Tendon is the strong cord or band of fibrous tissue that connects muscles to bones all through the body and especially around the joints. When muscles contact, it pulls on the tendon which in turn moves the bones. Tendon which is known in some local language as "ISHAN" and "AKWARA" are so tough that it is to tear it apart even when there is serious injury around it. Shoulder tendonits is an inflammation or injury affecting the tendon/muscles attachments around the shoulder area. It is often associated with the abnormal depositon of calcium salts in and around the tendon and muscle and exposure to severe cold condition. Leading to stiffness and severe pain when one tries to stretch out the arm. Most times, it is classified as arthritis which presents with the same symptoms of pains and disability. Excessive use of the affected arm worsens the pain and may result in swelling, medical investigations including x-ray examination will reveal the exact situation of the joint and sorrounding strus so as to come up with the right diagnosis. And appropriate management is aimed at reducing the pain swelling and possible disability. The use of ice pack compress is often more helpful in relieving pain than using heat treatment . Use of pain relieving drugs and other inflammatory therapy is prescribed by the doctor and should be used accordingly. When pain is reduced,other physiotherapy management with arm-strapping, with passive and active exercises are introduced to improve the shoulder Motion and encourage healing.
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If serious disability and stiffness has set in, then other forms of surgical intervention may be considered. Every other tendons around the body and joints can be affected by accidental injuries, inflammations, pressures from a nearby growth,impaired blood and nerve supply and some other conditions all of these should be properly investigated and managed appropriately.The important approach is prompt detection of any abnormal symptom around the shoulder followed by specialist intervention. Remember that pain is a warning sign of something going wrong within so take note
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