Shoulder

Do you have smärtor in your axel? Does your axel variter have a watch suffered? – och do you have a problem after that?

The allra mosta vuxna experience one or more episodes of smärtor in an axel. It can occur spontaneously, – after överansträngning or orsakat at a trauma mot arm or axel. Oftast är vila, anti-inflammatory medication och senare riktad physiotherapy tillräcklig treatment.

Heavy work, e.g. with the instrument utförda ovan axelivå, can cause the occasion of the förslittingsskador of av axelns led och mjukdelar.

Förslitning of the joint broth – arthros – in axeln är är lykali usual as in höft or knäled; but octaw vid dessa toståstand är “icke operative” treatment förstahands valet. Ibland gets dock surgery forgripas.

At ACTIVEMOTION you get hjälp with bedömning, treatment and wide needs även operation at Privatsjukhus in the Region. Dina boardnader erssätts av Försäkringskassan.

At the följande Sidor you can läsa mera about reacha vanliga axelsjukdomar:

• Axel Impingement
• Axelluxation
• Cuffarthropati
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Good to know about Shoulder-Impingement

Senast uppdaterad September, 2017

Diagnosis: Impingement / Subacromill pain / Insecure of the shoulder control muscles

Symtoms
Pain in movements that are localized to the front and outside of the shoulder. More pain is provoked the louder if you lead the arm. Pain after exertion. May cause sleep disturbances.

Reason
Congestion between the upper arm and the shoulder blade roof (acromion). Irritation in the mucus sac (bursa) under the shoulder blade roof.

Who gets Impingement
Debuts most often at 40-60 years of age. Not infrequently after unfamiliar activity – perhaps with hands over shoulder sound.

What can I do for it?
You must first try with one to two weeks of rest, where you only have to think about the position of your shoulder blade: “The hands in the back pocket”. When the worst pain has subsided, you need to train the strength of the small muscles around the upper arm head (the rotator drawer) as well as the muscles that control the shoulder blade. If necessary, seek out a Physiotherapist for instructions. These are the following muscles that need to be made stronger: M. Biceps, M. Serratur Anterior, M. Latissimus, M. Trapezius, M. Rhomboidus.
In addition, any stiffness must be trained away. You should not smoke as this delays/builds your body’s healing process.

Treatment
The most important is specific training of the muscles indicated above. Besides, your position is important. Reflectorically, you shoot the shoulder forward when you have pain – It is inappropriate as there will be less space under the shoulder blade roof.
A cortisone injection under the shoulder blade roof can cause pain relief in more pronounced pain. If it is not och training sufficient, we recommend surgery. It has been shown that Physiotherapy/training has just as good results as surgery after 5 years. Therefore, we only operate if training does not provide improvement.

Operation
The operation occurs as a day surgery, where you are under anesthesia for about 30 minutes. With the help of arthroscope (binocular surgery), we remove scar tissue and the inflamed mucus sac in the cramped room under the shoulder blade roof. If necessary, we cut off legs away on the underside of the roof to expand the space for muscles and tendons. You must use the arm afterwards; but should plan to take it easy so that it gets the opportunity and time to heal. For aggressive Physiotherapy the first month of surgery is not recommended.

The Risks
The operation is relatively risky; but you can always, even with minor interventions, get complications e.g. infection, blood clot, etc. It should always be discussed with your orthopedic.

Expected result
Unfortunately, not everyone becomes completely symptom-free in his shoulder after surgery. But about 80% are satisfied after surgery or physiotherapy.

Sick Leave / Rehabilitation
You should book an appointment with your physiotherapist 10-14 days after the operation for the first instruction and a check that you are performing the training program you got at the hospital correctly.
After a few more weeks – when the pain after the operation has subsided, you can intensify the training. The sick leave time varies from a few weeks if you have office work for 3-4 months for you who have heavy body work. It usually takes about 6 months to get completely healthy.