"Swimmer Shoulder"

"Swimmer Shoulder"

1. What is Burn Out?

   • a long-term stress reaction characterized by constant emotional exhaustion.
   • present in individuals with demanding occupations
   • Management?
     • Focus on optimizing stress-management skills and reducing overall stressors.

2. Definition and types of joints

   • site of meeting of 2 or more bones together
     • Fibrous
       • articular surfaces of the bones are connected
         • by a strong fibrous tissue
           • no movement is involved
     • Cartilaginous
       • bones are connected together by cartilage
         • Primary
         • Secondary
     • Synovial
       • Freely mobile and don’t ossify

3. Anatomy of shoulder

   • Bones
   • Joints
   • Ligaments
   • Rotator cuff muscles
   • Subacromial Pinching Syndrome
   • Shoulder impingement
     • tendons in the shoulders are inflamed, swollen,& pressing on bones/muscles/tendons around i
       • Caused by
         • Repetitive use/strains joints
         • Training error Overuse, misuse, abuse
         • If not treated Tears rotator cuff
       • How To prevent it?
         • Avoid repetitive movements
         • Proper exercise
       • Signs & symptoms
         • Muscle weakness
         • Less range of motion
         • swelling/bruises
       • Tests?
         • Sulcus test
         • Relocation test
     • Physical examination and investigations of shoulder pain
       • What to do for a patient with shoulder joint pain?
         • General inspection for
           • Both shoulder symmetry
           • Shape
           • Skin all around the joint
         • Palpation
           • Skin
           • Muscles
           • Joint and Bones surface landmarks
         • Movements (Active and Passive)
         • Special Tests
           • Neer Test:
           • Hawkins Test:
     • Management of Shoulder Pain
       • Steps of recovery

4. Common athletic injuries

   • Sprains
   • Strains
   • Plantar Fasciitis
   • Psychological effects of injuries on athletes

5. Types of Pain

   • Duration
     • acute
       • Lasts < 3 months
         • E.g. Broken bones, surgery, dental work, trauma
       • Resolves after the underlying cause is treated
     • Chronic
       • Lasts more than 6 months
         • E.g. frequent headaches, nerve damage pain, low back pain
       • Doesn’t resolve after treating the underlying cause
   • neuropathic
     • Damaged or dysfunctional neuron leading to misfiring of pain signals
   • psychogenic
     • a pain disorder attributed to psychological factors that can cause, increase, or prolong
   • MSK pain
     • arthritis ,autoimmune, osteoporosis, infections, injuries
       • Bone pain
       • Muscle pain
       • Tendon pain
     • Common causes of painful shoulders

6. What is Sports medicine?

   • physical fitness and the treatment and prevention of injuries
   • Who is involved ?
   • Conditions treated by them?
     • Fractures
     • sprains
     • Strains

7. Complications of Shoulder injuries

   • Soft tissue, nerve or blood vessel damage
   • Recurring dislocations
   • Rotator cuff injuries

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