Chronic shoulder pain

Altman RD, Moskowitz R, Jacobs S, Daley M, UdeU J, Levin R. A doubleblind, randomized trial of intra-articular sodium hyaluronate for the treatment of chronic shoulder pain. In 69th Annual Meeting of the American College of Rheumatology, November 12-17, 2005, San Diego, CA. 

Isolated fractures of the lesser tuberosity are rare. They are avulsion injuries of the apophysis and are likely to present with chronic shoulder pain following a sporting injury (Levine et al. 2005). If associated with instability reconstruction of subscapularis is indicated. Fractures of the greater tuberosity have been described in association with luxatio erecta. 

Apart from treating OA of the knee, HA has been used for the treatment of chronic shoulder pain associated with glenohumeral osteoarthritis (GH-OA) [33 ]. This study evaluates the safety and efficacy of HA in treating GH-OA, by employing a double-blind, randomised, controlled, multicentre trial in which 300 patients with GH-OA were eruoU 150 patients received HA and 150 received phosphate-buffered saline (PBS) in three weekly injections and were evaluate over 26 weeks. Primary and secondary outcome measurements were VAS for pain and the percentage of OMERACT-OARSI high responders. 

Kwon YW, Eisenberg G, Zuckerman JD. Sodium hyaluronate for the treatment of chronic shoulder pain associated with glenohumeral osteoarthritis a multicenter, randomized, double-blind, placebo-controlled trial. J Shoul Elb Surg 2013 22(5) 584-94. 

Suprascapular neuropathy is an unusual syndrome leading to chronic shoulder pain and weakness (Fehrman et al. 1995). This condition may be secondary to a constriction of the suprascapular nerve at the suprascapular notch or at the spinoglenoid... 

Pain—chronic widespread pain described as burning, throbbing, shooting, or stabbing. Upper back, lower back, neck, shoulders, and other areas around joints are the painful areas. 

Arendt-Nielsen, L. (1999). Shoulder muscle co-ordination during chronic and acute experimental neck-shoulder pain. An occupational pain study. EurJAppl Physiol Occup Physiol, 79(2), 127-140. 

Rotator cuff disease is the commonest cause of shoulder pain and dysfunction in adults. It derives from a wide range of pathologic conditions, including acute and chronic trauma, arthritis and shoulder instability (Laredo and Bard 1996). Most tears, however, occur in patients who lack a definite clinical history of trauma or systemic disease. In these cases, rota-... 

The term Kampo is known as traditional Japanese herbal medicine. This formulation mainly constitutes hooks of U. rhynchophylla and nine other medicinal herbs. Traditionally, this formulation was used in the treatment of behavioral and psychological symptoms of dementia. Kampo is usually prescribed for patients with chronic headache, painful tensions in shoulder and cervical muscle, vertigo, morning headache, tinnitus, and insomnia [27]. This formulation has been approved by the Ministiy of Health, Labor, and Welfare of Japan for the treatment of neurosis, insomnia, and irritability in children [28]. 

Arthritis Arthritis is the general term for chronic pain in the joints the fingers, wrists, elbows, shoulders, knees, ankles, and feet. There are two types of arthritis— rheumatoid arthritis, which results from an inflammation of the thin membranes that line the joints, and the more common osteoarthritis, which results from a... 

In an evaluation of the frequency and clinical characteristics of the underlying connective tissue disorders associated with silicone breast implants, 300 women with silicone breast implants were studied (45). In addition to a history and physical examination, C reactive protein, rheumatoid factor, and autoantibodies were determined. Criteria for fibromyalgia and/or chronic fatigue syndrome were met by 54% connective tissue diseases were detected in 11% and undifferentiated connective tissue disease or human adjuvant disease in 10.6%. A variety of disorders, such as angioedema, frozen shoulder, and a multiple sclerosis-like syndrome, were also found. Several other miscellaneous conditions, including recurrent and unexplained low grade fever, hair loss, skin rash, symptoms of the sicca sjmdrome, Rajmaud s phenomenon, carpal tunnel syndrome, memory loss, headaches, chest pain, and shortness of breath were also seen. Of 93 patients who underwent explantation, 70% reported improvement in their systemic symptoms. 

Misawa, A., Shimada, Y., Matsunaga, T, Aizawa, T, Hatakeyama, K., Chida, S., Sato, M., Davis, R., Zilberman, Y, Cosendai, G., and Ripley, A.M. The use of the RF BION device to treat pain due to shoulder subluxation in chronic hemiplegic stroke patient — a case report. Proceedings ofthelFESS Conference (United Kingdom, 2004). 

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