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"Swimmer Shoulder"

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"Swimmer Shoulder"

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.
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
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
Common athletic injuries
- Sprains
- Strains
- Plantar Fasciitis
- Psychological effects of injuries on athletes
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
What is Sports medicine?
- physical fitness and the treatment and prevention of injuries
- Who is involved ?
- Conditions treated by them?
  - Fractures
  - sprains
  - Strains
Complications of Shoulder injuries
- Soft tissue, nerve or blood vessel damage
- Recurring dislocations
- Rotator cuff injuries