Skeletal pathologies are ranked first in their prevalence. If the shoulder crunches, is accompanied by pain, limited mobility of the limb, then this condition may indicate a degenerative pathology. Patients of various age categories face such a problem, however, the risk of pathology increases in older people.
Development mechanism
The shoulder joint is a whole mechanism, all parts of which move during the movement of the limb. During this process, the patient may hear clicking or other sounds. If the shoulder crunches, then this condition does not always indicate the development of pathology. Here you need to pay attention to additional symptoms.
Inside the joint there is a synovial sac filled with fluid. As soon as the arm experiences a load, the pressure in it rises. As a result of this process, air bubbles appear inside the joint, as a result of which the shoulder crunches. ATIn most cases, this condition is not pathological and does not cause discomfort to a person. However, such a symptom can cause degenerative diseases. Also, the sound when moving often indicates the rapid wear of the joint.
If the joints of the shoulders crackle and there is a violation of their mobility, you need to immediately undergo an examination to establish the cause of this condition and begin treatment. In this case, pain in the joint can be intermittent or constant.
Reasons for appearance
If the shoulder crunches, then this condition can be caused by the following reasons:
- Violation of metabolic processes in the body (musculoskeletal system in particular).
- Inflammatory processes in the joint.
- Too much exercise.
- Chronic pathologies of a deforming nature: arthrosis, rheumatism, humeroscapular periarthritis.
- Hereditary predisposition.
- Infectious pathologies in the body or joint.
- Shoulder injury from a fall.
- Sedentary lifestyle.
- Inflammation of the joint bag or tendons.
- Neoplasm in the joint (rare cause).
- Injury to the muscles of the shoulder joint.
- Shoulder instability.
- Wrong diet.
- S alt deposits.
Pathological dislocation of the shoulder (ICD code 10 - S43.0) can provoke a symptom.
Additional symptoms
In addition to a crunch in the shoulder, a person may experience other manifestations:
- Increase in overall orlocal temperature.
- Persistent pain that gets worse from time to time.
- Swelling of the joint.
- Redness of the skin around the affected area.
- Stiff movement.
If the crunch has pathological causes, then the person has pain in the shoulder joint, and the intensity can be different. There is discomfort both at night and during the day.
Diagnosis
If your shoulder crackles when you rotate, you need to undergo an examination, which includes:
- Visual examination, history taking, and recording of patient complaints.
- CT and MRI. These studies are able to give a complete picture of the pathological condition. The degree of destruction of cartilage and bone tissue is determined. The pictures can also show damaged or pinched nerve endings, blood vessels.
- X-ray. In the picture, you can see the displacement of the bones due to injury, the growth of osteophytes.
- Ultrasound of the joint. Thanks to this study, a specialist can determine the condition of the intra-articular capsule, soft tissues. An ultrasound will also show bone deformity.
- Arthrography. Minimally invasive examination using an arthroscope. During such a diagnosis, treatment or tissue sampling for subsequent analysis can be carried out.
- Laboratory diagnostics of blood and intra-articular fluid. In this way, you can determine the cause of the crunch.
- Scintigraphy. Such a study is an x-ray using a contrast agent.
In case of shoulder dislocation, ICD 10 code is already known, consultation of an orthopedist, traumatologist and surgeon is needed.
What is dangerous crunch?
If the patient does not turn to specialists on time, but ignores the pain syndrome for a long time, then the pathology can give such complications:
- Too much shoulder mobility.
- Chronic pain syndrome that will get worse from time to time.
- Impaired circulation in the joint.
- Damage to the nervous system.
If the shoulder joint hurts and this symptom is caused by a degenerative disease, then the lack of treatment will lead to disability of the patient.
Drug therapy
If the patient has a pathological crunch in the shoulder, treatment should be started immediately. It provides for the use of the following drugs:
- Painkillers: Nise.
- NSAIDs: Diclofenac, Ibuprofen. They eliminate all manifestations of the inflammatory process.
- Chondroprotectors: Artra, Chondroitin. Their use will protect cartilage tissue from destruction, but they need to be taken for a long time.
- Vitamin complexes.
- Hormonal drugs.
- Antioxidants: Mexidol.
- Miorelaxants: Sirdalud.
If the pain syndrome is too strong, then the patient will need intra-articular injections of Diprospan. They should be done by a specialist in conditionshospital.
Physiotherapy treatments
Physiotherapy procedures will help improve the effectiveness of conservative treatment. Among them, the most useful are:
- UHF.
- Massage.
- Mud treatment.
- Reflexology.
- Laser treatment.
- Manual Therapy.
These procedures are carried out in stationary conditions. In addition, a person needs to reconsider his diet. It should be complete, but balanced. Alcohol is completely excluded from the menu.
To improve the condition of the joints, it is necessary to eat lean fish and meat, foods containing a large amount of vitamin B. It is better to cook dishes in vegetable oil, and remove animal fats from the diet. To improve the functionality of cartilage tissue, gelatin is included in the menu: jelly, jelly.
Therapeutic exercise
Exercise for arthrosis of the shoulder joint will help to quickly restore the mobility of the limb, reduce the manifestations of pain, and also improve the general condition of the patient. Physical activity stimulates the circulation of synovial fluid, which nourishes the joint. Exercise should be postponed if the patient has high blood pressure, acute pain or changes in body temperature.
Any gymnastics complexes are prescribed by a rehabilitation doctor. To restore the function of the shoulder, you need to strain and relax the muscles in it, make turning movementswrist joints, bend and unbend fingers, limb at the elbow. Over time, exercises can become more difficult. Sitting on a chair, the patient is advised to raise and lower the affected limbs, spread the arms bent at the elbows to the sides.
All exercises require a preliminary warm-up. They must be performed carefully. If the patient feels discomfort or pain, it is better to stop the gymnastics. The intensity and frequency of repetitions of movements increase gradually. It is important to do physical therapy regularly, and not stop doing it even after the inflammatory process is eliminated.
Folk recipes
Uncomplicated forms of pathology can be treated at home. However, for the use of folk remedies, a preliminary consultation with a doctor is required. In addition, decoctions and infusions should be used in combination with traditional methods of therapy. The following recipes will be useful:
- Ice. In the presence of edema and pain, a person's condition can be improved by moving a piece of ice over the sore spot clockwise for 15 minutes. The procedure is repeated twice a day. Approximately 6 sessions required.
- Chicken egg. You need to beat 2 proteins, then combine the gruel with 1 tbsp. vodka. The resulting product is applied to the shoulder. The compress is removed after 20 minutes. The course of therapy is 1 week.
- Gelatin. A bag of powder should be soaked in a glass of cold water. When the gelatin dissolves, you need to drink it. This should be done on an empty stomach once a day. The course of using the medicine is 10 days. After that, you need to take a 10-day break, and then repeat the therapy.
- Decoction of bay leaf. It takes 30 g of raw materials to boil in 0.3 liters of water for 5 minutes. The fire must be weak. It will take 30 minutes to infuse the remedy. The entire volume of the medicine should be drunk per day in small sips. After that, you should take a break for 7 days.
Folk recipes are not a panacea, but they can significantly improve the result of conservative therapy.
Surgery
If traditional therapy does not give a positive effect, and there is also a risk of developing irreversible changes in the joints, then a person is prescribed a surgical operation. Depending on the severity of the pathology and the cause of its occurrence, different types of intervention can be performed. With minor changes, a minimally invasive operation is performed using an arthroscope. It allows you to eliminate excess fluid from the joint cavity, rinse it with medicines from the inside. All manipulations are done under video surveillance.
More difficult is the procedure involving the removal of dead tissue. If there is a risk of patient disability, then a periarticular osteotomy is prescribed. It involves the excision of a small amount of bone tissue in order to restore normal mobility in the joint.
In the most severe case, a person is offered prosthetics for a destroyed joint. Any type of operation involves a rehabilitation period. The less damaged the joint, the faster it will pass.
Preventionpathological crunch
To maintain the functionality of the shoulder joints for many years, it is necessary to observe the following preventive measures:
- Reduce physical stress on the arm.
- Don't forget to warm up and do calisthenics before a workout or with a sedentary lifestyle.
- Follow the principles of a balanced diet.
- Give up bad habits.
- Avoid situations that could injure the shoulder.
- Watch your body weight.
- Take vitamin supplements.
- If there is a need to perform heavy physical work, then you need to use belts or orthopedic bandages.
- Avoid hypothermia.
A crunch in the shoulder does not always indicate pathology. Most often this is a physiological condition that is not harmful to he alth. But if there is pain or other signs of an inflammatory process, then you should not self-medicate. Better see a doctor.
