Council of Experts: chronic shoulder pain as a multidisciplinary problem
Chronic shoulder pain (CSP) is a clinical syndrome associated with inflammatory and degenerative musculoskeletal changes, characterized by pain in the shoulder that persists for at least 3 months, arising or aggravated by functional activity in this area. The frequency of CSP in the modern populatio...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
IMA-PRESS LLC
2023-07-01
|
| Series: | Современная ревматология |
| Subjects: | |
| Online Access: | https://mrj.ima-press.net/mrj/article/view/1440 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849399894229385216 |
|---|---|
| author | A. E. Karateev A. M. Lila N. V. Zagorodniy L. I. Alekseeva S. V. Arkhipov V. V. Arkov M. S. Makarov A. P. Rachin V. A. Shirokov M. N. Khokhlova V. A. Nesterenko |
| author_facet | A. E. Karateev A. M. Lila N. V. Zagorodniy L. I. Alekseeva S. V. Arkhipov V. V. Arkov M. S. Makarov A. P. Rachin V. A. Shirokov M. N. Khokhlova V. A. Nesterenko |
| author_sort | A. E. Karateev |
| collection | DOAJ |
| description | Chronic shoulder pain (CSP) is a clinical syndrome associated with inflammatory and degenerative musculoskeletal changes, characterized by pain in the shoulder that persists for at least 3 months, arising or aggravated by functional activity in this area. The frequency of CSP in the modern population reaches 20–33%, it is one of the leading causes of severe suffering, disability and seeking for medical attention. The main causes of CSP are shoulder rotator impingement syndrome (subacromial impingement syndrome), calcific tendinitis, adhesive capsulitis, shoulder and acromioclavicular joint osteoarthritis. Accurate diagnosis of these diseases is necessary for the correct choice of treatment. Differential diagnosis is carried out using tests that evaluate the function of the shoulder joint and the rotator cuff muscles (Neer, Speed, Hawkins tests, etc.), as well as using instrumental methods (ultrasound, magnetic resonance tomography, X-ray). In CSP, it is necessary to exclude septic, oncological, visceral, systemic rheumatic and other diseases, as well as musculoskeletal pathology of the cervical spine, upper chest and back, which can cause pain in the shoulder region.Therapy for diseases that cause CSP should be personalized and complex, aimed at maximum pain control and restoration of function. For this purpose, non-steroidal anti-inflammatory drugs, local injection therapy with glucocorticoids, hyaluronic acid, and platelet-rich plasma are used. In some cases, muscle relaxants, antidepressants, anticonvulsants, local injections of botulinum toxin type A are indicated. Physiotherapy and medical rehabilitation methods play a fundamental role in the treatment of CSP. |
| format | Article |
| id | doaj-art-1a6da2bf512a4882a70f91b9c6cc6f9d |
| institution | Kabale University |
| issn | 1996-7012 2310-158X |
| language | Russian |
| publishDate | 2023-07-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Современная ревматология |
| spelling | doaj-art-1a6da2bf512a4882a70f91b9c6cc6f9d2025-08-20T03:38:13ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2023-07-0117311112010.14412/1996-7012-2023-3-111-1202592Council of Experts: chronic shoulder pain as a multidisciplinary problemA. E. Karateev0A. M. Lila1N. V. Zagorodniy2L. I. Alekseeva3S. V. Arkhipov4V. V. Arkov5M. S. Makarov6A. P. Rachin7V. A. Shirokov8M. N. Khokhlova9V. A. Nesterenko10V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional EducationN.N. Priorov National Medical Research Center of Traumatology and Orthopedics; RUDN UniversityV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional EducationV.A. Nasonova Research Institute of RheumatologyMoscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow Department of HealthV.A. Nasonova Research Institute of RheumatologyNational Association of Experts in Comorbid NeurologyUral State Medical University, Ministry of Health of RussiaV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyChronic shoulder pain (CSP) is a clinical syndrome associated with inflammatory and degenerative musculoskeletal changes, characterized by pain in the shoulder that persists for at least 3 months, arising or aggravated by functional activity in this area. The frequency of CSP in the modern population reaches 20–33%, it is one of the leading causes of severe suffering, disability and seeking for medical attention. The main causes of CSP are shoulder rotator impingement syndrome (subacromial impingement syndrome), calcific tendinitis, adhesive capsulitis, shoulder and acromioclavicular joint osteoarthritis. Accurate diagnosis of these diseases is necessary for the correct choice of treatment. Differential diagnosis is carried out using tests that evaluate the function of the shoulder joint and the rotator cuff muscles (Neer, Speed, Hawkins tests, etc.), as well as using instrumental methods (ultrasound, magnetic resonance tomography, X-ray). In CSP, it is necessary to exclude septic, oncological, visceral, systemic rheumatic and other diseases, as well as musculoskeletal pathology of the cervical spine, upper chest and back, which can cause pain in the shoulder region.Therapy for diseases that cause CSP should be personalized and complex, aimed at maximum pain control and restoration of function. For this purpose, non-steroidal anti-inflammatory drugs, local injection therapy with glucocorticoids, hyaluronic acid, and platelet-rich plasma are used. In some cases, muscle relaxants, antidepressants, anticonvulsants, local injections of botulinum toxin type A are indicated. Physiotherapy and medical rehabilitation methods play a fundamental role in the treatment of CSP.https://mrj.ima-press.net/mrj/article/view/1440chronic shoulder painimpingement syndromecalcific tendinitisadhesive capsulitisosteoarthritis of the shoulder and acromioclavicular jointdiagnosticstreatment |
| spellingShingle | A. E. Karateev A. M. Lila N. V. Zagorodniy L. I. Alekseeva S. V. Arkhipov V. V. Arkov M. S. Makarov A. P. Rachin V. A. Shirokov M. N. Khokhlova V. A. Nesterenko Council of Experts: chronic shoulder pain as a multidisciplinary problem Современная ревматология chronic shoulder pain impingement syndrome calcific tendinitis adhesive capsulitis osteoarthritis of the shoulder and acromioclavicular joint diagnostics treatment |
| title | Council of Experts: chronic shoulder pain as a multidisciplinary problem |
| title_full | Council of Experts: chronic shoulder pain as a multidisciplinary problem |
| title_fullStr | Council of Experts: chronic shoulder pain as a multidisciplinary problem |
| title_full_unstemmed | Council of Experts: chronic shoulder pain as a multidisciplinary problem |
| title_short | Council of Experts: chronic shoulder pain as a multidisciplinary problem |
| title_sort | council of experts chronic shoulder pain as a multidisciplinary problem |
| topic | chronic shoulder pain impingement syndrome calcific tendinitis adhesive capsulitis osteoarthritis of the shoulder and acromioclavicular joint diagnostics treatment |
| url | https://mrj.ima-press.net/mrj/article/view/1440 |
| work_keys_str_mv | AT aekarateev councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT amlila councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT nvzagorodniy councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT lialekseeva councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT svarkhipov councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT vvarkov councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT msmakarov councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT aprachin councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT vashirokov councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT mnkhokhlova councilofexpertschronicshoulderpainasamultidisciplinaryproblem AT vanesterenko councilofexpertschronicshoulderpainasamultidisciplinaryproblem |