Shoulder pain is a common problem in Singapore, and it can affect people of all ages. One of the reasons for this is that our spaces at home or work can be limited. We often have to reach up high to get things from shelves or cupboards. This reaching motion can affect the shoulder for many people who already have pre-existing shoulder issues.
Now, let’s talk about the shoulder itself. The shoulder joint is kind of like a ball and socket joint, where the ball is the top part of your arm bone (humerus), and the socket is a part of your shoulder blade (glenoid). But unlike some other joints, the shoulder is designed to be very mobile, which means it can move around a lot. To make up for this extra movement, the shoulder has some important parts that help keep it stable. One of these is a piece of cartilage called the labrum, which deepens the socket and provides more stability. Five tendons run around the joint. Four of these tendons are part of what we call the rotator cuff, and the fifth is the long head of the biceps tendon. These tendons not only help hold the shoulder steady but also help it move properly.
In addition to the main shoulder joint, there’s another smaller joint called the acromioclavicular joint, which connects a part of your shoulder blade (acromion) to your collarbone (clavicle). This joint allows your shoulder to move smoothly while also keeping your arms away from your body. Now, when it comes to shoulder pain, it can be different depending on your age. If you’re younger and you have shoulder pain, it’s often because you might have injured your shoulder while playing sports or doing physical activities. On the other hand, if you’re older, your shoulder pain could be because of wear and tear on your shoulder joint over the years, which might have caused tears and pain. So, the causes of shoulder pain can vary depending on how old you are.
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These symptoms can happen because of different conditions. One common one is a torn rotator cuff, which is like a group of tendons in your shoulder that can be susceptible to injury. Another is arthritis, where your shoulder joint hurts because it’s worn down. There are also conditions like bursitis, which is when the fluid-filled sacs in your shoulder swell up. It’s important to talk to an orthopaedic surgeon if you have shoulder pain, so they can figure out an optimal treatment plan for you.
If the following symptoms do not go away after first aid treatment or rest, you should book an appointment to see an orthopaedic surgeon.
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Shoulder pain happens to lots of people, no matter their age or lifestyle. Getting help from an orthopaedic surgeon, or a shoulder pain specialist, can make a world of a difference. Here’s why it’s a good idea to contact an orthopaedic surgeon in Singapore:
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Orthopaedic treatments for shoulder pain can include:
Shoulder Artery Embolization: This is a minimally invasive procedure where tiny particles are put into an artery in your shoulder to block it. It’s done with a thin tube called a catheter. This can help reduce shoulder pain, especially if you have a frozen shoulder.
Steroid or APS Injections: APS is a special protein injection made from your blood, and it’s put into your shoulder joint. It can help with pain and slow down the damage from conditions like osteoarthritis. Steroid injections are another option. They can be given either in the fluid sac inside your shoulder (bursa) or the joint itself. These injections reduce inflammation and are used for problems like tendinitis and bursitis.
Suprascapular Nerve Ablation: This treatment uses radiofrequency waves with the help of ultrasound and X-rays to calm down the nerves in your shoulder. It’s a quick procedure and is often used if you have shoulder pain, a rotator cuff injury, or pain in your shoulder blade. It can provide relief that lasts for a while.
There are different ways to deal with shoulder pain. Your orthopaedic surgeon will create a treatment plan and schedule for you, which may include medications, injections, exercise, minimally invasive procedures, and more.
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There are also simple tips, treatments, and exercises that you can try at home to help with shoulder pain:
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Remember, if your shoulder pain persists or worsens, it’s important to consult a healthcare professional for a proper evaluation and treatment plan. These methods can be helpful up to a certain extent, but they may not be suitable for all types of shoulder pain.
If you have shoulder pain, it’s generally best to avoid activities that strain or worsen the pain, like heavy lifting or repetitive overhead movements.
Physiotherapy for shoulder pain relief offers benefits such as improved mobility, reduced pain, strengthened muscles, and a tailored treatment plan to address the specific issue.
To improve the range of motion in your shoulder joints, you can do gentle shoulder stretches, like the pendulum exercise, or wall angels, under the guidance of a physiotherapist or healthcare professional.
To prevent further injury when dealing with active inflammation in the shoulders, it’s crucial to rest, apply ice, and avoid activities that aggravate the pain. Consult a healthcare professional for a proper treatment plan.
An orthopaedic surgeon determines the most suitable treatment options for a specific shoulder issue or condition through a combination of physical examinations, medical history, imaging tests like X-rays or MRI scans, and considering the patient’s individual needs and preferences.
Dr. Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon at Khoo Teck Puat Hospital before embarking on sub-speciality training in Switzerland at the famed Inselspital in Bern.
He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as a Visiting Consultant at Khoo Teck Puat Hospital.
Well-versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Before he entered the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group.
Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well and spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery.