{"id":8100,"date":"2022-07-22T16:39:04","date_gmt":"2022-07-22T15:39:04","guid":{"rendered":"https:\/\/internationalhealthcentres.com\/en1\/services\/pain-mechanisms-copy\/"},"modified":"2022-07-28T16:15:10","modified_gmt":"2022-07-28T15:15:10","slug":"shoulderblade","status":"publish","type":"page","link":"https:\/\/internationalhealthcentres.com\/en\/services\/shoulderblade\/","title":{"rendered":"Shoulderblade"},"content":{"rendered":"
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Since it has become a sort of epidemic, I feel the need to explain shoulder injuries a bit more extensively.
\nAsking people who suffer from shoulder pains, they most of the time end with words as \u2018tendinitis, bursitis, frozen shoulder\u2019 etc. Now, this does not explain the actual problem, it just states where the level of irritation exists. And even that is some of the time not true (referred pain!).<\/p>\n

Let\u2019s do a small recap: the upper arm is connected to the scapula. During movements the two joint parts need to work closely together. At first it is the arm that moves, after 90\u00ba the scapula starts to come along. Ergo, the two bones are moved by using specific muscles (e.g. rotator cuff).
\nThe \u2018optimum motor control\u2019 of the shoulder is unbelievably complex and sophisticated.<\/p>\n

So, if one part is not moving well, it has great repercussions to everything that is attached to the shoulder joint, i.e. tendons, ligaments etc.
\nMost physical treatments are focused to the local irritation: E.g. tendons, joint play or posture. Unfortunately that is the reason why most treatments of the shoulder fail. You don\u2019t solve this problem because one major part is overlooked at: the scapula function.<\/p>\n

As said, the scapula is tremendously important for overhead movements (>90\u00ba). A well-known term is an \u2018impingment syndrome\u2019, meaning the top of the arm is being squeezed between the scapula and humerus, because the scapula does not move enough. That\u2019s why people end up with total distorsion of movement.<\/p>\n

Scapula dysfunction (or dyskinesia) can be differentiated in three different ways while moving:<\/p>\n

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  1. \u2018Tipping\u2019: the inferior angle is sticking out<\/li>\n
  2. \u2018Winging\u2019: the medial boarder is elevated from thorax (see image on the right)<\/li>\n
  3. \u2018Shrugging\u2019: the superior angle is elevated<\/li>\n<\/ol>\n

    In most cases this is caused by a dysfunction of muscle action (m. trapezius <-> m. serratus anterior). A daily exercise program (8-12 weeks!) can solve this. The program involves mobility of joints, coordination and strengthening of specific muscles and awareness of posture.<\/p>\n

    So, if your shoulder seems to act \u2018strange\u2019, don\u2019t fixate only on rotator cuff discomfort, but take a look at the bigger picture!
    \nAnd finally my eternal statement: cortisone injections do not solve the problem\u2026.<\/p>\n<\/div>\n<\/div><\/div><\/div>

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    If you would like more information, please contact Bernard Vrijaldenhoven (mob. 91 847 6000) or the International Health Centres in Albufeira (Tel. 289 588 923)<\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

    Since it has become a sort of epidemic, I feel the need to explain shoulder injuries a bit more extensively. <\/p>\n","protected":false},"author":1,"featured_media":8102,"parent":110,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8100","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/pages\/8100","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/comments?post=8100"}],"version-history":[{"count":0,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/pages\/8100\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/pages\/110"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/media\/8102"}],"wp:attachment":[{"href":"https:\/\/internationalhealthcentres.com\/en\/wp-json\/wp\/v2\/media?parent=8100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}