The trapezius is a large muscle in the upper back that helps to control the shoulder blade (scapula) and stabilize the spine. Trapezius palsy happens when a nerve (spinal accessory nerve) that connects the spinal cord to the trapezius muscle becomes damaged. This causes pain and weakness in the back of the shoulder and the upper back. This also limits the range of motion of the shoulder joint. Damage to the spinal accessory nerve usually happens because of an injury to the back or shoulder.
Trapezius palsy is often associated with bones moving out of place (subluxation). This can happen to the joint in the shoulder where the collarbone (clavicle) meets the scapula (acromioclavicular subluxation) or to the joint where the clavicle meets the
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• MRI.
TREATMENT
This condition is treated by resting and icing the injured area, and by doing physical therapy exercises. Depending on the severity of your condition, treatment may also include:
• Keeping your shoulder in place (immobilization) for a period of time. This may be done using:
○ A shoulder sling to support the weight of your arm.
○ A shoulder brace.
• Over-the-counter or prescription medicines that help to relieve pain and inflammation.
• Ultrasound. This uses sound waves to make a picture of your injured area.
• Transcutaneous electronic nerve stimulation (TENS). This uses an electric current to activate the nerves.
• Surgery (rare).
HOME CARE INSTRUCTIONS
If You Have a Brace or a Sling:
• Wear it as told by your health care provider. Remove it only as told by your health care provider.
• Loosen the brace or sling if your fingers become numb and tingle, or if they turn cold and blue.
• Do not let your brace or sling get wet if it is not waterproof.
• Keep the brace or sling clean.
Bathing
• If you have a brace or a sling, do not take baths, swim, or use a hot tub until your health care provider approves. Ask your health care provider if you can take showers. You may only be allowed to take sponge baths for
She was unable to abduct (move her arms away from the middle of her body) her arms so we were concerned there was a dislocation in the shoulder joints since they have a shallow articulation (movement). She could pronate (turn her palms up) and supinate (turn her palms down) her palms, but her grip strength is
The treatments given are there to: control pain, improve joint function, maintain normal body weight and have a healthy life style. Treatments which may be recommended could be: o Physiotherapy o Joint replacement o Rest, ice, compression, elevate (RICE) o Pain relief o Splinting and casting Tendonitis Tendonitis is an injury which causes inflammation to the tendon.
General description of the injury: This injury is the stretching of ulnar nerve that runs through cubital tunnel, which is is the largest unprotected nerve on the body. The nerve can tear when the ulnar nerve is compressed. It is between the medial epicondyle and olecranon, and runs along the ulnar bone. For the muscles, the cubital tunnel is adjacent to to triceps and continues down the forearm between the flexor carpi ulnaris muscle.
The report notes a prior shoulder surgery in 2002, on the right shoulder. An X-ray was done of the left shoulder, which did reveal degenerative changes in the acromioclavicular joint, as well as post-surgical changes, and degenerative changes on the right side in the acromioclavicular joint. The applicant was subsequently referred to an orthopedic surgeon, Dr. Peter Simonian. An MRI of the right shoulder was conducted on April 10, 2015, which noted tendinopathy of the supraspinatus and infraspinatus tendons. No tear of the rotator cuff, but a superior labrum anterior to posterior tear extending to the posterior labrum, as well as post-surgical changes.
Part 1: Torn Rotator Cuff Exercises Rotator cuff injuries often lead to severe pain, stiffness, and weakness of the shoulder. To achieve recovery of function after healing, you have to do some rotator cuff injury exercises to make your muscles stronger and your joint more flexible.
Surgery is rarely needed. Treatment involves: Medicines, such as nonsteroidal anti-inflammatory medicines (NSAIDs). Resting the affected knee or knees. Physical therapy and stretching exercises. HOME CARE INSTRUCTIONS
This kind of injuries treatment mainly calls for strengthening the hips and core region, and listening to the body, knowing when to slow down or stop, one can take over the counter pain medicine. If the pain is not relieved by strengthening the hips and core region, or correcting any injury, doesn 't help it might be time to contact your physical therapist to find the main cause of the pain before it gets out of hand and causes more
Petrissage helps to loosen the muscle fibres, this technique involves kneading the injured area, one hand pulling one way and the other hand pulling the other way. Stripping the muscle, this helps to remodel the scar tissue by the thumb working deep on the muscle in the direction of the blood flow. Lastly Circular frictions can be applied, this helps to break down scar tissue and realign in. This type of massage helps to smooth out tight muscle knots so that the patient is comfier and more
• • Soft tissue growths. (normal variants or benign or malignant tumors). • Scapula instability due to loss of muscle tissue (• Muscle atrophy). that produces scapular instability. Repetitive shoulder motions that cause inflammation of the bursae that lie beneath the scapula may worsen the condition.
Treatment Pain medications, including anti-inflammatory, muscle relaxers, or in severe cases, narcotics, may be prescribed. Epidural steroid injections have been used to decrease pain by injecting an anti-inflammatory drug, around the nerve root to reduce inflammation and edema (swelling). Physical Therapy The physical therapist can provide noninvasive therapies into the tissues of the back by the administration of manual therapy if mobility of the spine is impaired or the use of modalities (heat, ice, shortwave diathermy etc).
You will need to wear it until your shoulder heals. When the splint or sling is removed, your may have physical therapy to help improve the range of motion in your shoulder joint. HOME CARE INSTRUCTIONS If You Have a Splint or Sling: Wear it as told by your health care provider.
In a traumatic accident involving the face or head, a fracture to the lower jaw may result, and even when the fracture is fully healed, TMJ stiffness and pain may remain. • Surgery. Following surgery to the face and jaw, there may be a loss in mobility and function of the TMJ. • Trismus ("lockjaw"). This condition—where jaw muscles spasm and the jaw cannot be fully opened—can be both a cause and a symptom of TMD.
Rotator cuff injuries are pretty popular and happen to a lot of people. Basically, the two most common types of injury for the rotator cuffs are tears and impingements. Impingements on the shoulder occurs when the soft tissues of your rotator cuff become inflamed and swollen. When this happens, there will be an expansion in size and this will make movement of the shoulders a little bit difficult. This will cause pinching between the shoulder blade and the arm bone when you try to move your shoulders.
How to Use a Sling A sling is a type of hanging bandage worn around your neck to protect an injured arm, shoulder, or other body part. You may need to wear a sling to keep you from moving (immobilize) the injured body part while it heals. Keeping the injured part of your body still reduces pain and speeds up healing. Your health care provider may recommend using a sling if you have: • A broken arm.
Small ice packs, such as packages of frozen vegetables or water frozen in foam coffee cups, applied to the area may help decrease inflammation. Medical Treatment: Medical treatment is similar to the treatment at home. The doctor, however, also can determine the extent of muscle and tendon injury and if crutches or a brace is needed for healing. The doctor can also determine if you need to restrict your activity or take days off work and if rehabilitation exercises or physical therapy are required to help you recover.