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Rush University Medical Center orthopaedic experts examine overhead
Date:4/8/2009

d. Pain during the late cocking and early acceleration phases of throwing is most common. Impingement can cause local swelling and tenderness in the front of the shoulder, and pain and stiffness may be felt when the arm is lifted or lowered from an elevated position.

Conservative treatment for impingement includes oral, nonsteroidal anti-inflammatory medication, stretching to improve range of motion, injections of local anesthetic and a cortisone preparation to the affected area and rest. Rotator cuff and shoulder blade strengthening and conditioning will help shorten recovery time. Difficult cases may require surgery to remove the impingement in order to create more space for the rotator cuff, allowing for freer movement to lift the arm without pain.

Neurovascular disorders occur when nerves or blood vessels are being compressed, blocked or pinched causing fatigue, loss of velocity, vague shoulder pain, a sense of heaviness, achiness or cramping in the arm. Numbness, tingling, weakness of grip and loss of manual dexterity may also be symptoms experienced after the onset of throwing. Although rare, neurovascular disorders cause significant damage and recovery may be difficult. Successful non-operative treatment methods include rest and thrombolytic and anticoagulation injections used to diffuse blood clots. However, thirty percent of throwers will not respond to conservative measures and will require surgical intervention.

"Maintaining conditioning and efficient throwing mechanics can alleviate potential sources of injury and pain. Core conditioning, scapular and rotator cuff muscle strengthening, and flexibility programs are essential off-season components to injury-free throwing," said Seroyer. "Early recognition of shoulder pain is essential, as early conservative intervention is often enough to prevent development of more serious conditions."


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Contact: Kim Waterman
Kimberly_Waterman@rush.edu
312-942-7820
Rush University Medical Center
Source:Eurekalert

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