A painful shoulder can mean a serious inhibition during your daily life. Activities that would normally be entirely natural can become very painful and it will also inhibit your sleep. Considering the impact of shoulder complaints, it goes without saying that you want to get rid of them as soon as possible.
Working at Jan van Goyen Medical Center experienced physiotherapists and orthopedists to help you get rid of your complaints. We have extensive experience in treating shoulder complaints. Our specialists will draw up a personal treatment plan in consultation with you to effectively treat your shoulder complaints.
”Dr. Van den Bekerom and his team helped me tremendously with the procedure on my shoulder. I had confidence in the doctor and found the treatment very efficient. My wife, who waited in the waiting room for a number of hours, was also treated very attentively.” – Cor Hagers, Amsterdam
Common shoulder complaints
Age plays an important role in the development of shoulder complaints. Shoulder complaints often arise at a young age as a result of sports. These complaints are then associated with a form of instability in the shoulder. Irritated tendons are the main cause of shoulder complaints later in life. As you get older, the amount of cartilage in your joint continues to decrease. This is called arthrosis. Osteoarthritis can make moving your shoulder very painful. The precise cause of your shoulder complaints may differ per condition. The most common shoulder complaints are:
The labrum is a fibrocartilaginous ring around the glenoid cavity which ensures a better attachment between the cavity and the ball of the shoulder. A trauma to the shoulder can cause the labrum to become stuck between the ball of the shoulder and the glenoid cavity. This can result in a torn labrum. As there are also a number of other tendons attached to the labrum, it will also result in additional instability in the shoulder joint. The most important symptoms of a torn labrum is pain when moving the head, a feeling of instability in the shoulder, or a reduced reach.
COMPLAINTS OF THE ROTATOR CUFF TENDONS
The rotator cuff consists of four shoulder muscles of which the tendons are located around the ball of the shoulder. These muscles are essential for the rotational movements and lifting of the arm. Complaints of the rotator cuff tendons can be caused in two ways: the tendons can get irritated due to wear or rupture as a result of a sudden trauma such as a fall or punch. Both the irritation and a rupture will cause pain that can keep you awake at night and which gets worse when you move the shoulder joint. This pain can also radiate to your neck, upper arm, or hand.
COMPLAINTS OF THE LONG BICEPS TENDON
The biceps is a long muscle in the upper arm which enables you to bend the elbow. This muscle is attached to the shoulder joint by two tendons. The long biceps tendon runs via the front of the shoulder through a groove in the bone of the upper arm. To keep the tendon in its place, the groove is covered by a tissue. When this tissue tears, the biceps tendon can slip out of the groove and cause complaints. Another possible cause of the shoulder complaints is that the biceps tendon gets torn off. This often happens with an acute trauma such as a fall. Complaints of the long biceps tendon can often be recognised by pain at the front of the shoulder which gets worse when moving the joint. When the tendon has been torn off, there will be a clearly visible lump on the front of the upper arm.
Arthrosis in the shoulder joint occurs when the cartilage in your shoulder joint begins to break down. This form is also called osteoarthritis. This degeneration of cartilage is usually caused by ageing which is why arthrosis often occurs with older patients. When the cartilage wears, the underlying bone becomes exposed.
Arthrosis or osteoarthritis can also be caused by an infection in the joint or a bone fracture that affects the cartilage. One of the symptoms of osteoarthritis is shoulder pain that increases when you move the shoulder joint.
A stiff shoulder, too 'frozen shoulder' This is the thickening and shrinking of the joint capsule in the shoulder. The exact cause of a 'frozen shoulder' is not yet known, but we do know that it has to do with inflammation in the joint. This causes the joint capsule to thicken. This makes it difficult to move the shoulder optimally without pain. A frozen shoulder can also develop after surgery, causing the scar tissue to thicken. More information about the frozen shoulder can be found in this brochure.
The treatment of shoulder complaints
The treatment of your shoulder complaints depends on the type of complaint or condition of your shoulder. To establish this, we will first make X-rays when this is necessary, after which the physiotherapist will examine you further during the intake consultation. The result of this examination is then discussed with the orthopaedic specialist. During the second consultation, the specialist and the physiotherapist will jointly explain the treatment options. When physiotherapy appears to be the best option for your condition, then you can choose to get treatment at a practice of your own choice. Should the specialist decide that a further MRI scan or surgery will be required, then this can be arranged at Medical Centre Jan van Goyen at short notice.
Complaints in your shoulder?
Our team is happy to help you relieve your pain and improve your mobility.
- Short waiting times
- You always meet the same doctor
- Close cooperation with OLVG
Please contact us
Call us for an appointment 020 305 58 17.