overview
bone spurs in the shoulder are bony growths that form when the shoulder bones rub together due to wear and tear or injury. they can cause pain and limit movement. symptoms may include discomfort, pain with certain arm movements, and a visible lump. the cause of bone spurs in the shoulder is often associated with arthritic conditions, such as osteoarthritis.
causes
the main cause of bone spurs in the shoulder is arthritis, which breaks down cartilage that cushions the ends of bones. in an attempt to repair this loss, the body may create extra bone, leading to the formation of bone spurs. overuse injuries, such as from playing sports or repetitive motions, can also cause bone spurs. traumatic injuries, like falls or accidents, may also result in the development of bone spurs.
symptoms
bone spurs in the shoulder may not cause symptoms initially, but as the underlying cause progresses, you may experience discomfort and pain. symptoms can include swelling in the shoulder area, pain with specific arm movements, limited range of motion in the shoulder and arm, and a visible lump. in some cases, the bone spur may press on nerve endings or tendons, causing additional pain and inflammation.
treatment
treatment for bone spurs in the shoulder typically starts with conservative measures, such as medication, heat and ice therapy, and physical therapy. medication can help with pain and inflammation, while physical therapy can improve shoulder mobility and reduce inflammation. in severe cases, if conservative treatments do not alleviate symptoms, surgery may be recommended. a shoulder arthroscopy may be performed to remove damaged tissue and excess bone that is causing pain.
exercises
exercise can help manage bone spur pain and restore normal function in the shoulder joint. the following exercises are recommended by physical therapists to help with shoulder mobility and strength:
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cross arm stretches: stand with your shoulders rolled back, pull your arm across your chest, and hold for 30 seconds. repeat with the other arm.
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wall slides: stand facing a wall, place a lightweight stick behind your body, and gently pull the stick in a horizontal motion. hold for 30 seconds and repeat on the opposite arm.
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wall push ups: bend at the elbows, place your hands on the wall, and push up until you feel resistance. hold for 30 seconds and repeat.
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bent overI-y-t: bend forward at the hips, place your hands on the floor, and lift your hips until you feel resistance. hold for 30 seconds and repeat.
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side lying arm rotation: lie on your side with your hands behind your back, raise your arms, and rotate your arms in a circular motion. hold for 30 seconds and repeat on the other side.
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hand behind back stretch: stand with your hands behind your back, pull your hands together, and stretch forward until you feel a stretch. hold for 30 seconds and repeat.
it's important to consult with a healthcare provider before starting any new exercise program, especially if you have preexisting medical conditions or are taking medications. physical therapists can create a personalized exercise plan to help manage bone spur pain and improve shoulder function.
bone spurs in the shoulder can be a source of chronic pain and limited mobility. but with early detection and appropriate treatment, most people can avoid significant disability. if you're experiencing shoulder pain or notice any changes in your mobility, it's essential to see a healthcare professional for a proper diagnosis and treatment plan. early intervention can help prevent further damage and improve your quality of life.
骨疣，肩部
概述
肩部骨疣是骨骼边缘的软骨生长，当肩部骨骼相互摩擦时形成骨疣。它们通常与骨关节炎等退行性关节疾病有关，可能引起疼痛和活动受限。症状可能包括肩膀肿胀、特定臂部运动时的疼痛、肩部和手臂的活动范围受限，以及可见的肿块。
原因
肩部骨疣的主要原因通常与关节炎有关，这种关节炎会导致保护关节的软骨退化。为了修复受损的软骨，身体可能会在受影响区域形成额外的骨头，从而导致骨疣的形成。过度使用损伤，如网球、棒球或高尔夫球运动员经常使用的运动，也可能导致骨疣的形成。创伤性损伤，如跌倒或车祸，可能导致骨疣的发生。
症状
肩部骨疣最初可能不引起症状，但随着潜在原因的发展，你可能会经历不适和疼痛。症状可能包括肩膀区域的肿胀、特定臂部运动会引起的疼痛、肩部和手臂的活动范围受限，以及可见的肿块。有时，骨疣可能会压迫神经末梢或肌腱，从而引起额外的疼痛和炎症。
治疗
对于肩部骨疣的治疗，通常首先进行保守措施，如药物治疗、热敷和冰敷以及物理治疗。药物治疗可以帮助缓解疼痛和炎症，而物理治疗可以改善肩关节的灵活性并减少炎症。在严重情况下，如果保守治疗未能减轻症状，则可能需要手术。肩关节镜手术可能被推荐用于移除导致疼痛的损伤组织和多余骨头。
运动
运动可以帮助管理肩部骨疣引起的疼痛并恢复正常的肩关节功能。以下由物理治疗师推荐的针对肩部移动性和力量的运动可以帮助减轻骨疣引起的疼痛并提高肩关节的功能：
- 推开手臂伸展：站立时，将肩膀向后抬起，轻轻将手臂拉向胸部，保持30秒。重复另一侧。
- 墙壁滑动：面对墙壁站立，将一根轻便的棍子放在身体后方，慢慢水平推动棍子，持续30秒。在相反的胳膊上再试一次。
- 墙壁推举：双手弯曲靠近胸口，手臂靠墙，推起至无法再继续为止。保持30秒，重复另一侧。
- 弯腰I形俯卧撑：弯曲肘部，双手放在墙上，推起身体直到感到阻力。保持30秒，重复另一侧。
- 屈膝倾斜：侧身躺在地板上，双手放在背后，慢慢地抬起胳膊，直至感到阻力。保持30秒，换到另一侧。
- 背面的手臂旋转：侧躺在地板上，双手背在身后，抬起臂部做圆形运动。保持30秒，换到另一侧。
在进行任何新的运动计划之前，尤其是如果你有任何现有的医疗条件或正在服用药物，重要的是要咨询医疗保健提供者。物理治疗师可以根据你的病情为你制定个性化的锻炼计划，帮助管理肩部骨疣带来的疼痛并改善肩部功能。
骨疣对肩关节的影响可能是慢性疼痛和活动受限的原因之一。然而，如果能够早期发现并及时治疗，大部分人都可以避免严重的残疾。如果你感到肩部疼痛或有任何改变你活动的迹象，务必让医疗专业人员诊断你的情况并得到适当的治疗计划。早期干预可以防止进一步的损害并改善生活质量。
