Pain of the shoulder may have many reasons, but the symtoms you are describing might be due du a muscle dysbalance. If something warm on your shoulder, a warm bath or somethinmg relaxing like a massage is helpfull, you might benefit from practicing in the gym under supervision to strength the chest and the shoulder girdle. If this is not helpfull, I would suggest to attend a orthopedian.

Chronic rotator cuff tears are treated conservatively with non-steroidal anti-inflammatory drugs and shoulder rehabilitation. A corticosteroid injection into the joint may help relieve a painful arc of abduction. An orthopedic specialist should be consulted if pain and weakness persists, because surgical repair may also be necessary in these cases. Acute rotator cuff tears require immobilization in a sling, and possible referral to an orthopedic specialist for surgical repair.

Application of an ice pack may help ease the pain. A recent study found that the frequent use of ultrasound (the use of high-frequency, inaudible sound waves) relieved symptoms and promoted healing in patients with calcify tendonitis. Once pain is controlled, exercises should be performed to maintain the function and mobility of the shoulder, and strengthen the rotator cuff. Non-steroidal anti-inflammatory drugs and restriction of pain-inducing activities are used to treat patients with early symptoms of calcify tendonitis. In those with severe pain, the arm should be put in a sling, and medications prescribed: non-steroidal anti-inflammatory drugs and perhaps an injection of local anesthetic into the joint.

Adhesive capsulitis is a condition that is best prevented: in any shoulder disorder, prolonged immobilization should be avoided and early return to movement should be encouraged. Adhesive capsulitis is treated initially with non-steroidal anti-inflammatory drugs, and a gentle exercise program of stretching once the pain is controlled. A corticosteroid injection or a short course of oral corticosteroids may be prescribed to control pain, although joint movement will not be restored by these drugs. Occasionally, the affected joint is manipulated with the patient anesthetised, in order to improve the range of movement.

Neck problems require anti-inflammatory medication, aggressive physical therapy, exercises, and gentle traction. Occasionally steroid injections into the tender trigger areas will help. More recently, patients with refractory pain have benefited from injections of botulinum toxin (Botox). A careful history, physical examination, and laboratory tests are needed. Imaging procedures are also helpful. The most important thing to bear in mind is that shoulder blade pain may have its origins far from the shoulder itself. Shoulder blade pain may be referred from other areas such as the gall bladder, heart, aorta, fallopian tubes, abdominal organs, diaphragm, and lungs.

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Muscle is a useful network to support the body. On motion devices such as the arms and legs, muscle function as a motivator. In the rod body, muscle is useful to develop and sucked into the chest cavity and protects other vital organs. To be able to work optimally, the muscle should be maintained properly.

Complaints of pain may last only a short time could be a few days, even a few years. In a moment of pain, most likely not interfere with daily activities. New patients would feel tortured if pain arises continually. If not addressed, the pain will be a serious disruption. Painful muscle complaints, including one man who frequently suffered.

If you are still able to move their neck, waist, shoulders, fingers, to raise their hands comfortably, it was a sign the muscles are still working well. However, if the occasional pain on motion, do not dismiss the complaint.

Could Chronic

Pain is an unpleasant feeling due to the existence of tissue damage, either in progress or has occurred. With the symptoms of pain, tissue damage could progress immediately handled to avoid more serious damage. Muscle pain is very different from nerve pain. Pain caused by nerve generally more typical, depending on the nerve is depressed. Nerve in the folds of the buttocks (ischiadicus nerve), when pressed will cause pain that spreads down to the foot, according to the nerves travel. Proper diagnosis can determine the type of pain that occurs, so that the therapy would have chosen the most appropriate.

The use of many drugs on the market, often an option to deal with sore muscles. Unfortunately, the use of drugs that are not appropriate, especially without medical supervision, can cause various side effects. For example, can arise gastritis (stomach inflammation), bone loss, even to inhibit the formation of blood cells.

“That’s why, muscle pain treatment must be done thoroughly. By knowing the type of muscle pain occurred and a contributing factor, then given the appropriate treatment,” added FKUI medical graduates who familiarly called Dr. Ati this.

Cramps and numbness

Have symptoms of nerve pain is different from other pain. Explained by Dr. Salim Harris, Sp.S (K), a consultant neurologist from RSCM, that the nerve pain will be an accompanying symptom. Symptoms include motor nerve function disorders associated with the ability of muscle movement, sensory nerves are also associated with disorders of the skin functions.

Nerve or neuropathic pain varies widely. The characteristics of this pain are a symptom caused by an accompanying disruption of nerve function. For example nerve pain due to nervous breakdown muscle activator.

This resulted in muscle weakness until clinic stimulation of muscle contraction (muscle contraction and relaxation repeatedly), tonic (muscle contractions settled), or cramps. In pain due to sensory nerve disturbance or feelings, symptoms that occur usually lost feeling, numb, so do not feel in touch.

According to Drs. Salim, there are some diseases that cause nerve pain, such as pain due to pinched nerve, metabolic disorders, and infection. Trapped nerve can occur at many places on the body.

“The most often occurs in the neck, palms, known as carpal tunnel syndrome, and waist,” he added.

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The most common cause of groin pain in males is muscle strain, which occurs often in males who play sports such as hockey, soccer and football. You may have immediate groin pain after an injury, or pain may come on gradually over a period of weeks or even months. Groin pain may be worsened by continuous use of the injured muscles.

In some cases, groin pain is caused by a bone injury, hernia or kidney stones. Although testicle pain and groin pain are different, a testicle condition can also cause pain that spreads to the groin area. If the source of your groin pain is unclear, your doctor may need to do tests to identify the cause and make sure it’s nothing serious.

Pain in the shoulder blade may range from moderate to acute. Regardless however, it causes a certain degree of discomfort such that the sufferer may find it difficult to concentrate and focus his or her attention on anything, thus hampering the individual’s daily routine or tasks. Therefore, Groin pain becomes necessary that one effectively finds a way to get rid of shoulder blade pain. A certain degree of knowledge as to the cause of the pain may serve as a requisite for an effective solution towards the treatment of shoulder pain. If the pain is a result of over stress or inflammation, then the solution lies in taking anti-inflammatory oral medicines such as ibuprofen and naproxen. However, if shoulder blade pain is a radiated pain from the heart or the abdominal system due to ulcer, then the mere intake of ibuprofen may not be a real solution. In such cases, the physician would prescribe specific medication after thorough check up. Groin pain.

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Not all chest pain comes from a disturbance in the heart. However, chest pain is a typical symptom of the heart illness. Chest pain due to abnormal heart, caused of imbalance between needs and supply of oxygen to the heart muscle.

Imbalance could be due to increased oxygen demand or supply was too low, it could be a combination of both. In people with narrowing of the coronary arteries (blood vessels that supply the food), automatic blood stream is limited.

If the patient requires an excess of oxygen consumption, such as when exercising or when facing stressful situations, such as anger, can be estimated onset of symptoms of angina or chest pain before. These symptoms can get worse if accompanied by cramping, blood vessels, usually called spasm.

May end fatally

Sensation of chest pain due to coronary heart disease can vary. Usually a heavy feeling downtrodden, feeling gripped, sick or nauseated, burning heat, or a sense of choking in the throat.

Body parts that had complaints could be in the middle of the chest, solar plexus, and between the shoulder blades, with spread to the left arm, neck and jaw. These symptoms occur when the patient initially doing strenuous physical.

Complaints will usually disappear after the patient rested. However, if the blood vessel disease is allowed to grow, the complaint will also appear at the break.

Increases the weight makes the disease chest pain lasted longer and could be accompanied by cold sweat, anxiety, cold hands and feet, seizures and even the consciousness decreased. If you do not immediately get medical help, this case can end up fatal.

The death rate for cardiogenic shock was more than 95
percent. If patients helped, often have symptoms rest of the form neurological disorders or kidney failure.

More Early Tests

At the hospital, chest pain patients will undergo a physical examination, laboratory and x-ray. Also can conduct to electrocardiography and echocardiography. Having obtained the certainty stenosis of coronary angiography will be performed.

As early detection efforts, Dr. Harry suggested that those who 35-year-old began the practice test (treadmill) every year. If you have high risk factors such as smoking, diabetes mellitus, dyslipidemia (abnormal blood lipid profile), high blood pressure, family history, should conduct the test at younger ages.

Can also choose a combination of examination and echocardiography tests practice test called stress echocardiography. This method can visualize the heart wall segments that allegedly impaired oxygen supply.

The main complaint

Chest pain is also closely associated with lung disease and the channel breathing. For example, pulmonary TB (tuberculosis), bronchitis, pneumonia, bronchial asthma, lung fungus, COPD (chronic obstructive pulmonary disease), lung disease work, and lung cancer. Chest pain, coughing, and shortness of breath are the main complaint of chronic respiratory disease and lung cancer is.

Pimples, boils and bruises on the chest can also cause chest pain. Herpes zoster cause chest pain are very sick, though not yet occurred in the skin disorders.Stimulation or pressure in the parietal pleura (lining of the chest cavity also cause chest pain. Irritation of the bronchi due to smoke inhalation, dust, and chemicals are also often leaded to complaints of chest pain such as burning.

Cigarettes provide an enormous contribution to the occurrence of disease Chronic respiratory and lung cancer. It is known that in cigarette smoke are 63 components that are carcinogenic or cancer causing substances.

Chest pain was also a typical symptom of an increase in stomach acid and other stomach acid into throat. Patients with chest pain due to PRGE actually quite a lot. However, many people are more likely to think of the disorders of the heart and lungs, when experiencing chest pain. A study in Orlando, United States, in 1995 found that PRGE occurred in 40 percent of the adult population. The incident was elevated in the age group over 40 years and is more common in men.

Source: Senior

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dr. KRT. Lucas Meliala, SpKJ, SpS (K) reveals that to the Persian Data Center on the sidelines of a new paradigm symposium organized Pain Management Hospital Center for Air Force (RSPAU) Halim Perdanakusuma in Jakarta last weekend.

Meliala revealed, almost 90% of pain that occurs in the human body, especially the waist under conditions triggered by the use or lack of motion. Lack of movement can trigger muscle stiffness so that when the body is conditioned to lift heavy objects or move around, the pain arises.

“Therefore, unnecessary drugs, drunk the main drughs. If you want to use ointment or patch it. Take care, chemical drugs can affect it negatively. Instead, just rest your body. Look for the development, if the pain is relatively mild unnecessary drugs whatever. It’s just a sign, in the future must be more diligent you are moving to train your muscles, “said Meliala.

Meliala asserted, the best key to dealing with pain is exercise. However, be careful too, too much body movement or over-use can also backfire.

In addition, said Meliala, position your body as well as right and just in time to lift the load, especially heavy burden. “Do not indiscriminate lift up. Position your body properly with the burden that will be appointed. If possible, do not use just one hand, use two hands to share the load evenly across the body,” said Meliala.

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The main disorders that can arise in the gallbladder are the formation of stone. This can also occur in the bile ducts. Gallstones caused by chemical changes in the bile someone.

Stone Bile is formed from the deposition of cholesterol, bilirubin pigments and salts calcium that hardens, but most of the gall-bladder stones formed of cholesterol. Incidence of gallstones would be a problem if the entry to a channel leading to the small intestine. Sometimes stones can be formed in the bile duct itself, such as former stitches in an operation.

In the gall-bladder stones can cause inflammation is called acute colestitis, this is because of gallstone fragments at the bile ducts that causes pain. Stones through can be related to the gallbladder in the liver and bile ducts, so stop the flow of bile into the digestive tract. In Besides, there are other factors that start the process the formation of gallstones. These elements can be contained protein the mucus fluid gallbladder formed in small amounts. This this allows cholesterol, bilirubin, and calcium salts to form solid crystalline particles. The shape of gallstones varies, the rock formed from cholesterol and shiny yellow such as oil, rocks composed of bilirubin pigment can be colored but hard black or dark brown, but fragile. Size also varies from small pebbles to registration, but the average diameter of 1 to 2 cm.

Although gallbladder disease show no symptoms, the condition worsening of symptoms is usually generated at mealtimes attack foods containing high fat, if someone is suffering from the rock bile. This happens because fat triggers the hormone stimulates gall bladder to contract, forcing bile stored in into the duodenum which is the way out to the small intestine, if the stone impede the flow of bile will be like symptoms of acute illness on the right side of the abdomen and towards the back, between shoulder and to the front chest. Other symptoms of colic, belching, flatulence, indigestion, sweating, nausea, vomiting, chills, body temperature rather high, jaundice (when gallstones block the channel bile), and brown feces.

Gallbladder stone disease and bleary tract is usually attacked people aged between 20 – 50 years. The disease is 6 times more often occurs in women until the age of 50 years. At the age of the same for both sexes. In addition, women who experience more than 2 times of pregnancy, the risk of getting gallstones more high. Obesity / overweight have a risk of suffering from gallstones more high compared with the no obesity. Some efforts prevention of gallstone formation that can be pursued, among others keep your weight in order to stay normal, lowers cholesterol, and consume foods that contain lots of fiber. But on the other hand, hard diet to lose weight quickly to stimulate liver to remove cholesterol in large numbers into the liquid bile can cause gallstones.

To find out if our bodies have a gallstone using gallstones detector, called ultrasound, which is the uses sound waves that cannot hear the ear. Waves this sound is directed into the body and the reflected wave were processed computers that will indicate whether or not gallstones. Addition gallstones can be identified through X-ray and blood tests in the laboratory.

Prof. H. M. Hembing Wijayakusuma

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In it is mentioned, acupuncture helped many people suffering back pain, compared to treatment with other standard ways, either by using the “toothpick” (toothpick) or “real needle (needle), say researchers from the United States, in a study questioned how the acupuncture.

Some patients feel the benefits of using these treatments in a period of one year, said the research team that reported in the Archives of Internal Medicine “.

“Our results show that you do not need to stick a needle in someone to get the same effect,” said Dr. Daniel Cherkin of the Group Health Center for Health Studies in Seattle, who led the study.

Historically, some types of acupuncture have been used the way without a needle. As with any treatment that incorporates elements of psychological effect that makes a difference clinically, “said Karen Sherman of Group Health who had worked in the study, while giving a statement.

The team handles 638 patients with chronic diseases on the back which is divided into several groups, two groups received treatment with acupuncture needles and a few other groups with a toothpick. Was one other group to use only standard medical treatment?

After eight weeks, nearly 60 percent of their patients using two types of acupuncture treatment was reported how the increase is quite significant healing according to their functions, but there was no significant difference whether acupuncture type needle or toothpick is used.

The researchers say the treatment is relatively unknown how acupuncture is more secure and is a simple way to reduce the pain in his back, especially when traditional medicine failed to do themselves, so the researchers. And now there are also many educational institutions a course of acupuncture / acupuncture courses. Now developed various methods of natural medicine, chiropractic health, etc…

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• Acupuncture
  

  Perhaps, this is the most popular treatments that you already know. “Acupuncture running mind-body connection and to help patients cope with pain,” said Dr. Traci Purath, MD, Medical Director at the Comprehensive Headache Care, Wheaton Franciscan Medical Group in Franklin, Wisconsin. Some needles will be inserted at specific points in the neck, forehead, and cheeks, to divert the pain. The needles are very thin and flexible so you will not feel it through the skin. After got acupuncture, he says, patients will usually feel the relaxation in the whole body. Body feels light, and you’re so good to sleep.

• Sex
  

  You never say no to sex from her husband on the grounds dizzy? Maybe you need to change the strategy because it can eliminate sex headaches! “Natural Endorphins, hormones and painkillers are released when you have an orgasm, which will help you to relax and calm,” said Dr. Purath. However, this effect will quickly pass. So you have to keep preparing painkillers you normally consume.

• Sports
  

  If your headaches occur regularly, it might be time you have to make exercise part of your lifestyle. “When you move around, you increase your stamina, reduce stress, and sleep more soundly,” said Jan Brandes, MD, assistant clinical professor in neurology, Vanderbilt University. “The harder the exercise, jogging, brisk walking, or swimming, the less pain,” he added. But if you suffer from migraines, regular exercise can actually make it worse.

• Water
  

  This recipe really works you already know from the first. Drink 8 glasses of water a day because of dehydration is the cause of primary headaches. “When the body does not have enough water, your body will start to retain fluid which is stored, and looking for ways to let you know that your body is dehydrated (with a sore head),” said Dr. Purath. As soon as a headache, get to drink lots of water. However, do not let too much; excess fluid can reduce the levels of electrolytes and sodium in your body.

• Snacking
  

  Hungry, too often cause you a headache. Unfortunately, you often do not realize that your stomach is empty because it was too busy working. When the body does not get food intake, blood sugar levels will decrease, causing your headaches hypoglycemic. That is, the body began to demand food intake. Eat crunchy snacks such as apples, will soon relieve pain, and helps blood sugar levels back to normal. Avoid snacks such as candy bars, to replace the blood sugar because it will only make you demand more, according to Dr. Purath. Food that is not recommended is because bananas instead trigger a headache.

• Caffeine
  

  Besides able to drive sleep, a cup of coffee in the morning also have other benefits. A number of caffeine may help control headaches. It was explained Dr. Brandes. In addition, caffeine can also help the body to absorb migraine treatment better through the stomach lining. Caffeine can also control pain in headache attacks by narrowing blood vessels. However, for some people caffeine actually cause headaches. So, consume with caution.

• Sleep
  

  Not all people have the luxury to be able to sleep 8 hours a day. Sleeping less than 8 hours is what often causes headaches. Our bodies need sleep soundly (without disturbance) at least 7 hours a day to refresh and recharge them self for the pain disappeared. Dr. Purath suggested to hold onto a regular sleep schedule and wake up at the same hour every day. Excessive sleep or less, even if only 1 or 2 hours, can trigger a migraine.

• Biofeedback
  

  Biofeedback is done by monitoring the body’s response to pain, and checks the ability to control the feeling that pain can be arranged. Electrodes connected to the forehead, forearms, and neck (the area’s most intense during the headache occurs), then linked to a monitor so you can see the muscles that stretch. Soon, the brain will remember how the muscles contract, and tried to relax. This session should be done 6-8 times to get results.

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