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Hanging shoulder - hanging shoulder causes and treatment
contents
- Causes of hanging shoulders
- Hanging shoulder due to muscular imbalances
- Health consequences
- Diagnosis and treatment options
- Treatment for hanging shoulder by scoliosis
Causes of hanging shoulders
A hanging shoulder can have different causes: Firstly, the postural deviation described as a result of a change in the shape of the spine, such as, for example, can be described. observe in the ideopathic scoliosis. In this case, a disturbance in bone growth leads to deformation and as a result to structural changes in bones, muscles, tendons and ligaments. This is usually a shift of the entire shoulder girdle axis.
The hanging of the shoulder can have various causes such as e.g. have a disorder of the nervous system. (Image: SENTELLO / fotolia.com) The displacement of the shoulder joint may be due to a disturbance of the nervous system. In this case, a pathological change is possible both in the central (for example craniocerebral trauma) and in the peripheral nervous system (for example cutting or pinching). The muscles needed to stabilize the joint partners against gravity can no longer be controlled arbitrarily and paralysis occurs. Not infrequently occurs in consequence of a recurring Auskugeln the shoulder joint on (habitual dislocation).
Hanging shoulder due to muscular imbalances
The altered joint position can be a consequence of muscular dysbalances. The requirement to maintain the center of gravity above the support surface due to the action of gravity leads to muscular activity. So it comes with the long persistence in a position to change in the state of tension of the muscles (muscle tone).
Sitting and working at the desk leads to an increased demand, especially on the chest, shoulder and neck muscles. If this is regularly claimed, it tends to shorten. The back muscles become "overstretched" when they become tired and can no longer adequately lift the weight of the chest against gravity.
The hanging shoulder may result from increased muscle shortening, e.g. by working permanently at the desk. (Image: Edler von Rabenstein / fotolia.com) Frequent ingestion of nonphysiological positions leads to changes in the leverage and balance of forces in the human body, resulting in a shift of muscles, tendons, and even later of cartilage and bone. Thus, a learned posture or movement pattern can lead to the position of the articulating joint partners being changed relative to one another and the joints thereby not being loaded in the direction of the axis.
Due to the redistribution of forces and leverage, it is not possible for the musculature in the shoulder area to sufficiently stabilize the shoulder joint consisting of five small joints. There are different muscle groups to distinguish, which have a special influence on the stability of the shoulder joint:
The rotator cuff:
Musculus supraspinatus
Musculus infraspienatus
Musculus teres minor
Subscapularis muscle
The longitudinal musculature:
Biceps brachii
Musculus triceps brachii
Coracobrachialis muscle
Muscles that fix the scapula to the trunk:
Musculus serratus anterior
Subclavian muscle
Musculus levator scapulae
Rhomboid muscle minor and major
Health consequences
The consequences of this attitude deviation can be very different, depending on the time of occurrence and severity of the malposition. All surrounding structures can be affected by the load change in the joint. Shoulder joint disorders are often associated with severe shoulder blade pain and / or pain in arm lifting and severely restrict the range of motion of the upper limb.
Bursa:
Bursae are responsible for diverting tendons in the joint, with the aim of reducing friction and creating favorable leverage. A possible consequence of the malposition of the joint partners of the shoulder can lead to the irritation of a bursa and thus to severe pain, shoulder cracking and shoulder piercing.
The malposition can lead to a painful bursa irritation. (Picture: Picture-Factory / fotolia.com) bands:
Ligaments limit the mobility of a joint and they form its capsule. The joint capsule of the hanging shoulder is stretched in the long term and thus loses stability.
crave:
Tendons have the task of moving and securing the joint. By changing the compression and tension in the joint tendons can store lime and irritate the surrounding structures or lose their diameter and tear.
muscles:
A non-axis-appropriate joint load leads to changes in the tone of the surrounding muscles and causes unbalanced balance of power, which can lead to tension, myogeloses and circulatory disorders.
In addition to moving both partners, the short and long muscles of the joint are largely responsible for its stability. Thus, a hanging shoulder or the uneven load on the muscles can also bring significant impairment of the stability of the shoulder joint with it.
Cartilage and bones:
The nutritional status of the articular cartilage and the underlying bone depends on the physiological relationship between the loading and unloading. If the forces can no longer distribute evenly on the joint surfaces, the cartilage and later even the bone is damaged in the long term (arthritis).
In order to avoid consequential damage, the hanging shoulder should e.g. be examined and treated by an osteopath. (Image: glisic_albina / fotolia.com) Diagnosis and treatment options
It is in the hanging shoulder is a malposition, which initially often causes no or little pain. Nevertheless, the person affected should be a physician such. consult an orthopedic surgeon, physiotherapist or osteopath, as permanent health problems can result from permanent loading.
The hanging shoulder can for example be treated by physical measures in conjunction with training therapy, whereby the targeted stretching and strengthening of individual muscle groups is in the foreground. Among other things, the following exercise can help to correct the obliquity of the shoulders:
Exercise against hanging shoulder
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In the field of physical therapies, sound-reducing techniques such as massages, heat treatments and exercise baths are suitable. Furthermore, it is important that the affected person develops a good body feeling during the course of the treatment, that learns to independently take an upright posture and transfers it into his everyday life.
Treatment for hanging shoulder by scoliosis
If scoliosis is the cause of the hanging shoulder, therapy will depend on the patient's age, severity and cause of spinal curvature. Adults diagnosed with a mild form of scoliosis usually do not receive any special treatment, since in the case of a full-blown vertebral acid, the change in shape is usually unalterable and usually does not increase in later life.
In children, scoliosis can often be corrected with the help of a corset. (Image: Dan Race / fotolia.com) Children and adolescents, on the other hand, have a different starting position, because here the spine is still growing. Often the deformation occurs especially in periods of high growth, in which the vertebral bodies grow slower in one direction than in the other. If scoliosis is detected early in childhood and is not yet pronounced, it can be prevented by means of physiotherapy of a further curvature. If the lateral bending of the spine is already advanced, wearing a corset is an effective form of therapy to straighten the spine and prevent discomfort in adulthood.
If there is a very severe curvature with a scoliosis angle greater than 50 °, surgery may be considered. The same applies if in the case of children or adolescents a rapid intensification of the curvature is to be expected due to imminent growth phases.
Before the procedure is often a special preparation for loosening and stretching of the ligaments and muscles. The use of physiotherapy or a special stretching treatment has the aim here of facilitating the subsequent intervention and to achieve the best possible results in the correction of scoliosis. (Physiotherapist Philipp Schulz, nr, last updated on 30.3.2017)