Shoulder joint osteoarthritis
Osteoarthritis is a degenerative condition of the joints seen in the elderly people and is characterised by loss of the articular cartilage, reduced joint space and periarticular bone erosions and osteophytes.
Similar changes occur in patients with shoulder osteoarthritis
Signs and Symptoms
- Shoulder pain which is dull aching in character which aggravates on shoulder movements specially when doing activities like combing your hair, reaching for objects at heights
- Limited range of motion of the shoulder joint
- A grinding or cracking sound may be heard during movements of the joint.
- Localised tenderness most commonly on the anterior joint line.
Risk Factors
- Age
- Shoulder joint injury/Rotator cuff injuries predispose patients to early onset of arthritis due to more friction at the joint level causing more wear and tear of the joint lines
- Osteoporotic bones
JEEVISHA protocol for management of Shoulder osteoarthritis:
- Medications: In the initial course of the management of this condition, patients may be prescribed some anti-inflammatories to reduce the joint inflammation. Some other medications may be prescribed depending on the condition of the patient, which is individualized from patient to patient basis.
- Physiotherapy: Physiotherapy plays a very important role in fighting these painful conditions. With a team of dedicated physiotherapist, patient is further evaluated and accordingly a plan is prepared for first reducing pain with different modalities and then slowly rehabilitating shoulder for normal functioning.
Targeted treatment
- Ultrasound guided Platelet rich plasma injections
- Fluoroscope guided Cooled radiofrequency ablation of Articular branches of shoulder joint
- Ultrasound guided Prolotherapy