to start the fight against pain in the shoulder joint as early as possible. This will bring a more tangible effect. Until the disease is started, contact a specialist for help. Prolonged pain in the arm occurs when a certain disease is in acute form and requires immediate treatment. See your doctor for an accurate diagnosis.

Treatment of inflammation, displacement and other damage to the joints is possible with the help of manual therapy. When blood circulation is disturbed in the shoulder joint (as a result of a heart attack or surgery), the patient may be prescribed angioprotective medications. They help improve blood circulation. Treatment may include anti-inflammatory drugs to reduce swelling and fight infection. With such pain, treatment provides for a special diet for the patient.

The physician may prescribe to the patient nonsteroidal drugs that will take away the inflammation. They are enough at the initial stage of the development of the disease. In some cases, the patient is prescribed laser therapy and special medicinal compresses. With an excess of fluid in the joints, the doctor may prescribe a course of hirudotherapy - treatment with leeches. If the patient is not allergic to leeches, then this method will bring nice results. Arm pain and swelling will quickly pass.

If the patient cannot raise his arm up, then special injections can help him. Most often in such cases they inject hormonal preparations. Such an injection is made in the area of \u200b\u200bthe injured tendon, or an injection is injected into the periarticular sac itself. Absolute recovery after such a procedure is impossible, but such treatment helps almost all patients. To achieve a greater effect, this method of treatment is combined with medication, relaxation and gymnastics. When a patient complains of persistent pain in the arm, they may be prescribed post-isometric relaxation. Such a procedure can help even people with advanced chronic diseases.

Relaxation can be combined with injections, manual or laser therapy. This will greatly speed up the healing process. Relaxation must be accompanied by a therapeutic massage. It is advisable to start the course of procedures a few days after hormonal injections.

Gymnastic exercises

Pain in the shoulder joint can be eliminated through regular exercise therapy. For the first exercise, sit on a chair, put your hands on your waist and slowly begin to rotate your shoulders. Repeat the exercise several times, first with one hand, then the other, then both together. Return to starting position. Bring both shoulders forward to the stop. Hold for 2 seconds. Then repeat the same movement back. Do each element 5 times.

Sit on a chair. Place your injured arm behind your back. Bring your other hand back and firmly grab the wrist of the sore hand. Gently pull it to the side to the limit. Hold this position for 10-15 seconds. Feel how your muscles will be developed. When your arm starts to hurt, slowly return it to its original position.

Place the palm of the injured arm on the opposite shoulder and rest your elbow firmly against your chest. Grasp your elbow with your healthy hand and gently begin to lift it up, thereby aligning your arm. The elbow should not come off the chest, but should slide along it. When you raise your arm to the limit, stay in this position for 20 seconds. Tighten the injured arm for 5 seconds. After that, relax and slowly return to the starting position.

Lie on the floor, straighten your injured arm and bring it out to the side. Inhale and lift your hand 3 cm off the floor and hold in this position for 15 seconds. As you exhale, return to the starting position and relax for 10 seconds. Then inhale again and raise your hand. Repeat the element at least 6 times. Stay lying on the floor. Bend the injured arm at the elbow and rotate the shoulder 90°. Point your palm up. Tighten your arm and lift it 3 cm off the floor. Hold it in this position for 20 seconds. When the hand starts to hurt a little, relax it and return to the starting position. Perform the element 6 times. Be sure to let your hand rest for 10-20 seconds.

Therapeutic exercise will help you in the fight against soreness of the shoulder joint.

Treatment with folk remedies

Traditional medicine often effectively helps with any damage to the body. Hand pain can be cured using the simplest folk methods. In order to prepare a tincture, take 1 liter of alcohol, 10 tsp. lilac flowers, 2 red peppers and 2 tbsp. l. burdock (root). Mix the ingredients and let the mixture brew for 4 days. The resulting tincture should be rubbed on the sore spot.

With prolonged pain, homemade ointment will help. Melt 200 g of pork oil and pour 6 tsp into the mass. swamp cinquefoil. Initially, it is better to chop the grass. Add 6 tsp. dry St. John's wort and 2 tsp. chili pepper. Mix all the ingredients and apply every evening on the injured shoulder.

Mix 2 tbsp. l. liquid honey, 2 tbsp. l. olive oil and 2 tsp. dry mustard. Put the ingredients in a water bath and heat for 5 minutes. Mix the ingredients again and lay them out on a cloth or thick gauze bandage. Put the resulting compress on your shoulder and hold for 25-40 minutes. Follow the procedure 3 times a week.

Be sure to take therapeutic baths for pain in the shoulder joint.

To prepare a bath, take 100 g of pine needles and a few cones, fill them with 400 ml of water and put on fire. Boil the broth for half an hour. Pour the finished infusion into a container, close it tightly and let the mixture brew for 2 days. Add 100 ml of infusion to the bathroom every day. The duration of the procedure is 15 minutes.

Often a person is worried about the shoulder joint, pain when raising the arm is not a pleasant symptom. The shoulder joint is one of the most unique joints in the human body in terms of its structure and function. He is able to perform more than all types of movements, however, he cannot withstand strong physical exertion and unnatural handling for a long time. The joint responds to this with inflammatory processes that lead to swelling and ruptures of the tendons or muscles.

Most often, this problem can be faced by people who:

do not pay attention to posture;
work hard physically;
play sports at a professional level;
move little.

Pain extending from the shoulder joint over the entire surface of the arm and aggravated by turning the neck. In this case, the diagnosis is often intervertebral hernia, which is a consequence of damage to the intervertebral discs. It happens, due to which some part of the nucleus pulposus is displaced, while clamping the nerve roots.

The shoulder joint is disturbing, pain when raising the arm up, when moving back or to the side. It can develop imperceptibly for a person who, in an advanced stage, is insanely painful even to bring a spoon to his mouth. Doctors call this condition capsulitis.

acute pain after doing some unusual work. For example, if a person puttyed the ceiling all day (the position of the hands during such an action is unnatural and unusual), the next day he may feel discomfort.

Tendobursitis - suddenly appeared acute. Occurs due to inflammation or microtrauma.

Shoulders in many cases can hurt with unusually large loads, and especially when the arms are raised. Sudden pain is the cause of many diseases. The main thing is to determine its nature and type.

Acute pain:

Osteochondrosis - the pain gets worse when you turn your head, especially at night. It can cover the entire surface of the arm, in severe cases, a person cannot even lift it.
Arthritis is the pain of an inflamed joint.
Arthrosis - in many cases occurs in older people. The person feels severe pain in the shoulder when they raise their arm. This violation is likely to be caused by bruises or dislocations.
Neuritis is a disease in which sharp pain appears due to inflammatory processes, tumors or microtraumas.
Shoulder injuries: fractures, dislocations. If they are not treated in time, then chronic consequences are possible.

Pain on movement:

Collision Syndrome. Pain that comes on suddenly when you raise your hand. This disease provokes the deposition of calcium salts, and in most cases it affects people aged 30 to 50 years.
. May be caused by severe exercise. The pain that accompanies the disease increases when the muscle is palpated.

Chronic pain:

Tendinitis. It develops when a person works hard physically, due to the fact that the tendons constantly rub against the articular surface. In this case, constant aching pain will be felt.
Biceps tendinitis. This is an inflammatory disease of the biceps tendon of the shoulder. The pain is intense, it becomes stronger when probing the biceps. A rupture of the tendon is possible, the result of this will be a swelling resembling a ball.
Bursitis. It appears due to a high load on the joint or damage to the periarticular bag. In this case, a person feels a sharp, sharp pain and cannot sleep on a sore shoulder. Edema is also possible.

It's a dull pain:

Periarthrosis. The pain comes on gradually, for no apparent reason. It can be stinging and harsh. At the same time, hands get cold.
Myalgia. It is difficult for a person to perform all kinds of movements with his hands, he feels constant pain. The causes of this disease can be hypothermia or viral infections.
reflected. Often, when pain occurs in the shoulder joint, a completely different organ suffers. For example, this can manifest itself in heart failure, liver dysfunction, pneumonia, myocardial infarction. With such diseases, a person develops pain from the shoulder joint to the elbow, heaviness in breathing and dizziness.

For an accurate diagnosis, you need to contact the clinic, but knowing what movements hurt the joint, you can understand which tendon is damaged.

When a person takes his hand to the side, then the supraspinal tendon.
When turning the upper part of the shoulder outward with the elbow pressed to the body - infraspinal.
When turning the upper part of the shoulder inward with the elbow pressed to the body - subscapular.
When turning the forearm inward, pain in the biceps of the shoulder is a violation of the biceps.

Therefore, it is best, before going to the hospital, to determine the exact nature of the pain and why it occurs, so that it is easier for the doctor to make the correct diagnosis.

Causes of pain in the shoulder joint when you raise your arm:

Incorrect posture. The fact that many do not monitor their posture most often leads to numerous health problems, including pain in the shoulder joint. In this case, you can not go to the doctor, but simply correct the position of the back, then you can get rid of pain.
"Frozen Shoulder" This disease is also called a syndrome. With this disorder, a person cannot perform all types of shoulder movement. Aching, constant pain appears, which intensifies when trying to perform most of the manipulations. The first sign of this disease is discomfort when raising the arm up, then, if you do not take care of the treatment, the pain can spread over the entire surface. In the advanced stage, a person fails to dress himself (without severe pain), cook food, drive a car, and even sleep fully. Most often, the syndrome occurs due to trauma, hyperthyroidism or diabetes.
Rotator cuff injury. This is damage to the muscles and tendons that are located directly around the joint itself. They keep the shoulder joint in the right position and help a person to exercise control over what movements he performs. All kinds of cuff injuries can cause pain when raising the arm (especially when lifting it above the joint itself, for example, when combing), rotation and during sleep. In a neglected state, a person cannot raise his hand.
Tendinitis and bursitis. They usually occur due to overexertion of the periarticular bag or injury to the shoulder joint. In most cases, they suffer from those who are professionally involved in sports, and in particular ball games, javelin throwing, etc. Inflammation can also begin in a person who does not put much stress on his hands. In this case, pain may not be felt, but inflammation will still be. In the future, if you do not give your hands a rest, the disease will develop and become stronger, taking away space for movement in the shoulder joint.
Rupture of tendons or muscles. In this case, a person feels very strong pain that occurs when trying to raise his hand. Tendon rupture most often affects people over 40 years old, and in young age it becomes a consequence of a serious injury. To avoid this, you need to follow healthy lifestyle life and systematically perform sports exercises.
Joint instability. Causes of injury or simply wear and tear of tissues. With this violation, a person feels some discomfort during shoulder movements, sometimes even mild pain. In severe cases, it leads to dislocation. In this case, an unnatural position of the hand, severe pain and swelling are observed.
Violation of the acromioclavicular joint. Reasons: sprains or displacement of the joint itself. Most often, this affects men aged 20 to 50 years, and especially those who are actively involved in sports.

When to contact the clinic

Most people most often do not focus on pain in the shoulder joint, and it goes away on its own. Therefore, not many rush to the hospital, feeling discomfort.

But it should be remembered that if the pain bothers you for more than a week and only becomes stronger, then you need to urgently go to the doctor.

The doctor will examine the affected arm, ask you a series of questions and may prescribe some diagnostic methods (X-ray or MRI). Also, the doctor may send a blood test, after which he will be able to accurately diagnose and determine the treatment.

Human body - complex mechanism, where different tissues are combined in each part of the body, generously braided with vessels and nerves of different calibers at the same time. In some areas there are more nerves, in others there may not be at all.

One nerve fiber can carry information from adjacent, but, nevertheless, different tissues (for example, from the capsule of the joint and the muscles that move it). In addition, there are nerves that are of sufficient length. They include fibers coming from the lower and higher organs. So they carry information about sensations (this is what sensitive nerve fibers do) from organs located far from each other and not connected to each other.

Why this lyrical digression? It is directly related to your question - what can cause pain in the shoulder joint. This symptom most often accompanies diseases of the structures of the joint itself and the muscles that are responsible for movement in it. But the causes of pain can also lie in the pathology of the internal organs. Large nerve fibers carry information about the sensitivity of the shoulder girdle, and, at the same time, the gallbladder (then it will hurt on the right), the heart (the pain is localized on the left), the diaphragm (it can hurt on both sides).

Anatomy

Below we will return to individual details of the anatomy. Now let's talk briefly.

The shoulder joint is the most mobile. It provides movement in any direction. So, the arm can be taken away from the body to the side and up, brought to it, raised up, wound behind the head or behind the back, rotated (this is the name of movement around its own axis) when bending at the elbow.

High mobility is determined by the shape of the joint, which is called spherical. Here the humerus ends in an almost full "ball", and it comes into contact with an almost flat "platform" on the side of the scapula (it is called the glenoid cavity). If this articular area was not surrounded on all sides by cartilaginous tissue, the head of the shoulder would “fly out” of the joint with every movement. But this articular "lip", as well as the ligaments abundantly braiding the articulation of the bones, hold the shoulder in place.

The articular capsule is a tissue formation similar in structure to the ligamentous apparatus. This structure "wraps" each joint, making it possible to circulate within this enclosed space. The peculiarity of the capsule of this particular joint is that it is wide, forms a space for the abundance of movements performed in the joint.

Since the joint makes a lot of movements, it must be surrounded by a large number of muscles, whose fibers will go in different directions and attach with their endings and to different parties humerus, and to the chest, and to the shoulder blade, and to the collarbone. The latter, although not considered part of the shoulder joint, is directly involved in its activity, being an additional support for the humerus rotating in all directions.

Muscles are attached to the humerus, and diverge from it in different directions. They form the rotator cuff of the shoulder:

the deltoid muscle is responsible for shoulder abduction;
subscapular - for the rotation of the shoulder inward;
supraspinatus - for lifting and abduction to the side;
small round and infraspinatus - rotate the shoulder outward.

There are other muscles, such as the biceps, whose tendon runs inside the joint. Which of them is inflamed can be indirectly judged by which movement is disturbed or causes pain (for example, pain that appears when you raise your hand indicates inflammation of the supraspinatus muscle).

All these structures - muscles, ligaments, articular cartilage and capsule - are permeated with sensory nerves that carry the sensation of pain to the brain if inflammation develops in any of the tissues, it is stretched or torn.

Here from the spine pass motor fibers- along them there is a command to the muscles to move the limb in one direction or another. If they are pinched between bone or other structures, pain also occurs.

Please note that health workers call the upper third of the arm “shoulder” - from the shoulder to the elbow joint. The section from the neck to the shoulder joint is called in medicine the “shoulder girdle” and, together with the structures surrounding the scapula and collarbone, makes up the shoulder girdle.

Why does the shoulder joint hurt?

The causes of pain in the shoulder joint are conventionally divided into 2 groups:

Pathologies associated with the joint itself and the surrounding ligaments, tendons or muscles. These include inflammation of the capsule that rotates the arm of the muscle cuff, articular bag, cartilage on articulating bones, muscles, tendons or the entire joint, some non-inflammatory diseases of these same structures.
Pathologies with extra-articular localization. This group includes osteochondrosis of the cervical region, inflammation of the sensitive nerve fiber(neuritis) or the entire large nerve that is part of the brachial plexus (plexitis), chest disease, heart disease, or digestive tract, whose inflammation or tumor "gives" to the shoulder area.

Consider each of the causes of pain in detail, starting with the first group of pathologies.

Tendinitis (inflammation of a muscle tendon)

Since, as we said, the shoulder joint is surrounded by many muscles that are attached here with their tendons, therefore, tendonitis can have a different localization. The symptoms of the disease will depend on this.

Common features of any tendinitis are:

occur most often in those who perform stereotypical shoulder movements (athletes, loaders);
the pain may be sharp, dull or aching in nature;
most often the pain in the shoulder area is sharp, occurs for no apparent reason;
hurts more at night;
the mobility of the arm decreases (that is, it becomes difficult to withdraw, bend, raise it).

supraspinatus tendonitis

This is a muscle that is located in the upper part of the shoulder blade and reaches the outer part of the head of the shoulder along a short path. Her tendon becomes inflamed most often with injury or if there is chronic inflammation bag lying under the acromial process of the scapula.

Here, the pain in the shoulder either intensifies or weakens - in periods. The maximum pain is noted if you take your hand to the side by 60-120 degrees. It will also hurt if you put pressure on your shoulder or pat on it.

A complication of untreated tendinitis is an incomplete rupture of this tendon.

Tendinitis of the biceps tendon

This muscle, which is often called the biceps (the word “biceps” is translated from Latin as “biceps muscle”), performs flexion in the shoulder and elbow joint, it makes it possible to turn the hands with the palms up.

Symptoms of this tendonitis:

recurring pains along the anterior surface of the shoulder, often they also give down the arm;
at rest there is no pain;
it hurts to bend the arm at the shoulder and elbow;
painful pressure on the forearm (the area from the elbow joint to the hand);
you can find a point in the region of the head of the humerus, the palpation of which causes a sharp pain.

This tendonitis can be complicated by a complete rupture or subluxation of the tendon. Last state- this is the slipping of the tendon from the groove on the surface of the bone in which it should lie.

Tendonitis of the infraspinatus muscle

This is a disease of athletes and workers of heavy physical labor. It doesn't have bright severe symptoms. Only pain during rotation of the entire limb, if at the same time press on the shoulder joint. Such pain is localized not only in the shoulder, but also spreads along rear surface arms to the elbow, and sometimes even lower - to the fingers of the hand.

A complication of this untreated condition is a complete rupture of the tendon.

Rotator cuff inflammation

Here, pain in the shoulder joint is found when raising the arm up (when you need to get something or when sipping).

This happens on the second day after a person has worked intensively with his hands, especially if before that he did not have to do such work (for example, whitewash the ceiling). The pain is sharp, severe, disappears when lowering the arm. Don't worry at rest.

If at the same time an X-ray examination of the shoulder joint is carried out, the radiologist will say that he does not see any pathology. The diagnosis will be made only by a traumatologist or sports medicine doctor.

Inflammation of the joint capsule (bursitis) and inflammation of the joint capsule together with adjacent tendons (tendobursitis)

Here, the pain in the shoulder joint is acute, occurs for no apparent reason, limits any hand movements, does not allow an outsider (for example, a doctor) to make passive movements with a sick hand.

Capsulitis (inflammation of the joint capsule)

This condition is rare, so you should think about it last, excluding more serious diseases, such as arthritis, rupture of the ligaments of the joint, or radiating pain in diseases of the abdominal organs.

Capsulitis of the shoulder joint is more common in women 40-50 years old, who had to lie down for a long time without moving their arm in full.

Inflammation develops gradually, imperceptibly to a person. At some point, he notices that it has become too difficult (as a feeling of "numbness") to perform a familiar movement with his hand, requiring it to be lifted up or behind his back. So, it becomes painful, for example, to play on musical instrument or handled with a bra clasp. This symptom is called "frozen shoulder".

Arthritis - inflammation of the internal structures of the joint

The disease develops due to:

joint contact with infected tissues;
penetrating wound with an infected object or operation with non-sterile instruments;
bacteria entering the joint with blood flow;
rheumatism caused by the bacterium streptococcus (usually develops after a sore throat or glomerulonephritis);
hemorrhages in diseases of the blood coagulation system, when the blood that has entered the joint cavity then suppurates;
joint injuries with subsequent development of inflammation and suppuration;
metabolic diseases (for example, gout), when the joint is irritated by uric acid salts that have entered it;
allergies to substances that have entered the body (often such a reaction occurs as a response to the introduction of protein preparations into a vein or muscle: serums, antitoxins, vaccines);
autoimmune damage, when the body considers joint proteins to be foreign and begins to produce antibodies against them (this happens with rheumatoid arthritis).

If arthritis is not caused by trauma, it may be bilateral.

The symptoms of arthritis cannot be ignored. It:

severe pain in the shoulder joint;
it does not pass at rest, but increases with movement, especially when trying to put a hand behind the head, lift it up or take it to the side;
the pain is aggravated by palpation (palpation by a doctor) or a light touch of the joint;
it is impossible to raise a hand above a conditional line drawn horizontally through the axis of the shoulder joint (that is, above the shoulder girdle);
the joint is deformed due to edema;
the joint may become hot to the touch;
body temperature rises.

Arthrosis is a non-inflammatory lesion of the tissues of the joint

This pathology is associated with the development of changes in the articular cartilage lining the head of the humerus or the scapular articular surface. It develops most often as a result of often tolerated arthritis, as well as in the elderly - due to a violation of the normal blood supply to the structures of the joint.

The symptoms of arthritis are as follows:

sharp pain in the shoulder, which occurs with any movement of the arm, but passes at rest;
maximum pain - when lifting weights with this hand;
it hurts when you touch the collarbone and the bottom of the scapula;
poor mobility in the joint gradually develops: it no longer hurts, but it is impossible to raise your hand, throw your hand behind your back;
when moving in the shoulder, a crunch or noise is heard.

Shoulder injuries

The pain that appeared in the shoulder after a blow to this area, falling on its side, lifting weights, a sharp or unnatural movement of the arm, suggests that the person injured the shoulder joint itself or the surrounding ligaments or tendons.

If there is only pain in the shoulder, its motor function is not impaired, we are talking about a bruise of the periarticular tissues. If, after an injury, there is pain in the shoulder to the elbow, it hurts with the arm or it is impossible to move at all because of the pain, there may be a rupture of the tendons and muscle damage - only a traumatologist can distinguish these conditions.

Deformation of the joint after an injury with the inability to move the arm normally indicates a dislocation. If active movements are impossible, it is only possible to passively (with the help of the other hand or when it is done by an outsider) move this limb, while a crunch or some movement can be felt under the skin if the area of the joint itself or below it is swollen, up to it it hurts to touch, then, most likely, there was a fracture.

Deposition of calcium salts in the tissues of tendons or ligaments

Such a condition - calcification of the soft tissues of the joint - can develop in a person over 30 years of age against the background of a deterioration in metabolic processes. Before this age, calcification occurs in a person suffering from diseases of the parathyroid glands, in which calcium metabolism is impaired.

The symptoms of this pathology are as follows:

constant shoulder pain
does not disappear at rest;
aggravated by raising the arm or moving it to the side;
its intensity increases with time.

Diseases of the spine

Pathologies in the region of 4-7 vertebrae of the cervical spine, whether it be:

uncomplicated osteochondrosis;
herniated discs;
displacement of one vertebra relative to another (spondylolisthesis);
inflammation of the vertebral bodies (spondylitis);
subluxations or fractures of the vertebrae

will manifest as pain in the shoulder joint.

Dislocations and fracture-dislocations appear after an injury. Spondylitis most often appears against the background of tuberculosis, the manifestation of which was a dry cough, malaise, sweating, low temperature.

The most common disease of the spine causing pain in the shoulder, is osteochondrosis. This is a condition when the cartilaginous formation located between the vertebrae (intervertebral disc) along the periphery becomes thinner, and its central jelly-like section shifts towards the spinal canal. When such a nucleus or the remaining "bare" vertebrae compresses the root of the fourth, fifth or sixth cervical spinal nerve and there is pain in the shoulder.

For diseases of the spine, the following is characteristic:

pains occur in the shoulder and arm: they spread from the shoulder joint to the elbow, and sometimes to the hand;
aggravated by turning and tilting the head;
along with pain, the sensitivity of the hand is disturbed: it freezes or, conversely, feels hot;
goosebumps often run along the sore arm, numbness or tingling is observed.

Osteochondrosis is often complicated by humeroscapular periarthritis, when the tendons of the muscles that move the shoulder, as well as the capsule and ligamentous apparatus of this joint, become inflamed. Periarthritis can also occur with shoulder injuries or reactive inflammation as a result of a chronic infectious process in the body (tonsillitis, inflammation of the kidneys or bronchi)

Here is the pain in the shoulder:

appears abruptly, visible reasons;
increases gradually;
occurs at night;
aggravated by raising the arm, as well as attempts to bring it behind the back, lay it behind the head or take it to the side;
during the day, at rest, the pain subsides;
localized pain in the shoulders and neck ;
after a few months, even without treatment, the pain syndrome disappears, but the joint loses its mobility: it becomes impossible to raise the arm above the horizontal line or put it behind the back.

Shoulder nerve neuritis

Here, the shoulder joint experiences pain, being, together with the tissues surrounding it, in perfect condition. Pathology is characterized by the appearance of a “lumbago” in the shoulder, after which acute pain remains. It gets worse with hand movement.

Shoulder plexitis

With this pathology, one, two or three large nerve trunks are affected, passing just below the collarbone. They carry commands to the neck, arm and collect information about sensations from there.

Pathology develops after:

injuries: fracture of the collarbone, sprain or dislocation of the shoulder joint;
birth trauma - in a newborn baby;
prolonged stay in a forced position: with complex and long operation on the organs of the chest or abdomen, with features professional activity requiring a long position with the arm abducted or raised;
vibrations;
wearing crutches;
general infectious disease(diseases caused by viruses of the herpetic group are especially capable of this: mononucleosis, herpes zoster, herpes simplex, chickenpox);
hypothermia of the shoulder area;
as a result of a violation of metabolic processes in the body: with diabetes mellitus, gout).

The disease requires emergency assistance and is characterized by the following symptoms:

severe pain radiating to the shoulder, but localized in the area above or below the collarbone;
aggravated by pressure on the area below the collarbone;
becomes stronger when moving the hand;
characterized as shooting, breaking, drilling or aching;
may feel like pain in the shoulders and neck;
hand loses sensation inside(where the little finger is);
the hand turns pale, may even acquire a bluish color;
the brush may swell;
"goosebumps" that "run" along the inside of the arm, but more in its lower part;
the hand does not feel hot / cold, pain.

Other reasons

A symptom, more often described as pain in the muscles of the shoulder, less often as pain in the shoulder or shoulder joint, can occur not only with bursitis, inflammation of the tendons, humeroscapular periarthritis, arthrosis, osteochondrosis. There are also other diseases and conditions:

narrowing syndrome (impingement syndrome);
cervical-brachial plexopathy;
myofascial syndrome;
myelopathy.

There are no subjective symptoms characteristic of these diseases. The diagnosis is made by a doctor - mostly a neurologist, but a consultation with a rheumatologist or traumatologist may be necessary.

Reflected pain

In the shoulder can give pain in diseases of the internal organs:

Angina pectoris is a condition where the heart suffers as a result of insufficient oxygen supply to it. Here the pain will be localized behind the sternum and at the same time - in the left shoulder joint. It occurs against the background of physical activity of any nature, whether it is walking against the wind, lifting weights or climbing stairs, it does not have to be a movement with the left hand. The pain goes away at rest. May be accompanied by a feeling of interruptions in the work of the heart. Learn more about the symptoms, diagnosis, and treatment of angina pectoris.
Myocardial infarction manifests itself in a similar way to angina pectoris. But here the main symptom - even if the site of death of the heart muscle is small - is a violation of the general condition. This is a violation of the heart rhythm, sticky sweat, trembling, fear, there may be a loss of consciousness. The pain is very severe, requiring emergency medical attention. Learn more about myocardial infarction.
Pain in the shoulders and shoulder blades is characteristic of inflammation of the pancreas. In this case, the pain is severe, radiates to the upper half of the abdomen, accompanied by nausea, loose stools, and fever.
If the pain syndrome affects the right shoulder and shoulder blade, this may mean the development of cholecystitis - acute or chronic exacerbation. In this case, nausea, a bitter taste in the mouth, and fever are usually noted.
Upper lobar pneumonia can also be accompanied by pain in the shoulder from the side diseased lung. At the same time, there is weakness, lack of air, cough - dry or wet. The temperature often rises.
Rheumatic polymyalgia. If pain in the shoulder appeared after a person had a sore throat or scarlet fever, especially if before that there was an increase and soreness of the knee joint, most likely he developed a complication - rheumatism. A pain syndrome in the shoulder is one of the manifestations of this disease.
tissue tumors chest cavity. For example, cancer of the apex of the lung, which will cause pain in the shoulder and between the shoulder blades.

Shoulder pain by location

Consider the characteristics of pain that can develop in any shoulder joint:

When it hurts	What is it
When raising the arm forward or moving it to the side	supraspinatus tendonitis
When the arm rotates around its axis to the side thumb if the elbow is pressed to the body	Tendonitis of the infraspinatus muscle
When rotating the arm in the shoulder around its axis towards the little finger, when the elbow is pressed to the body	Inflamed muscles located in the subscapular region
Pain in the front of the hand when the forearm is turned towards the little finger It hurts to open the door with the key Shoulder pain gets worse when lifting weights When bending the arm at the elbow, the shoulder hurts Pain pierces from elbow to shoulder	Inflammation of the biceps tendon
The joint hurts with any movement. Pain worsens when turning the head or moving the neck	Inflamed joint capsule
It hurts only when lifting weights, even small ones.	Inflamed deltoid tendon
Pain when moving arms back	Tendonitis or sprain of the supraspinatus tendon
Shoulder hurts when arm is raised vertically	Arthritis or arthrosis of a small joint between the process of the scapula and the collarbone, when the muscles surrounding it become inflamed
Shoulder hurts when trying to comb, style hair, throw hands behind head or rotate them around the axis towards the thumb	Stretched infraspinatus or teres minor tendon
The pain is aching, appears only when you put your hands behind your back, when you try to get an object from your back pocket. It hurts to lie to the side of the little finger	Injured (stretched or inflamed) subscapularis tendon
Shoulder and neck pain	arthritis osteochondrosis myalgia plexitis of the shoulder joint arthrosis arthritis
Shoulder and arm pain	Intervertebral hernia tendinitis bursitis humeroscapular periarthritis
Pain from elbow to shoulder	Shoulder-shoulder periarthritis osteochondrosis bursitis inflammation of the cartilage of the elbow joint (epicondylitis or "tennis elbow", "golfer's elbow") rheumatoid arthritis elbow dislocations arthritis or arthrosis of the shoulder joint gouty arthritis of the shoulder
Shoulder and back pain	This speaks of muscle spasm due to a long stay in an uncomfortable position, the same type of muscle work, hypothermia, compression syndrome.
Shoulder and collarbone pain	Clavicle fracture infringement and inflammation of the roots of the spinal nerves brachial plexus neuralgia intercostal neuralgia humeroscapular periarthritis

If your right shoulder hurts

Pain in the right shoulder is typical for:

bursitis;
tendonitis of the biceps;
joint injuries;
myositis of one of the muscles of the shoulder;
calcification of periarticular tissues;
humeroscapular periarthritis;
right-sided pneumonia;
exacerbation of gallstone disease.

The following signs indicate damage to the right shoulder joint, not muscle tissue:

pain is constant;
pain at rest, aggravated by movement;
diffuse pain;
all movements without exception are limited;
visible enlargement of the joint.

Pain in left shoulder

This is a more dangerous localization of the symptom: pain in the left shoulder may be accompanied by myocardial infarction. It may even be that in addition to this symptom, a heart attack has no other signs, only sudden fear and a sharp "throwing into a sweat."

Pain in the shoulder on the left can also talk about another pathology of the heart - angina pectoris. Then this symptom accompanies physical activity, walking against the wind (especially cold), climbing stairs. Usually the pain disappears at rest and is relieved by taking nitroglycerin.

Pain in the left shoulder occurs when:

shoulder periarthritis;
tendon calcification;
impingement syndrome;
spinal nerve root entrapment
shoulder joint injuries;
shoulder tumors.

Diagnosis depending on the intensity of pain

Consider which disease can cause one or another subjective characteristic of shoulder pain.

Strong pain

This is how pain is described when:

Stretching of the tendons of the shoulder. Then the person remembers that on the eve he endured heavy things or could sleep in an uncomfortable position.
Shoulder dislocation. In this case, you can also remember the episode when someone pulled his hand or had to grab onto a moving object.
A fracture of the humerus will also be accompanied by severe pain in the shoulder area. But here, too, trauma is noted at the beginning of the disease.
Arthritis. In that case, the joint turns red, deformed, it is very painful to touch it.
Bursitis. The pain occurs suddenly, does not allow the person himself or the doctor conducting the examination to move his hand.
Tendinitis. Pathology is manifested by pain when performing various movements, which depends on which tendon is inflamed. Symptoms of the main tendinitis are described above.
Intervertebral hernia. At the same time, pain is not only in the shoulder, but also in the neck and face. The hand freezes, goosebumps run along it, it does not feel cold, warm.
Diseases of the lungs, liver or spleen. They are described above.

Sharp pain

If the pain in the muscles of the shoulder can be described as sharp, this may indicate the development of such neurological disease as idiopathic brachial plexopathy. The cause of this pathology is unknown. It is believed that it is inherited, but more often its appearance is provoked by vaccination. This disease is characterized by the fact that, on the one hand, short branches extending from the brachial plexus become inflamed. It usually develops at the age of 20-40.

Here the pain occurs in one shoulder, suddenly, has a sharp character. It hurts not only the shoulder, but also the shoulder girdle. This goes on for a few days, then it goes away. Muscle weakness appears: it becomes difficult to raise your hand, lay it behind your back, turn the key in the door and comb your hair.

Also, sharp pain in the shoulder will be accompanied by other diseases:

arthritis of the shoulder joint;
capsulitis;
pleurisy;
cholelithiasis;
intervertebral hernia.

acute pain

This syndrome is accompanied by:

joint injury;
tendinitis, tendobursitis;
arthritis or arthrosis;
rupture of the shoulder tendon;
intervertebral hernia, localized in the cervical or thoracic region;
angina;
liver pathology;
myocardial infarction.

Nagging pain

This is how pain is described in humeroscapular periarthritis. It occurs for no apparent reason, at night. It is localized not only in the shoulder, but also in the neck, aggravated by putting it behind the back, raising the arm. During the day the pain subsides. If treatment is not carried out, the joint becomes stiff.

Constant pain

If your shoulder hurts all the time, it could be:

tendinitis;
sprain or rupture of ligaments, fracture - if this pain was preceded by an injury;
arthrosis: pain accompanies any movement, accompanied by a crunch;
humeroscapular periarthritis. Pain occurs at night, gradually increases, increases with pain;
disease of internal organs: hepatitis, cholecystitis, pneumonia, myocardial infarction.

Blunt pain

This is how they describe:

tendinitis. In this case, the pain increases with movement;
humeroscapular periarthritis. Pain is also related to movement;
diseases of the abdominal organs;
infringement of the intervertebral hernia of the lower cervical or upper thoracic region;
myocardial infarction.

Burning pain

The syndrome of such characteristics is inherent in diseases of the spine. Here the pain grows active movements hands, but if the limb is fixed, the pain goes away.

In addition to pain, the sensitivity of the hand is disturbed, “goosebumps” periodically run along it. muscle strength upper limb decreases. She can get cold.

Shooting pain

Such pain is characteristic of inflammation of the spinal nerve root, which can occur with osteochondrosis, spondylosis, and spinal injuries.

Pain with numbness of the arm

This symptom is accompanied by:

humeroscapular periarthritis;
intervertebral hernia;
chest tumors;
bursitis;
shoulder dislocation.

zdravotvet.ru

Why does joint pain occur?

When the patient's shoulder hurts when raising his arm, this signals that an inflammatory process is taking place in the body. If it hurts in the neck or upper part of the shoulder, the causes may be hidden in damage to the intervertebral discs.

Important! Such pain is accompanied by limited movement, numbness of the limbs, which is a sign of the formation of a vertebral hernia. Degeneration of the vertebral discs can cause them to begin to increase and lose flexibility.

The distance between discs is significantly reduced. In such a situation, pain in the right or left shoulder joint is due to compression of the spinal nerves.

In the affected area, swelling develops, which contributes to even greater infringement of the nerve, the pain becomes excruciating. When a patient has pain in the shoulder joint, this may indicate the presence of capsulitis ( painful spasm muscles). The process occurs involuntarily, the disease is quite rare, so it is very difficult to determine it immediately.

Most often, even the patient himself does not notice that his muscles are in a constrained state. The patient cannot fully raise the arm, and getting it back is even more difficult. If the disease progresses further, it will become difficult for the patient to perform the most common manipulations with his hand. The inflammatory process affects the articular cartilage tissue and leads to limb injuries.

It is necessary to have an idea how to treat shoulder joint capsulitis and correctly diagnose the disease, which can only be done in a hospital.

If your shoulder hurts, it may be a sign of a rotator cuff deformity. This pathology can develop as a result of a long stay of the hands in an unnatural position. Most often, the hands hurt only 2-3 days after the violent impact on them. Having discovered such a condition, the patient should immediately consult a doctor.

The doctor will determine the degree of muscle tension in the shoulder and prescribe adequate treatment with medicines and folk remedies. To determine why the joint hurts, it is possible to a greater extent by palpation. No such damage is visible on the X-ray.

Pain in the joint of the hand when it is raised can be provoked by an acute inflammatory process in the articular box. it pathological condition is called tendobursitis. The initial cause of the disease is damage to the muscle tendons.

The hand with tendobursitis hurts very much, even when at rest. Pain sensations are sharp and sharp. Edema in addition to the arm can also spread higher to the neck.

What diseases provoke pain syndrome

The causes of frequent pain in the shoulder joints can be very different. This may be a signal that the patient is developing bursitis. This disease most often accompanies tendonitis.

Pain in this case occurs due to joint overload and swelling. synovial bag. Similar symptoms appear with the formation of a tumor of the forearm. In addition, it hurts when raising your hand may be due to the deposition of calcium salts. In this case, the ligaments of the joint also suffer.

These processes can occur in the tendons and in the articular box. Most often in such a situation, the collarbone and shoulder blades hurt. The patient complains that his shoulder hurts, and his arm does not rise above 45. The onset of painful symptoms in the joint is not observed immediately, so even before they appear, treatment of tendinitis of the shoulder joint can be started.

If pain in the right or left shoulder is the result of an injury, the humerus changes its position and moves back. For this reason, the pain may not recede for a long time. The patient cannot fully move his arm and perform simple manipulations. Sometimes the injury causes damage to the tendons.

If such an injury is not promptly addressed for medical assistance, the loss of functionality in the joint will only progress.

Painful movement of the hands may be due to recurrent dislocation of the forearm. Similar causes are often observed in athletes and young patients. Damage can not be immediately noticed, so many victims go to the doctor with a delay, which negatively affects further treatment.

Pain may be due to a violation well-coordinated work internal organs. Discomfort may be a sign of:

radiculitis;
angina;
tumors in the chest;
heart failure;
heart attack.

That is why in such situations it is impossible to neglect a visit to the doctor. Over time, pain will increase and may be a sign of humeroscapular periarthrosis. This pathology is not caused by anything, but progresses very quickly and prevents the patient from fully living and working. Usually exacerbations in the right or left shoulder appear at night.

Pain syndrome at night is felt especially acutely. As the disease progresses, soreness is noted not only in the area of the forearm, but also in the hand.

Periarthrosis can end in a few days, or it can drag on for many months.

Pain in the shoulder - treatment

The fight against pain in the joints should begin as early as possible. This is the only way to achieve more tangible results. It is advisable to consult a doctor who will prescribe treatment even when the disease is in its initial stage. The pain does not stop if the disease is in an acute form.

Note! Treatment of displacement, inflammation and other joint damage is effective with the use of manual therapy. When blood circulation is disturbed in the upper limb (as a result of surgery or a heart attack), the patient is prescribed a course of angioprotective drugs. These drugs help improve blood circulation and restore articulation.

In addition, treatment pain syndrome in the right or left shoulder diarthrosis is the use of anti-inflammatory drugs that eliminate swelling and fight infection. The doctor will prescribe nonsteroidal drugs to the patient. Similar state provides treatment with a special diet and folk remedies.

The use of NSAIDs is prescribed at the initial stage of the development of the disease, this measure is quite enough. Sometimes the patient is shown special medicinal compresses and laser therapy.

With an excess of articular exudate, the doctor may prescribe a course of hirudotherapy to the patient - treatment medicinal leeches. This method provides good results, but only if the patient is not allergic to leeches. Both discomfort and swelling subside quickly.

If it is painful for the patient to raise his hands, special injections will help him. Usually in such situations, hormonal drugs are prescribed. The drug is injected into the area of the injured tendon or directly into the periarticular bag.

Such a procedure does not guarantee complete elimination of the disease, but the treatment will greatly alleviate the patient's condition. A greater effect is achieved with the complex use of therapy, that is, when injections are combined with pills, gymnastics and relaxation.

Today, post-isometric relaxation is very popular in the treatment of joint diseases. This procedure helps even those people who have running chronic diseases. Postisometric relaxation is combined with:

Manual or laser therapy.
Injections.
Therapeutic massage.
Gymnastics.

The course of procedures can be started a few days after steroid injections.

Treatment of exercise therapy and folk remedies

Pain syndrome can be eliminated through daily exercise therapy.

Sit on a chair, put your hands on your waist. Begin to slowly rotate your shoulders. Repeat the exercise several times. First, the left hand is involved, then the right hand, then both at once. Take a starting position. Bring both shoulders forward to the stop. Repeat exactly the same movement back. Perform each element 5 times.
Sitting on a chair, take both hands behind your back. With a healthy hand, firmly grab the patient's hand. Pull it gently to the side as far as it will go. Hold this position for 10-15 seconds. If pain occurs, slowly return to the starting position.
Place the palm of the injured limb on the opposite shoulder. Hold your elbow firmly against your chest. With a healthy hand, grab the elbow and gently lift it, while it should not come off the chest, but only slide along it. Upon reaching the limit, linger in this position for 20 seconds. Tighten the injured arm for 5 seconds. Then relax and gradually return to the starting position.
Lying on the floor, straighten the injured limb and bring it to the side. Inhale the air and lift your hand 3 cm off the floor. In this position, hold it for 15 seconds. As you exhale, take the starting position and relax for 10 seconds. This exercise must be repeated at least six times.
Stay in the same starting position. Bend the injured limb at the elbow and rotate the shoulder 90°. The palm should be pointing up. Tighten and tear your arm 3 cm off the floor. In this position, the limb should be at least 20 seconds, after which you can relax and return to the starting position. This exercise is performed 6 times. In the process, the limb must rest for 10-20 seconds.

Exercise therapy will definitely help with pain in the shoulder joint.

Alternative methods of treatment have a beneficial effect on any damage to the body. Pain can be relieved using a variety of traditional medicine.

To prepare the tincture, you need to take:

1000 ml of alcohol;
2 red peppers;
10 tsp dried lilac flowers;
2 tbsp. l. burdock (root).

All components should be mixed and put in a dark place for infusion for four days. This tincture is recommended to rub the affected area.

If the soreness lasts for a long time, an ointment prepared at home will help. To prepare it, you need to take:

200 g of pork oil;
6 tsp marsh cinquefoil;
2 tsp chili pepper;
6 tsp dry hypericum.

The butter must be melted, and the grass ground into powder. Mix all ingredients until smooth. The resulting ointment should be applied to the sore spot every night before going to bed.

Another recipe:

2 tbsp. l. olive oil;
2 tbsp. l. liquid honey;
2 tsp dry mustard.

All components are mixed and placed for 5 minutes in a water bath. Then the composition is again thoroughly mixed. The substance should be laid out on a dense gauze bandage or cloth. It turned out a compress, which is applied to the affected area for 25-40 minutes. The procedure is repeated 3 times a week.

With severe pain, it is necessary to take therapeutic baths:

5-6 pine cones;
100 g of coniferous needles;
400 ml of water.

The ingredients are mixed and put on fire. The broth is boiled for 30 minutes, and then poured into an airtight container, which is tightly closed with a lid. The broth should be infused for 2 days, then it can be added to the bath in 100 ml. The procedure is carried out daily and lasts 15 minutes.

sustav.info

What you need to know about the shoulder joint

The shoulder joint is functionally interconnected shoulder blade and hand bone. The humeral upper part, with its spherical shape, enters the cavity of the scapula. It turns out, the so-called swivel, which provides rotation of the arm with a large amplitude. The fossa serves to soften the friction of the shoulder bone and provide protection from damage and does not hurt the joint.

The capsule of the shoulder joint is attached to the base of the scapula. The connection of the shoulder joint and the scapula firmly holds the bundle of dense threads with the nerves located in it. This arrangement of nerve endings contributes to the fact that they begin to hurt with sudden movements and unexpected jerks. In addition to this connection, the joint does not have nerve endings, which makes it possible to make circular movements with the hand, but the complexity of the articulation gives the prerequisites for various injuries.

Pain when raising the arm

A symptom of the disease, the shoulder begins to hurt after raising the arm, is an unpleasant manifestation joint or ligament damage. Such a unique articulation of the human body, which allows a wide variety of movements, does not withstand excessive and prolonged loads and begins to hurt. As a result of a frivolous attitude, inflammation develops, leading to edema and subsequent thinning of the cartilage tissue in the shoulder joint and requiring mandatory treatment.

Pain in the shoulder should alert the patient and serve as a reason for contacting a traumatologist, neurologist or orthopedist, but people rarely pay attention to the first minor symptoms and take pain in the shoulder joint for granted. If the shoulder begins to hurt when raising or moving the arm back, lifting light weights, turning, in a calm state or at night, during sleep, you should know what such discomfort may be caused by various pathological changes in the bone or ligament tissue of the shoulder joint.

Like other "mechanisms" of the human body, the shoulder joint continues to work under the wrong conditions - increased load, developing related diseases. Such exploitation of the joint leads to “breakage” and limitation of the mobility of the shoulder joint. The joint may hurt various ailments cervical spine. The pain covers the arm all the way down to the fingers. Cervical origin is indicated by recurring discomfort when moving the head, often there is a partial violation of sensitivity.

The cause found on x-ray is hernia in the chest or cervical region spine. The working properties of the affected discs become less pronounced and the gaps between them decrease, the protrusion of the hernia causes pinching of the nerve threads and the person feels pain. Surrounding tissues become inflamed and the pain becomes more intense.

Causes of shoulder pain

Despite the many reasons that gave rise to sharp pains, there are several characteristic causes causing persistent pain.

The most common reason is considered various injuries. These include muscle strains and joint dislocations. The reason is a fall on the ground or from a height, a blow to the shoulder or an unusual movement. The symptom is acute pain that appears after injury or after some time during the day. There is swelling of the shoulder area, possibly redness, increased when moving the hand up and to the side.

Overvoltage is an unusual increase in load in the form of force or with non-standard movements that a person has never done before. As a rule, such pain lasts from two to four days and disappears on its own, without any medication or physiotherapy.

Osteochondrosis causes pain in the neck, which gradually spreads to the upper arm. The displacement of the vertebrae contributes to the infringement of the nerve, while the pain is often constant and does not go away, and long-term treatment is required.

Shoulder arthrosis is a chronic disease caused by a metabolic disorder and a decrease in the production of synovial fluid that nourishes cartilage tissue. As a result, the cartilage, which serves as a shock absorber and pad during joint movement, ceases to perform its function and gradually collapses. A growth forms on the bones to compensate for the missing cartilage, and every movement of the arm during retraction and elevation causes pain.

Inflammatory tendonitis of the tendons in the periarticular region appear due to increased loads, overstrain of muscle fibers and as a result of drafts and cold. Inflamed tendons interact with bones during movement and cause pain. With such an inflammatory process, the patient can clearly indicate the painful place. Dull tingling sensations do not appear too intensely, with palpation of the affected area they increase slightly.

The accumulation of calcium deposits in the joint is popularly called salt deposition, the leaching of lime from the articular ligaments most often occurs in a person over the age of forty. The pain manifests itself as an unpleasant feeling of creaking and crunching when moving the hand. Salts, most often, are localized in the region of the scapula and collarbone. Sometimes such layers do not manifest themselves as any unpleasant sensations, treatment is not prescribed, changes are detected only with x-rays.

Referred pain refers to discomfort in the arm or shoulder associated with the disease of other important internal organs. For example, diseases of the liver, gallbladder, heart attack, angina pectoris transmit pain to the arm area. In this case, in addition to the shoulder girdle, pain should be in the area of the affected organ, colic in the side, pain in the abdomen or chest, while the general state of health worsens.

Biceps tendinitis is an inflammation of the large flexor muscle located in the upper shoulder. And although it is below the shoulder girdle, the pain is constantly transmitted to it. When probing, the pain intensifies. If the tendon is torn as a result of an injury, then the shoulder swells in the form of a ball.

Bursitis is an accompanying disease with tandenitis, which manifests itself with prolonged stress and increased power load, but it does not affect the tendon or muscle, but the joint.

Tendobursitis is called inflammation of the joint capsule resulting in muscle calcification. The pain is acute, the range of motion is significantly reduced, the pain affects the surface along the entire length from the fingertips to the neck.

Capsulitis occurs infrequently, with such a disease, the patient cannot raise his hand or take it behind his back. Violation motor function comes after non-standard work for a person, for example, in team sports that he has never played or after work on wall decoration with repetitive monotonous sweeping gestures.

Pain can be due to the wrong structure of the joint from birth, which is formed under the influence of genetic inheritance.

Initial steps to relieve the condition

The patient cannot cope with the disease, as well as determine its name and cause of occurrence on its own; for this, a doctor is definitely needed and the right treatment, but to help with severe pain, in order to at least slightly improve the condition, you can:

Varieties of pain

Depending on the cause of the disease and the nature of the manifestation, pain according to standard signs divided into categories:

acute course is characteristic of arthritis, arthrosis, osteochondrosis, neuritis and traumatic lesions, while the pain covers the entire surface of the arm or shoulder, when using the arm, the discomfort intensifies;
pain during movement occurs suddenly when you raise or take your hand away, this condition is due to calcium deposits in the joints or sprains and tendons, discomfort occurs when the muscle is palpated;
chronic pain occurs with tendinitis, bursitis, capsulitis and tendobursitis, palpation is characterized by increased discomfort, articular disorders are manifested by swelling, it is impossible to sleep on the problem shoulder;
the aching nature of pain is characteristic of periarthrosis, myalgia and reflected conditions, constant pain makes it impossible to make any movements, often accompanied by pain in neighboring affected internal organs - the heart, abdomen, kidneys, liver.

Visiting a hospital for medical care

Despite the huge variety of pain sensations and the variety of causes that cause them, can't wait to see a doctor. Many inflammatory processes go away on their own, but this does not give a reason to be frivolous about the joints of your body and neglect treatment. Some mild discomforts do not force you to focus on yourself, so they are simply ignored. But repeated many times, they are already moving into the system and mean serious illness which must be treated immediately.

If the pain recurs in the same place of the shoulder girdle for a week or more, this is a reason to visit a doctor for treatment. When examining a sore shoulder, the doctor will ask the necessary questions and conduct an additional instrumental examination, prescribe blood tests and determine the correct diagnosis.

Knowing which movements of the joint and arm cause pain, the doctor will accurately determine name of the tendon or bone of the joint who received damage:

if discomfort occurs when the limb is abducted to the side, then the damage concerns the supraspinal tendon;
pain worries when turning with the elbow pressed to the body of the shoulder outward - problems in the infraspinal tendon;
the occurrence of pain when turning the shoulder inward, while the elbow is pressed to the body - the scapular tendon is damaged;
pain appears in the biceps shoulder muscle when turning the shoulder inward, the biceps are damaged.

Examination methods for diseases of the joints

Doctor on examination refer the patient for examination

In conclusion, I would like to note that it is impossible to overload any joints of the human body, including shoulder joints. If a joint disease once manifested itself, then it makes no sense to provoke its re-occurrence with various strength exercises or hard physical work, the body will not forgive such a thoughtless attitude.

artrit.guru

If the brachial plexus with the neck is blown.

The condition in which the shoulder joint, neck suffered from drafts is called “myositis”. Hypothermia occurs when there is a sharp change in temperature, for example, you left a heated room on a cold street, poorly dressed or after sports training, stood in a draft.

Symptoms:

Acute pain covers the area from the head of the humerus to the neck;
Sometimes the pain can intensify, appear from the movement of the arm, necks in the shoulder joint, the region of the cervical vertebra;
Feeling of numbness, tingling in the muscles;
Stiffness in movements due to inflammation, discomfort.

What to do:

Rest, limit movement of the inflamed area;
Ointments with a warming effect - "Nise", "Fastum Gel", "Kapsicam", "Finalgon";
Means that suppress inflammation, antispasmodics - Lyoton, Chondroxide;
Pepper patch to relieve muscle pain, widely used for myositis;
Mustard plaster, apply to the sore spot for 12 minutes;
Rub your shoulder, neck, arm with alcohol, hydrogen peroxide, vodka, menthol, or menovazine solution;
Wrap your shoulder, neck, sore part of the arm with a warm scarf, medical bandage after applying ointment or rubbing to improve the effect.

Why does the shoulder hurt and crunch when moving?

Crunch, stiffness in movement, Blunt pain, which smoothly passes into the hand - signs of arthritis.

Only the first and second stages of the disease are treated, the therapy of the rest is aimed at protecting against the complete destruction of joints, bones, and relieving pain.

Reception of chondoprotectors - Alfutop, Artra, Artradol, Glucosamine;
Phys. therapy - massage, mud therapy, mineral baths, heating, ultrasonic treatment;
When the inflammation has reached its climax, and the drugs are powerless, the joint and part of the bone structure operational way. Replaced with prostheses;
Ointments, gels, creams that relieve inflammation, analgesic;
Clothes made of dog hair are worn - this method is recognized by medicine, it helps only in the early stages.

To restore bone structure, improve joints, you need to eat:

Fresh vegetables and fruits rich in minerals, fiber and vitamins;
Dairy products - any;
All kinds of cereals;
Meat, preferably fish, chicken.

More about shoulder pain

Why is it painful to raise your arm after a workout?

You need to pump up your arms, bring your shoulders and collarbones back to normal. Wrong technique performance can provoke injury - tendon rupture, muscle strain.

If you haven’t worked out before, you have flabby muscles, which means that this is a normal process - they grow, become stronger. The pain will go away on its own in a few days. If it's hard for you - spread with a gel with an antispasmodic effect, use freezing. But it is better not to disturb the body with drugs.

If the joint not only hurts, but also clicks

Tendit dangerous disease, a complication of which is the exit of the head of the humerus from the shoulder joint (subluxation) The bone tissue does not have time to recover due to heavy loads, it wears out. The best prevention- this is rest, control over the load on each shoulder joint, the humerus.

How Tendit behaves:

Clicking, crunching in the shoulder joint;
Sharp pain when moving, raising the arm up;
Pain attacks are of different duration - short (several minutes), long (several hours)

Signs of illness in everyday life:

A person cannot raise his hand to get a glass from the top cabinet, cannot take dishes from the top shelf;
Insomnia due to excruciating pain, pain attacks disturb during the shower, when changing clothes.

Stiffness in movement only grows, gradually it becomes difficult for the patient to make even the simplest movements with his hands and shoulders.

Perceptible signs of illness:

The area of the shoulder joint swells, turns red, may observe a local increase in temperature;
Weakness in arms, shoulders;
When moving, a click, a creak in the joints is heard.

What to do:

A special complex of physiotherapy exercises aimed at not straining the joint, but developing its flexibility and strength. Helps in 90% of cases;
Folk remedies - a decoction of 3 tbsp. l. bird cherry, curcumin as a seasoning (0.5 grams is enough), ginger tea;
Phys. therapy - laser, magnetic, UV exposure, shock wave, ultrasound, mud treatment and heating.

Why does discomfort in the shoulder bother me in the morning after sleep?

Do not immediately think about serious illnesses, symptoms such as numbness or tingling, pain that appear only after sleep - the result of uncomfortable sleep.

Tracking the shoulder along with the arm can cause stiffness in movement due to pain.

The way out is to buy a good orthopedic mattress, pillow, get rid of the habit of propping your head up with your hand. The methods of treatment are described above if the shoulder hurts when raising the arm up, it is worth dwelling separately on these manifestations during pregnancy.

Dull shoulder pain during pregnancy

Why does my shoulder hurt during pregnancy? Often the cause is carpal tunnel syndrome. The tissues swell, compress the nerve roots of the joints.

The best method of struggle, a folk remedy is a decoction of chamomile, which is used as lotions.

Additional causes of shoulder pain when moving

There are several more diseases leading to discomfort in the humerus, joint:

Bad posture. Do yoga, therapeutic exercises;
Joint damage, dislocation, fracture of the humerus, cracks in it;

Poor fixation of the head of the humerus in the shoulder joint. Sharp, strong movements provoke the exit of the bone.

The shoulder is considered the most unique mechanism of the human body. If the patient has pain in the shoulder when he raises his arms up, it is possible that the causes of this condition lie in the inflammation of the shoulder joint.

Excessive physical activity, trauma and hypothermia lead to the development of inflammatory processes in the shoulder joint. In the future, edema will most likely appear on the affected area, change skin covering tendon ruptures are possible.

The shoulder joint up to a certain point can withstand fairly strong loads. Frequent and intense movements, incorrect manipulations, weight lifting, all these actions can provoke pain in the joint and failure of its work. As a result, all kinds of diseases can develop in the joint.

Why does joint pain occur?

The distance between discs is significantly reduced. In such a situation, pain in the right or left shoulder joint is due to compression of the spinal nerves.

In the affected area, swelling develops, which contributes to even greater infringement of the nerve, the pain becomes excruciating. When a patient has pain in the shoulder joint, this may indicate the presence of capsulitis (painful muscle spasm). The process occurs involuntarily, the disease is quite rare, so it is very difficult to determine it immediately.

It is necessary to have an idea and correctly diagnose the disease, which can only be done in a hospital.

Pain in the joint of the hand when it is raised can be provoked by an acute inflammatory process in the articular box. This pathological condition is called tendobursitis. The initial cause of the disease is damage to the muscle tendons.

The hand with tendobursitis hurts very much, even when at rest. Pain sensations are sharp and sharp. Edema in addition to the arm can also spread higher to the neck.

What diseases provoke pain syndrome

The causes of frequent pain in the shoulder joints can be very different. This may be a signal that the patient is developing bursitis. This disease most often accompanies tendonitis.

The pain syndrome in this case occurs due to joint overload and swelling of the synovial bag. Similar symptoms appear with the formation of a tumor of the forearm. In addition, it hurts when raising your hand may be due to the deposition of calcium salts. In this case, the ligaments of the joint also suffer.

If you do not seek medical help with such an injury in a timely manner, the loss of functionality in the joint will only progress.

Pain can occur due to a violation of the coordinated work of internal organs. Discomfort may be a sign of:

radiculitis;
angina;
tumors in the chest;
heart failure;
heart attack.

Pain syndrome at night is felt especially acutely. As the disease progresses, soreness is noted not only in the area of the forearm, but also in the hand.

Periarthrosis can end in a few days, or it can drag on for many months.

Pain in the shoulder - treatment

In addition, the treatment of pain in the right or left shoulder diarthrosis consists in the use of anti-inflammatory drugs that eliminate swelling and fight infection. The doctor will prescribe nonsteroidal drugs to the patient. This condition involves treatment with a special diet and folk remedies.

The use of NSAIDs is prescribed at the initial stage of the development of the disease, this measure is quite enough. Sometimes the patient is shown special medicinal compresses and laser therapy.

With an excess of articular exudate, the doctor may prescribe a course of hirudotherapy to the patient - treatment with medical leeches. This method provides good results, but only if the patient is not allergic to leeches. Both discomfort and swelling subside quickly.

Today, post-isometric relaxation is very popular in the treatment of joint diseases. This procedure helps even those people who have advanced chronic diseases. Postisometric relaxation is combined with:

Manual or laser therapy.
Injections.
Therapeutic massage.
Gymnastics.

The course of procedures can be started a few days after steroid injections.

Treatment of exercise therapy and folk remedies

Pain syndrome can be eliminated through daily exercise therapy.

Sit on a chair, put your hands on your waist. Begin to slowly rotate your shoulders. Repeat the exercise several times. First, the left hand is involved, then the right hand, then both at once. Take a starting position. Bring both shoulders forward to the stop. Repeat exactly the same movement back. Perform each element 5 times.
Sitting on a chair, take both hands behind your back. With a healthy hand, firmly grab the patient's hand. Pull it gently to the side as far as it will go. Hold this position for 10-15 seconds. If pain occurs, slowly return to the starting position.
Place the palm of the injured limb on the opposite shoulder. Hold your elbow firmly against your chest. With a healthy hand, grab the elbow and gently lift it, while it should not come off the chest, but only slide along it. Upon reaching the limit, linger in this position for 20 seconds. Tighten the injured arm for 5 seconds. Then relax and gradually return to the starting position.
Lying on the floor, straighten the injured limb and bring it to the side. Inhale the air and lift your hand 3 cm off the floor. In this position, hold it for 15 seconds. As you exhale, take the starting position and relax for 10 seconds. This exercise must be repeated at least six times.
Stay in the same starting position. Bend the injured limb at the elbow and rotate the shoulder 90°. The palm should be pointing up. Tighten and tear your arm 3 cm off the floor. In this position, the limb should be at least 20 seconds, after which you can relax and return to the starting position. This exercise is performed 6 times. In the process, the limb must rest for 10-20 seconds.

Exercise therapy will definitely help with pain in the shoulder joint.

Alternative methods of treatment have a beneficial effect on any damage to the body. Pain can be relieved using a variety of traditional medicine.

To prepare the tincture, you need to take:

1000 ml of alcohol;
2 red peppers;
10 tsp dried lilac flowers;
2 tbsp. l. burdock (root).

All components should be mixed and put in a dark place for infusion for four days. This tincture is recommended to rub the affected area.

If the soreness lasts for a long time, an ointment prepared at home will help. To prepare it, you need to take:

200 g of pork oil;
6 tsp marsh cinquefoil;
2 tsp chili pepper;
6 tsp dry hypericum.

The butter must be melted, and the grass ground into powder. Mix all ingredients until smooth. The resulting ointment should be applied to the sore spot every night before going to bed.

Every day, the shoulder joint is subjected to various loads and numerous movements, which is why it is so important that it always functions properly and does not cause discomfort to a person.

Doctors are convinced that if the patient is disturbed by tingling in the shoulder area, and the arm does not rise easily and without discomfort, this is the first sign of joint dysfunction.

If you do not want to provoke complications, do not delay your visit to the doctor, because it is always easier to prevent an ailment than to eliminate it later. Unfortunately, it is difficult to say unambiguously why the shoulder hurts and the arm does not rise.

The reasons for this can be varied:

heavy lifting, sudden movements and excessive loads;
improper training in the gym;
the course of viral processes in the body;
damage to the shoulder joint (we are talking about dislocation, fracture, etc.).

It is very important to immediately respond to the first manifestations of the disease in order to prevent the disease and prevent its chronic form.

Mechanism of pain

If you feel that the shoulder joint hurts when you raise your arm, it is leaking in the body. inflammatory process. Special attention should be given to the focus of pain: discomfort in the upper part of the neck and shoulder indicates infringement of the intervertebral discs. As a rule, such discomfort provokes numbness of the hands and their inability to move.

Doctors note that the destruction of the structure of the vertebral discs is fraught with dangerous consequences: loss of flexibility and an increase in the size of the discs themselves, and this leads to a decrease in the distance between them, which provokes nerve pinching of the spinal cord, swelling and increased pain.

Pain can also be caused by ordinary muscle contraction, which is very rare and occurs involuntarily, complicating diagnosis and timely identification of the problem.

Often, even the patients themselves are not able to feel that their muscles are in constant tension, so patients react to the disease too late: with a partial loss of hand function or severe pain when moving the limbs behind the back. Advanced cases are fraught with the inability to perform simple hand movements due to inflammatory processes.

A change in the structure of the rotator cuff is another cause of shoulder pain. This disease is the result addiction: keeping hands in pockets all the time. And an x-ray may not always indicate the presence of a problem, but the patient feels that his shoulder hurts when he raises his arm.

Diseases that cause pain

Frequent tingling attacks in the shoulder joint is a sign of bursitis. To prevent this ailment, experts recommend reducing the load on the joints, which will lead to a decrease in swelling of the articular bag.

A more dangerous variant of the disease is the presence of a tumor in the forearm, as a result of which it is painful to raise the arm in the shoulder.

Doctors also pay attention to the fact that salt deposition is another common problem of pain, which harms not only the articular ligaments, but also the tendons in general. An untimely visit to a doctor threatens with a complete disruption of the joint and subsequent daily progression of the disease.

Young people and athletes suffer from shoulder pain for a different reason: recurrent dislocation of the shoulder. It is quite difficult for an ordinary person to recognize such an ailment. As a rule, patients seek help when the pain does not subside and intensifies in the evening, interfering with normal sleep. If this condition is not prevented in time, the joint will fall out of the box at the slightest movement of the hand.

If you notice that the arm does not rise, and there is constant discomfort in the shoulder joint, you have obvious problems with the functioning of the internal organs.

Persistent pain may also indicate humeroscapular periarthrosis. This disease is very difficult to provoke, but if it is embedded in the human body, it progresses very quickly and interferes with living a normal full life.

The patient feels particular discomfort at night, when the disease worsens. As soon as the patient falls asleep, the body begins to experience severe bouts of pain, which are accompanied by rapid hand numbness. Complicating the situation is the fact that over time the pain moves from the shoulder to the hand.

Getting rid of shoulder pain: treatment with folk remedies or traditional medicine?

In order to always be in great shape and not feel pain in the shoulders, experts recommend adhering to elementary daily rules:

do not slouch, always sit evenly and correctly at the table, without crossing your legs;
lead a mobile lifestyle;
do the physical work that you can do;
make time for physical education: going to the gym or exercising at home.

By following these rules, you will not wonder why your shoulder hurts when you raise your arm.

If you have allowed the development of the disease, try to start treatment as soon as possible. Doctors warn that in advanced cases it is much harder and longer to achieve the desired effect. Acute pain requires immediate medical intervention, the treatment is cardinal and does not always give a 100% result.

If the shoulder joint hurts when raising the arm, modern experts see several ways to prevent the problem:

You can resort to manual therapy, which perfectly copes with inflammatory processes, various damage and joint displacement.
No less popular are angioprotective drugs. As a rule, such cardinal treatment is prescribed for circulatory disorders, for example, after a heart attack or a major operation. The drug promotes not only improve blood circulation, but also the elimination of inflammatory processes, the removal of edema and the overcoming of infections. Taking this drug must be accompanied by a special diet. Only in this case it is possible to achieve the desired result.
With severe pain, doctors prescribe nonsteroidal drugs that are designed to relieve acute inflammatory processes. If such a drug is prescribed for early stage disease, the disease will not be able to progress and will recede very soon, returning the joints to their previous healthy form.
In rare cases, patients are prescribed special compresses, laser therapy or non-traditional treatment. For example, with an excess of fluid in the joints, it is customary to resort to treatment with leeches (provided that the patient is not allergic to them). If treatment with leeches is prohibited, you can choose special injections: the introduction of hormonal drugs.

It is very important to give the injection correctly: to get into the area of the injured tendon or into the periarticular sac itself. It should be noted that such treatment does not give a 100% guarantee of eliminating the disease. But this method of treatment very quickly overcomes pain, and after the first procedure the patient feels relief.

Doctors themselves do not recommend using only non-traditional treatment: it is more effective to combine such procedures with drug treatment, relaxation or gymnastics. Practice shows that the healing process is accelerated by the combination therapeutic massage and relaxation. The course of these procedures begin after hormonal injections. The ideal option is for 5-6 days.

Don't stay away and folk methods treatment. Especially popular are therapeutic baths, which not only give positive result, but also pleasant in their own right.

For such treatment, you need to pour 1 kilogram of pine cones with three liters of boiling water and leave the solution for at least 2 hours. Then you can pour the infusion into the bath and bask in it for about 30-40 minutes (you should not increase this time so as not to aggravate the problem, because with inflammatory processes hot baths are contraindicated).

With pain in the shoulder, lingonberry tea will also help. To prepare it, you need to pour two tablespoons of lingonberries with a glass of boiling water. Use infusion instead of tea leaves.

Be careful with such medicinal drinks, because you do not always know about all the medicinal properties of plants, side effects and possible consequences. Before taking anything, study the properties, reviews and recommendations of doctors.

There are also various recipes for the preparation of ointments and compresses, but you should be careful with them, because sometimes heating aggravates the disease even more. Doctors still do not recommend experimenting on their health, resorting to similar treatment. It is better to initially establish the correct diagnosis and choose an effective method of treatment.

Gymnastic exercises for the shoulders

Sometimes the fear of not raising a hand makes gymnastics, the pain in the shoulder is so severe that the patient is ready to do anything to overcome the problem. Fortunately, gymnastic exercises are not the worst "treatment". The main task of the patient is to provide conditions for regular exercise therapy.

Consider some basic exercises that will help you eliminate shoulder pain:

Exercise 1

You will need a regular chair. Take a comfortable sitting position, keep your hands on your waist. In this starting position, begin to rotate your shoulders at a slow pace: first forward and then back.

Exercise 2

Sitting on a chair, try to close your hands behind your back in a kind of castle. While in this position, pull your arm to the side until you feel a slight pain. Then return to the starting position. Perform the exercise for 10-15 minutes, trying to linger during the stretch for a couple of seconds.

Perform the exercise slowly, without sudden and quick movements, so as not to injure your shoulders and joints.

Exercise 3

Place the palm of the injured arm on the opposite shoulder, and with the elbow as close as possible to the chest. Now grab your elbow with your healthy hand and try to lift it up, aligning your arm. Perform the exercise at an average pace without sudden movements.

Be sure to ensure that the elbow does not come off the chest, but slides smoothly along it. At the peak of the arm raise, do not forget to linger for 7-10 seconds, while straining the sore arm. When you return to the starting position, slow down the pace of the exercise and relax all muscle groups so that the arm rests a little.

Five to ten approaches will be enough. Don't overwork your injured hand.

Exercise 4

The starting position remains the same. Take the injured arm to the side, and then bend at the elbow at an angle of 90 degrees. In this position, tilt your shoulder to your chest and return back to the starting position. When you feel a slight pain in your hand, relax your muscles and rest a little.

After that, repeat everything again. The exercise should be performed at least 5 times, but do not neglect the breaks, which should be at least 10 seconds. It is very important that all muscle groups have enough rest. Otherwise, you will further aggravate the problem, and not prevent the disease.

Now you not only know why your shoulder hurts and your hand does not rise, but you also have all the necessary information to eliminate such an ailment. Pain in the shoulder, the arm does not rise, sleep disturbance is a reason to contact a specialist and sort out the problem.

You must understand that many ailments are asymptomatic, and therefore pose a special danger. Listen to your body and react in time to its slightest attempts to inform you of possible problems!