A Common Sense Approach to Shoulder Pain

A few days ago I attended a short seminar at Duke Raleigh Hospital by the shoulder specialist Dr. Kevin Speer who talked about the aging shoulder.

I had observed that many people are suffering from shoulder problem as they are getting older, often for no apparent reason, and I was looking forward to the talk in hopes of an explanation. I was not disappointed.

Dr. Speer stated that the shoulder will develop bone spurs and a degradation of the muscles and connective tissues as an inevitable results of getting older. That does not necessarily mean that this leads to pain but it often does. Shoulder pain is typically referred pain, meaning that the place where it hurts is not necessarily where the problem is. With shoulder issues, the pain is often down the upper arm or in the front of the shoulder.

He had a number of suggestions for maintaining healthy shoulders to the degree possible. Good nutrition was his first recommendation.  The following list is taken from the www.webmd.com for an anti-inflammatory diet.

·         Eat plenty of fruits and vegetables.

·         Minimize saturated and trans fats.

·         Eat a good source of omega-3 fatty acids, such as fish or fish oil supplements and walnuts.

·         Watch your intake of refined carbohydrates such as pasta and white rice.

·         Eat plenty of whole grains such as brown rice and bulgur wheat.

·         Eat lean protein sources such as chicken; cut back on red meat and full-fat dairy foods.

·         Avoid refined foods and processed foods.

·         Spice it up. Ginger, curry, and other spices can have an anti-inflammatory effect.

On the supplement list, his recommendation was for fish oil. He also suggested a heat (before exercise) and cold (after exercise) therapy when some pain has already crept in. As an exercise maintenance routine, rotator cuff exercises to strengthen the stabilizing muscles of the shoulder should become part of the workout.

When shoulders are beginning to hurt, he looked at it from two perspectives: the first is whether the pain goes away with rest and avoidance of triggers, the second whether pain starts interfering with a good night’s rest.

In the first case, it can be managed with ice, maybe some anti-inflammatory medication and rest. Some exercises may have to be avoided for good such as overhead presses or push-ups. Downward dogs should be left to the dogs as well. The elbows should always be in the field of vision.

However, when shoulder pain interferes with sleep, a visit to the doctor becomes necessary. Even then, physical therapy may help, and Dr. Speer stated that he was a great fan of it. Only when all else fails, there is surgery which he views as the last option.