Possible Rotator Cuff tendinitis after sleeping in a bad position
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Dear Ask The Doctor: Hello doctor after sleeping on my right shoulders i woke up with a terrible pain in my shoulder as if i was hit by a truck, the pain is getting worse and i cant use my right hand at all,it feels like a sticking in my shoulder as if a nerve was pinched
Dear Euston: After sleeping for several hours in a bad position, may be you compromised the blood flow to your Rotator Cuff tendon in the shoulder and as a result you now have a acute tendinitis. The rotator cuff is a group of tendons that support the shoulder. These tendons can be injured during weight lifting, when playing sports with a lot of throwing, during sleeping in an inadequate position, after repetitive use over a long time or suffer degenerative changes with the aging process. Typically, the pain worsens at night, a dull ache in the upper outer arm and shoulder, it results from mechanical impingement of the rotator cuff tendon beneath the anteroinferior portion of the acromion (one of the bones of the shoulder joint), causing changes in the distal part of the rotator cuff tendon, which is at risk due to poor blood supply. Conservative treatment of the Rotator Cuff tendonitis involves: physical therapy to control pain and keep range of motion of the shoulder, avoidance of painful movements and activities; anti-inflammatory drugs (i.e.: “Advil”, “Aleve”). If poor or no improvement is shown, then, local corticosteroid injection may be considered. |
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Last Updated ( Friday, 30 December 2011 )
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