Exercises for stiff and achey shoulder joints

Dansk: Skulderled. Français : A. B. Acromion C...

Dansk: Skulderled. Français : A. B. Acromion C. D. E. Tendon du biceps F. G. H. Processus coracoïde I. J. Clavicule K. Humérus. A = , B = Acromion, C , D , E = Tendon du biceps , F = , G = , H = Processus coracoïde , I = , J = Clavicule, K = Humérus (Photo credit: Wikipedia)

The shoulder is a complex body system tasked with moving the arms.  It is comprised of the shoulder  blade (scapula), collar bone (clavicle), humeral head (nearest end of the upper arm bone) and the breast bone (sternum), and associated muscles, ligaments and tendons that hold it together and move it.

When a patient complains of shoulder pain, it could mean pain in any of these areas.  The doctor has to ask the patient to point to the precise area of pain, and ask the patient to move the arm and shoulder to get a better idea of what is causing the pain.

Today we’ll talk about general ache in the glenohumeral joint, comprised of the humeral head and glenoid fossa of the scapula (the shallow cup-shaped  surface of the scapula).

First of all, realize that the glenohumeral joint has the widest range of motion of all the joints in the body.  You can do all sorts of movements with your shoulder joint– raise your arm from the side, the front, the back; transcribe small and large circles, hug yourself, spread your arms far apart; throw a football, and throw an underhand pitch– that’s a lot of movement, compared to, say, the knee.  In order to accomplish such a wide range of motion, there has to be a lot of moving parts (ligament and tendon attachments).  When you have a lot of moving parts, there is a greater chance of something breaking down.  And this is why shoulder problems are quite common in people.

A general ache in the glenohumeral joint can be the result of sleeping on your shoulder; an old injury, or simply over-using it.  Tendons that slide over bony surfaces to move the shoulder joint in its many directions may be pinched in the narrow confines of the glenohumeral joint.  It makes the shoulder feel stiff and achey.

NOTE:  feeling a very deep and sharp, focal pain in the glenohumeral joint that is worse with a particular angle of arm movement is a different presentation and is not what we’re addressing here.

This is about general achiness and stiffness that does not cause any weakness or disability of the shoulder.  If you have more of a sharp pain that doesn’t go away with rest or medications, refrain from doing the following exercise until you see a doctor who can properly diagnose your problem.

TREATMENT:

You will be doing gentle stretches to get the shoulder joint moving, eventually without the achey and stiff feeling.

First, let’s assume it’s your right shoulder that has the problem.  Stand with your left foot about a foot forward of your right foot.  Bend at the waist but keep your lower back straight, and rest your left hand on your left knee.

Let your right arm hang limp straight down.  Sway your body in circles to get your limp right arm to transcribe a clockwise circle shape.  Try not to use your right shoulder muscles themselves, let the rocking movement move the shoulder.  Do ten circles, then reverse directions. Do 5-6 times a day.  If you do it correctly, the mere weight of your right arm will traction the glenohumeral joint (slightly pull apart the surfaces) and the rotation movement will stretch the ligaments in all directions.

Try adding a small weight, in increments throughout the week (do not exceed ten pounds max) to increase the amount of traction.  You should feel a gradual loosening of the shoulder joint, and less pain.  Avoid sleeping on the affected shoulder for a few weeks.

The other exercise is more challenging, so only do it if the pain has gone down considerably.  Take a bath towel and roll it length wise.  Grab one end with your right hand, and raise that hand (90 degree elbow bend, upper arm at level of shoulder).  Reach behind you with your left arm and grab the other end of the towel with your left hand.  Now, extend your right elbow back and forth as though you are drying your back with the towel.  Do for about a minute, and then switch hands.  Repeat.

As always, if any of these exercises cause an increase in pain, stop immediately.

How to Tell if Your Pain is from Arthritis

Arthrite rhumatoide Source: http://nihseniorhe...

Image via Wikipedia

If you have deep, achy pain in a joint that doesn’t go away with time it’s likely some form of arthritis.  Lower back pain can be arthritic in nature (as opposed to muscle) if it behaves similarly– deep, achy, doesn’t seem to ever go away entirely; and you have a history of repetitive, physical impact to your body such as construction workers/ laborers, martial art practitioners and gymnasts.  However, with rheumatoid arthritis (explained below) no history of trauma is necessary.

Most people associate arthritis with the elderly.  But did you know it can affect younger people as well?

The word arthritis translates to “joint inflammation.”  There are several forms of arthritis, the two most common types being rheumatoid arthritis and osteoarthritis.

Diagram of a synovial (diarthrosis) joint.

Image via Wikipedia

Rheumatoid arthritis (RA) is an auto-immune disorder, where the body’s white blood cells attack the synovium of synovial joints.  Synovium is the inner lining of a synovial joint— encased (capsular) joints like in the spine, hips, knees and shoulders.  The synovium produces synovial fluid, which lubricates the inner surfaces of the joint as it moves.

People suffering from rheumatoid arthritis will have  bouts of severe joint swelling, redness, heat and pain.  RA is typically bilateral; meaning, for the extremities it strikes both sides, not just one.  It is an awful condition that can can severely impact mobility.  Those with rheumatoid arthritis in the knuckles of the hand will have difficulty gripping things and doing fine dexterity movements such as writing and buttoning a shirt.  Areas commonly affected by rheumatoid arthritis are the hands, spine, and feet.

Currently, drugs are the only medical treatment for RA including non-steroidal anti-inflammatories– NSAIDS (aspirin, Motrin, Tylenol, Ibuprofen), corticosteroids and immunosuppressives.

Palliative care to manage pain levels include acupuncture, yoga, and chiropractic.  Cannabis (medical marijuana) is a popular choice for many sufferers.

Osteoarthritis (OA) is described as joint pain and inflammation from wear and tear of the cartilage.  It is usually found in people who have suffered repeated joint trauma, like football and basketball players.  Marathon runners can develop it in the knees and hips as well.  OA is found in the weight bearing joints of the feet, ankle, knees, hips, lower spine and neck.

When repeated trauma impacts a weight bearing joint, over time it creates tiny fissures in the cartilage, which thins the cartilage and exposes the bone underneath.  From there, the bone forms bone spurs called osteophytes.  Radiologists describe these changes (disc degeneration plus osteophytes) as spondylosis of the joint.

Both types of joints can be painful, with RA being more acutely painful.  The symptoms are pain, joint stiffness and reduced range of motion.

MAKING BONE BROTH SOUP FOR ARTHRITIS PAIN:

In both cases, eating a low-inflammation diet will be helpful:  reduce sugar intake including high fructose corn syrup; limit carbohydrates to 150 grams per day; emphasize protein and fat, especially fish with high Omega 3 content; nut oils (walnut, almond, Brazil nuts), virgin olive oil, and raw plants (green leafy salads, lightly steamed vegetables).   Raw milk and butter from grass fed cows, and coconut oil are also good for an anti-inflammatory diet.

Eating  bone broth soup every day will give your body the constituents for rebuilding cartilage:  Visit your local butcher and ask for the large beef and pork joints.  They can saw these in little pieces in the back and give them to you in a bag; they price them pretty cheap; too!

You’d be amazed as to how cow/ pig knee and hip joints look very much like a human’s.  If you want to understand the anatomy of these joints, this is a great way to do it.  You will see and feel the smoothness of the cartilage on the femur head.  You’ll see the anterior and posterior cruciate ligaments (ACLs and PCLs).  You will see the patella, fat pad; and collateral ligaments, condyles and meniscus.  Make sure to eat all of these parts in addition to drinking the broth to get all the proteins needed to rebuild tendons, ligaments and cartilage.

MAKING THE BROTH:

Add a couple of pieces of joints into a tall pot; fill half-way with water; add salt.  For extra bone-building strength add some eggshells (from cracked RAW eggs– You want the inner shell membrane to be intact; with boiled eggs the nutrient-rich membrane sticks to the egg).  Bring to a strong boil; reduce heat to low and cook for 60 minutes.  Steep out the eggshells, and drink the soup.  Eat any pieces of tendon stuck to the bones, and eat the bone marrow as well.  You can add spinach to the soup the last minute of boiling for more variety. (chicken and turkey carcasses and whole fish bones work well, too).

The calcium and cartilage nutrients you get from this bone broth can help your joints feel better.

HOME THERAPY FOR ARTHRITIS

Arthritis pain comes from inflammation and stimulation of pain receptors in damaged cartilage by the inflammation and also by physical abrasion.

Pulsed electromagnetic field therapy (Pulsed EMF or PEMF) can help by energizing the affected cells.  The electromagnetic field produced by PEMF machines are similar to the naturally-occurring fields produced by the biological activity of your cells; adding an external source helps those cells function better.  The few cells that exist in the cartilage and ligaments and tendons have more energy to synthesize matrix and collagen which goes towards joint rebuilding.  Use in conjunction with red light therapy for maximum effect.  Red light at around 660 nm wavelength initiates photobiomodulation, which also gives cells more energy to function, much like photosynthesis in plants.

For temporary relief, heat works best with chronic pain and stiffness.  An infrared heat lamp is a good choice, as it is easy to set up and penetrates all the way down to the affected tissue, unlike a hot pack which only heats the skin.  Heating is not advised for rheumatoid arthritis when it is in a flare-up, hot and acute phase.

As far as medical care, joint replacement is a more drastic option but can effectively reduce pain while preserving some joint functionality.  There are also experimental procedures that involve culturing cartilage cells in a lab and injecting them into the joint space, hoping that they will bond to existing cartilage and thicken, but results are mixed at this point.

If you don’t have arthritis, do things that will help prevent you for getting it.  Build up your joint strength with the diet mentioned above, and avoid repetitious trauma to the weight bearing joints (activities that involve jumping and landing on a hard surface).  Strengthen surrounding ligaments of your knee and hip joints with exercises like weightless squats, knee bends, and simple uphill hiking.

Your joints are the most neglected part of your body; we often take them for granted.  But when one is injured or develops arthritis, you will realize very quickly how important they are to your happiness and well-being.  Don’t wait until it is too late; strengthening and nurturing your joints should be a definite part of your fitness routine.

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