Shoulder Archives | Siphox Health https://reflexhealth.co/category/shoulder/ Wed, 02 Nov 2022 11:51:46 +0000 en-US hourly 1 https://wordpress.org/?v=6.8 https://reflexhealth.co/wp-content/uploads/2021/10/cropped-Reflex-Health-Logo_Figma-32x32.png Shoulder Archives | Siphox Health https://reflexhealth.co/category/shoulder/ 32 32 211636245 How painful is a cortisone shot in the shoulder? https://reflexhealth.co/shoulder/cortisone-shot/how-painful-is-a-cortisone-shot-in-the-shoulder/ Thu, 06 Oct 2022 11:43:01 +0000 https://reflexhealth.co/?p=11592 A cortisone shot in the shoulder is usually as painful as regular immunisation injections. Larger needles typically hurt more than smaller ones.

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During the shot

A cortisone shot in the shoulder is usually as painful as regular immunisation injections. The site of the injection and the size of the needle are two elements that can affect how painful a shot may be. It should come as no surprise that larger needles typically hurt more than smaller ones. However, your doctor might also apply an anaesthetic spray to numb the area of the shot where the needle will be inserted. Thus only some pressure is felt upon the insertion of the needle.

After the shot

The site of the shot may be tender and painful for a few days, similar to the after-effects of taking any jabs. Avoid any heavy lifting with the arm until the pain subsides. However, what is important is to monitor for signs of infection. Pain out of proportion, redness, swelling, and fever should all be immediately reported to your doctor.

Corticosteroid shots are used when shoulder pain is significant and has not reduced by over-the-counter medications. Although the injection may be uncomfortable, the treatment should be worth it to reduce pain and inflammation in the shoulder, so you can continue with your rehabilitation exercises effectively. 

Are You Suffering from Shoulder Pain?  Download Reflex: Shoulder Mobility App

Shoulder pain can be all-consuming. Recovery can seem so far away without having the tools to track your progress, or know that you’re doing the right exercises. Reflex if your physio in your pocket. Accurately measure your shoulder range of motion without visiting a clinic.

Image shows iOS app for measuring shoulder range of motion after broken shoulder
Reflex is an iOS app that allows you to measure and track your shoulder’s range of motion. You can use Reflex to see how a cortisone shot affects the range of motion in your shoulder.

 

 

More on Cortisone Shots

1. What happens if a cortisone shot in the shoulder doesn’t work?

2. How long does a cortisone shot last in the shoulder?

3. Side effects of a cortisone shot in the shoulder

4. How soon can I exercise after a cortisone injection in the shoulder?

5. Will a cortisone shot help a torn shoulder labrum?

6. How painful is a cortisone shot in the shoulder?

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Will a cortisone shot help a torn shoulder labrum? https://reflexhealth.co/shoulder/cortisone-shot/will-a-cortisone-shot-help-a-torn-shoulder-labrum/ Thu, 06 Oct 2022 11:42:29 +0000 https://reflexhealth.co/?p=11589 Cortisone is a type of corticosteroid. Corticosteroid injections quickly relieve shoulder pain by reducing swelling from a SLAP tear.

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A torn shoulder labrum, such as a SLAP tear, might make the shoulder unstable or move too much. Instability events typically result in discomfort and irritation leading to inflammation and pain. A cortisone shot is a type of corticosteroid, which are hormones that reduce swelling and inflammation in the body.

Intra-articular corticosteroid injections quickly relieve shoulder pain by effectively controlling the swelling brought on by the SLAP tear. Corticosteroid injections are less intrusive, more patient-acceptable, and more affordable than surgery. The quick and long-lasting pain relief provided by these injections promotes the early initiation of muscle-strengthening exercises and yields greater satisfaction among patients. 

SLAP injuries can cause rotator cuff and scapular muscular weakness and dyskinesis, as well as change the intricate role the labrum plays in glenohumeral kinematics. In order to treat this illness and lessen the mechanical symptoms linked to SLAP lesions, shoulder strengthening exercises may be beneficial.

Non-operative management using an appropriate regimen of combined intra-articular corticosteroid injection with rotator cuff and periscapular strengthening exercises has proven to provide satisfactory clinical outcomes in patients with a symptomatic SLAP (superior labrum from anterior to posterior) lesion. 

Speak to your doctor about finding the best treatments for your shoulder. Cortisone shots may be advised if shoulder pain does not subside after regular pain killers. Your doctor, surgeon, or physio will examine your shoulder through flexion, abduction, extension, and rotation ranges of motion and where you feel the pain the most.

Measure Your Shoulder Range of Motion and Track Pai  from Home for Free.

The Reflex App allows you to measure your shoulder’s range of motion and track pain simply using the front-facing camera of your iOS device. Take control of your recovery and gain insights into your shoulder health.

Image shows iOS app for measuring shoulder range of motion after broken shoulder
Reflex is an iOS app that allows you to measure and track your shoulder’s range of motion. You can use Reflex to see how a cortisone shot affects the range of motion in your shoulder.

 

 

More on Cortisone Shots

1. What happens if a cortisone shot in the shoulder doesn’t work?

2. How long does a cortisone shot last in the shoulder?

3. Side effects of a cortisone shot in the shoulder

4. How soon can I exercise after a cortisone injection in the shoulder?

5. Will a cortisone shot help a torn shoulder labrum?

6. How painful is a cortisone shot in the shoulder?

The post Will a cortisone shot help a torn shoulder labrum? appeared first on Siphox Health.

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How soon can I exercise after a cortisone injection in the shoulder? https://reflexhealth.co/shoulder/cortisone-shot/how-soon-can-i-exercise-after-a-cortisone-injection-in-the-shoulder/ Thu, 06 Oct 2022 11:41:43 +0000 https://reflexhealth.co/?p=11586 Generally, an exercise regime is always advised after the cortisone shot reduces the pain and inflammation. Some surgeons advise that the shoulder be rested for a week at least before starting any protocol.

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Generally, an exercise regime is always advised after the cortisone shot reduces the pain and inflammation. Some surgeons advise that the shoulder be rested for a week at least before starting any protocol.

However, the best time to resume exercising or even begin exercising is multi-factorial. It would depend on your primary aetiology, age, overall health status, secondary medical problems, and most importantly, pain. 

Once you are comfortable to start exercising, gentle range of motion exercises can be started. 

Range of motion exercises to do after a cortisone shot in the shoulder;

  1. Flexion and extension range of motion exercises for the elbow, wrist, and fingers should be started. These can be started a day or two after your shot depending on your symptoms.
  2. Shoulder pendulum exercises.
  3. Active-assisted Shoulder flexion. This can either be done using your other arm or with the help of a stick.
  4. Similarly, Active-assisted Shoulder extension.
  5. Gentle scapular retractions.

Are you ready to start exercising your shoulder? Reflex: Shoulder Mobility App 

The Reflex App allows you to measure your shoulder’s range of motion and track pain. As your shoulder recovers from the cortisone shot, you can keep track of your pain levels and monitor your range of motion recovery. You can access gentle shoulder exercises in the app and move on to strength and mobility exercises as your shoulder heals.

Image shows iOS app for measuring shoulder range of motion after broken shoulder
Reflex is an iOS app that allows you to measure and track your shoulder’s range of motion. You can use Reflex to see how a cortisone shot affects the range of motion in your shoulder.

 

 

More on Cortisone Shots

1. What happens if a cortisone shot in the shoulder doesn’t work?

2. How long does a cortisone shot last in the shoulder?

3. Side effects of a cortisone shot in the shoulder

4. How soon can I exercise after a cortisone injection in the shoulder?

5. Will a cortisone shot help a torn shoulder labrum?

6. How painful is a cortisone shot in the shoulder?

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Side effects of a cortisone shot in the shoulder https://reflexhealth.co/shoulder/cortisone-shot/side-effects-of-a-cortisone-shot-in-the-shoulder/ Thu, 06 Oct 2022 10:36:20 +0000 https://reflexhealth.co/?p=11582 The most common adverse effects include: Pain, Skin Atrophy, Cartilage Damage, Gastrointestinal reactions, Hyperglycaemia, and Osteoporosis

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The usefulness of corticosteroids is limited despite their notable potency due to their numerous side effects. The negative effects of corticosteroids seem to be correlated with both their cumulative duration and average dose. More commonly, adverse effects are more frequent at greater dosages and with chronic use.

The most common adverse effects of cortisone shots in the shoulder are:  

  • Pain: Pain after a cortisone shot at the area of insertion of the needle is a common temporary side effect
  • Skin atrophy and Depigmentation: Cortisone use induces skin atrophy, leading to thinning and fragility of the skin
  • Gastrointestinal reactions: Multiple gastrointestinal effects correlate with corticosteroid therapy, including gastritis, peptic ulcer disease, and abdominal distention may occur
  • Cartilage damage: Cortisone shots cause damage to the cartilage forming cells with destruction and thinning of joint cartilage with a decrease in cartilage cell growth and repair
  • Hyperglycaemia: Cortisone injections are the most common cause of drug-induced diabetes mellitus. Corticosteroid treatment also increases insulin resistance in patients with diabetes mellitus.
  • Osteoporosis: Corticosteroids have also been shown to cause a decrease in bone formation

Reflex: Shoulder Mobility App 

Monitor pain and shoulder range of motion using the Reflex app on iOS.

Image shows iOS app for measuring shoulder range of motion after broken shoulder
Reflex is an iOS app that allows you to measure and track your shoulder’s range of motion. You can use Reflex to see how a cortisone shot affects the range of motion in your shoulder.

 

 

More on Cortisone Shots

1. What happens if a cortisone shot in the shoulder doesn’t work?

2. How long does a cortisone shot last in the shoulder?

3. Side effects of a cortisone shot in the shoulder

4. How soon can I exercise after a cortisone injection in the shoulder?

5. Will a cortisone shot help a torn shoulder labrum?

6. How painful is a cortisone shot in the shoulder?

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How long does a cortisone shot last in the shoulder? https://reflexhealth.co/shoulder/cortisone-shot/how-long-does-a-cortisone-shot-last-in-the-shoulder/ Thu, 06 Oct 2022 10:30:12 +0000 https://reflexhealth.co/?p=11581 The main reason for this could be that the injection has failed to reach the specific target tissue. Usually, to avoid this, doctors use X-ray or ultrasound-guided techniques.

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Studies have shown a significant improvement in outcomes for corticosteroid injections in the shoulder. The effects are significant at 4 to 6 and 12 to 16 weeks post intervention and may last as long as 24 to 26 weeks. 

That being said, patients’ responses to corticosteroid injections vary significantly. Patients with diabetes may find less relief from the corticosteroid injection as compared to non-diabetic patients. 

Another factor affecting the duration of the cortisone shot is the technique of delivery. It is currently unclear whether image-guided injections relieve shoulder pain more effectively than landmark-guided injections. More high-quality prospective studies are needed to define the role of ultrasound guidance.

Research has also found that combined corticosteroid injection and physiotherapy treatment may result in more significant improvements in SPADI score (a questionnaire used to measure shoulder function. Higher the score, better the function of the arm) and range of motion of the shoulder. 

This would make sense because the steroid simply reduces inflammation and helps with pain relief. If the primary cause of pain is muscle imbalance or weakness, it needs to be corrected.

Measure your shoulder range of motion over time using our App

Image shows iOS app for measuring shoulder range of motion after broken shoulder
Reflex is an iOS app that allows you to measure and track your shoulder’s range of motion. You can measure your shoulder’s range of motion after getting  cortisone shot.

 

More on Cortisone Shots

1. What happens if a cortisone shot in the shoulder doesn’t work?

2. How long does a cortisone shot last in the shoulder?

3. Side effects of a cortisone shot in the shoulder

4. How soon can I exercise after a cortisone injection in the shoulder?

5. Will a cortisone shot help a torn shoulder labrum?

6. How painful is a cortisone shot in the shoulder?

The post How long does a cortisone shot last in the shoulder? appeared first on Siphox Health.

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What happens if a cortisone shot in the shoulder doesn’t work? https://reflexhealth.co/shoulder/cortisone-shot/what-happens-if-a-cortisone-shot-in-the-shoulder-doesnt-work/ Thu, 06 Oct 2022 10:23:37 +0000 https://reflexhealth.co/?p=11555 The main reason for this could be that the injection has failed to reach the specific target tissue. Usually, to avoid this, doctors use X-ray or ultrasound-guided techniques.

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Cortisone injections make up a very important part of the treatment of shoulder injuries as it is a potent anti-inflammatory medication. In combination with active rehabilitation, these injections can improve your symptoms. Acute inflammation (like acute bursitis) and degenerative joint and tendon disorders are two common musculoskeletal ailments that can benefit from cortisone injections.

What happens if a cortisone shot in the shoulder doesn’t work?

It is not uncommon for the cortisone shot to not work. Every patient responds differently to different treatments and thus, this does happen.

The main reason for this could be that the injection has failed to reach the specific target tissue. Usually, to avoid this, doctors use X-ray or ultrasound-guided techniques.

Since cortisone is primarily an anti-inflammatory, it will work only if there is an inflammation to suppress. If the primary aetiology of the pain is not inflammation, a cortisone shot may not prove to be beneficial.

Sometimes, a single dose of cortisone is not enough. In this case, the doctor may decide to try a second injection. This is usually done four to six weeks after the first injection. However, it must be noted that cortisone does not heal the underlying pathology so symptoms may flare up after the effect of the steroid subsides.

Cortisone shots should reduce pain and inflammation in the shoulder, which means increasing your shoulder’s range of motion.

Click here to measure your shoulder range of motion using Reflex: Shoulder Mobility App

Image shows iOS app for measuring shoulder range of motion after broken shoulder
Reflex is an iOS app that allows you to measure and track your shoulder’s range of motion. You can use Reflex to see how a cortisone shot affects the range of motion in your shoulder.

 

 

 

More on Cortisone Shots

1. What happens if a cortisone shot in the shoulder doesn’t work?

2. How long does a cortisone shot last in the shoulder?

3. Side effects of a cortisone shot in the shoulder

4. How soon can I exercise after a cortisone injection in the shoulder?

5. Will a cortisone shot help a torn shoulder labrum?

6. How painful is a cortisone shot in the shoulder?

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KT Tape & Shoulders https://reflexhealth.co/shoulder/kt-tape-shoulders/ Thu, 08 Sep 2022 07:19:44 +0000 https://reflexhealth.co/?p=11412 Have you ever looked at a rugby player running down the pitch, or sprinter in the 100m covered in colourful […]

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Have you ever looked at a rugby player running down the pitch, or sprinter in the 100m covered in colourful and often beautifully applied tape and wondered how on earth that could be helping them? Well, you are not the first person, and you definitely shall not be the last. That all being said, I am about to answer the key questions you may be thinking about KT tape. I shall specifically use the shoulder as an example of how and where you can apply it.

 

What is kinesiology tape? 

Kinesiology tape, KT tape, K-tape are all words and phrases used interchangeably for this sticky fabric that claims to support joints, reduce injuries and pain. Kinesio tape is made up of a blend of cotton and nylon. It’s designed to mimic the skin’s elasticity so you can use your full range of motion whilst it is applied. The tape is also water-resistant and strong enough to stay on for 3 to 5 days (sometimes longer), even while you go to the gym, sweat or take showers. When the tape is applied to your skin, there is an applied tension on the tape which in turn recoils slightly, gently lifting your skin. This is where the physiological foundation for joint support, reduction of pain and decreased swelling comes from.

 

Where did kinesiology tape come from? 

KT tape has been used for many decades, invented by Kenzo Kase in the late 1970s who wanted to create a tape that supported the joints but didn’t inhibit movement the way in which most standard tapes did.

 

When did kinesiology tape start being used? 

KT tape has been used since its invention in the 1970s but it really started to become popular at the Beijing Olympics in 2008, and then shot to fame when it was used throughout the London 2012 Olympics, in almost every sport! Rumours have it that Kenzo Kase donated 6,000 metres of the tape to the London Olympics Committee.

 

Does KT Tape work? 

Is Kinesio Tape just for show, and is one big hype?

So the positive news is that KT tape actually has some use, and isn’t entirely for illustration purposes! Evidence shows a pain relieving quality, whether that is placebo or otherwise – but to us that is not necessarily important. I know taping is often completely dependent on personal preference, but at the very least we can agree it is relatively cheap, safe, and easy to use! The conclusion on the science behind KT tape would be that it largely comes down on no. Scientifically, it does not stand up.

However, from a user point of view, there are many user benefits that make many an evidence-based Physiotherapist consider KT tape and then use it, despite the science being clear there is no backing to it! Why? Because there are consistent findings of a perceived confidence boost, as well as a reduction in pain during activity.

How does KT Tape work? 

So how is KT tape supposed to work? In short, it uses the tension applied by the health professional or user to the tape to provide a stability factor, as well as activating the sensory aspect of the skin through this tension.

KT tape also claims that it works through these 4 channels;

Influences pain via peripheral neuromodulation 

    • KT tape changes the pain interpretation by the brain due to a new, continuous sensation on the skin.

Improve proprioceptive feedback

    • KT tape helps the brain know where limb positions are due to more skin contact points created by the tape.

Enhance joint sensorimotor control

    • The KT tape provides tension around the joint giving a perceived increased level of control.

Restore adequate muscle function

    • Now this one I am not able to interpret for you… It claims to do some voodoo magic and move muscles into ‘proper positioning’ is not something I can translate…!

To conclude

With Physiotherapists being evidence-based by nature, it is a significant challenge to get on board with the scientific point of view when so many studies compare tape use to a sham/control and find no significant difference. However, from a purely user point of view – “if it helps, it helps!” – whether it is placebo, mental imagery or other, if it reduces pain levels, helps increase performance and it is legal… why wouldn’t we use it, and encourage its use? All that to say, from empirical experience there is a 50:50 divide between my patients between love & apathy for KT tape.

To round up, if you have pain in your shoulder, or elsewhere, using KT tape would most definitely be worth a try in my opinion. It should also be stated that this should always be used in combination with a tailored rehab programme to get your shoulders back healthy and doing the things you love! 

If you have an injury, and not sure where to begin, book in for a free Physio consultation with me.

If you enjoyed reading this article, and learnt something, do let us know in the comments below. We would love to hear any questions you may have, or feel free to share it with friends on your social media of choice – and give us a tag! We would love to see the waves it makes.

 

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How to Use a Massage Gun on Your Shoulder https://reflexhealth.co/shoulder/how-to-use-a-massage-gun-on-your-shoulder/ Mon, 29 Aug 2022 13:58:26 +0000 https://reflexhealth.co/?p=11400 Using a massage gun on your shoulder can help improve blood circulation and reduce pain and inflammation. Massage guns are […]

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Using a massage gun on your shoulder can help improve blood circulation and reduce pain and inflammation. Massage guns are a great way to give yourself a quick and easy massage, and can be used on any part of the body that is experiencing pain or inflammation. 

 

What is a massage gun and what are its benefits? 

A massage gun is a handheld device that uses percussive, vibration therapy, or both to provide the effects of a myofascial release. 

  1. Massage guns are a great way to relieve muscle pain and stiffness, by  improving the blood circulation to the tired and taut muscles.
  2. The increased blood supply facilitates the removal of waste products and other metabolites like lactate thereby improving the recovery of the muscles.
  3. They are also used to relieve the Delayed onset of Muscle Soreness(DOMS),  and as a pre-workout therapy to increase muscle performance.

Massage guns are relatively new devices, but they have quickly become a popular choice for people looking for a quick and easy way to give themselves a massage, decrease pain and facilitate their recovery.

 

How to use a massage gun on your shoulder

To use a massage gun on your shoulder, start by finding a comfortable position. You can sit or stand, but you must be able to keep the gun steady and perpendicular to the part you are trying to massage while you’re using it. Next, place the massager head against your skin and turn on the device. Start with a low setting and gradually increase the intensity as needed.

The shoulder region has many small and large muscles which get painful at specific points. Also, many sensitive tissue areas are present which might get sore quickly with a high-pressure massage compared to the lower body. For example, it is difficult to use a massage gun on a pectoral, axilla, or around the adjoining neck region, especially with a pointed head.

Small and sensitive muscular structures: Upper trapezius, Pectorals, and Subscapularis

 It is better to massage gently with lower amplitude and frequency in these areas with a flatter head, especially if you are trying out for the first time. A better option can be using a vibrating massage ball for self-myofascial release compared to pointed percussive guns in these areas.

Large muscles with relatively less sensitivity:

On a  large surface area, a vibration gun can be therapeutic on the bigger muscles of the shoulder like the latissimus dorsi and upper trapezius. 

You need to manoeuvre the device in different parts, hence a good ergonomic  handle is a must. Try to take the massager overhead and try to massage your upper trapezius, ideally it should not strain your shoulder much.

For large muscles, a vibratory foam roller can also serve well,  as you can lie down sideways and actively release your tight latissimus dorsi.

Posterior Shoulder muscles:

The smaller posterior deep muscles like the rhomboids, middle trapezius, teres major, and minor are difficult to reach by oneself and can be better massaged with help from an assistant or a friend. A prone position gives better access to these muscles as these muscles are covered by the larger muscles latissimus dorsi and trapezius.

The superficially placed deltoids:

The deltoids can be easily massaged by you by a massage ball, but the posterior deltoid might become difficult to massage by self and might require some assistance.

The subscapularis, the most common muscle to get tight quickly and limit the external rotation, is also difficult to massage by oneself with a gun. An overhead position of the hand and just massaging the outer aspect of the armpit,  at the outer border of the scapula can help to a certain extent. But in this case, a therapist-guided vibration therapy or a self-myofascial release with a ball can help better.

Does a massage gun help with shoulder recovery?

If you have a shoulder injury, recovery is measured by range of motion and pain. Full recovery means you can move your shoulder through its full range of motion without pain. Measure your shoulder recovery with Reflex: Shoulder Mobility App.

Siphox Health App Images: Summary, History, Progress
Measure Shoulder Range of Motion using your iPhone. Track pain, sleep, and get recommended exercises based on your shoulder ROM.

 

What to look for when buying a massage gun

When choosing a massage gun, it’s important to consider the following factors:

Whether it is a percussive or a vibration-based massager device: 

This can be understood concerning the treatment head shape. A vibration device head is generally flat, while that of a percussive device is pointed or rounded to drive it further in.

Whether it’s for a self-use or professional use:

A personal use too can be very simple and easy to carry, keeping in mind the specific muscles of the shoulder which are tight.

For professional use, chiropractors, physios, and athletic trainers, a set of tools can help in customising the experience of their clients for the specific muscles.

Intensity: 

Massage guns come with different amplitudes and frequency levels, so be sure to choose one that’s appropriate for your needs. If you’re new to using massage guns, it’s a good idea to start with a lower setting and work your way up.

A good massage device has a frequency setting of 10 to 60 Hz with 2 to 6 mm of amplitude penetration.

The build and the body of the device: 

A metallic body and a sturdy head help deliver the pressure at a suitable frequency. Some massage guns have heads fully made of plastic which can give away with an added pressure. 

The foam rollers and massage balls with vibratory function can be used for specific muscles without much use of hands, and are easy to carry.

Massage Head: 

The flat metallic head with a bigger contact surface area is helpful for the larger muscles of the body. The flat head goes well in delivering the vibrations at a higher frequency than the percussive device, but a percussive device has the benefit of deeper mechanical stimulation. The use of massage oils and inflammatory creams is easier with flat heads compared to rounded and pointed ones.

The percussive devices come with a variety of heads, which can be used on different body parts, depending upon the girth of the muscles. The pointed heads can be used on the deeper muscles like pyriformis, upper trapezius, and underlying layers of latissimus dorsi. The split-pointed head can be used for erector spinae muscles alongside your spine.

You need to adjust the intensity and the treatment head according to the pain or soreness you are feeling around the shoulder joint.

Battery life: 

Massage guns can be plugged into the plug socket or have batteries installed that are rechargeable. High end massage guns tend to have longer battery life, whereas low price options will need to be charged more frequently. For home use, most massage guns can provide sufficient battery charge to treat yourself, even the low end models. 

Weight and Ergonomic design: 

Massage guns can vary significantly in terms of weight, so be sure to choose one that’s comfortable for you to hold.

Noise level: 

Some massage guns are louder than others. If this is an issue, you may find it’s worth spending a little extra for quiet or ultra quiet models. 

Heat/Cold temperature option: 

Some massagers have the control to adjust the temperature of the moving head. It is an add-on, but not an essential one if on a tight budget.

Price: 

Massage guns can range in price from around $50 to $500, so be sure to choose one that’s within your budget.

 

What are the types of self-massage devices available in the market?

There are two types of massage devices available in the market.

The vibration therapy and percussive therapy-based massagers.

Some messages have both, percussive and vibratory controls in a single device.

These massagers come in different shapes, sizes, and added functions of temperature modulation.

Heating pads or sleeves are also designed to give vibration therapy, which can be worn as a wrap around the joint and extremities. 

Vibrating foam rollers are available, which can be rolled along the body parts and kept statically at points of tissue restrictions, to deliver vibrations at those points.

 

What is the difference between Vibration therapy and Percussive therapy massage?

Vibration therapy is based on delivering waves of oscillation that travel inside the body, among the different tissues, and bring about changes in blood circulation. The heads of the devices are generally flat and metallic, and generally deliver higher frequency waves than a percussive device.

Percussive therapy also uses vibrations, but the heads of the devices are designed in more of a rounded and pointed way to penetrate deep into the tissue in form of a piston movement. Percussive therapy can be thought of as combining the parts of conventional massage and vibration therapy.

Vibration therapy has been extensively studied and a vast literature exists to prove its efficacy, while the percussive therapy devices have been recently innovated and research is still an ongoing process.

 

What is the difference between the Amplitude and Frequency of the massage gun?

Frequency and Amplitude are both the variables of a massage device that determine the intensity of the massage.

Frequency is the rate of repetition of cycles of oscillations delivered to the body per minute. It is measured in Hertz (Hz). Low-frequency guns have frequencies from 15 to 50 Hz, while high-frequency guns have a frequency from 100 to 170 Hz.

Amplitude is the extent to which oscillatory movement happens in terms of displacement away and towards the body. It is measured in millimetres(mm).

Before buying a gun do get a trial of different frequencies and amplitudes to understand what suits you the best.

Best Massage Guns

Vibration Therapy Massage Guns

MedMassager Chiropractic Body Massager

Hyperice Hypersphere Mini – Vibrating Massage Ball for Muscle Recovery, Myofascial Release and Soreness Relief

Theragun | Wave Roller | Vibrating Foam Roller for Full-Body | Bluetooth Enabled

Brookstone Max Hot & Cold Vibration Massager

Percussive Therapy Massage Guns

Hypervolt Bluetooth, Featuring Quiet Glide Technology – Handheld Percussion Massage Gun

LifePro Sonic Pro Percussion Massage Gun Deep Tissue Percussive Back Massager Device for Pain Relief

LAIRLUX All-New Massage Gun|Percussion Massage Gun Deep Tissue|Muscle Massage Gun for Athletes|with Rotating Arm

Theragun Elite – Handheld Electric Massage Gun – Bluetooth Enabled Percussion Therapy Device for Athletes – Powerful Deep Tissue Muscle Massager with QuietForce Technology – 4th Generation

Alternative Devices for Shoulders 

Hyperice Shoulder Cold Therapy – Left

Lifepro Sonic LX Quiet Pro Percussion Massage Gun, and Waver Vibration Plate Exercise Machine Bundle

HoMedics Thera-P Hot & Cold Handled Variable Speed Massager with 8 Custom Attachment for Sore or Overworked Muscles

Heated Shoulder Brace Wrap,Portable Electric Wireless 3 Heating Setting Infrared Pad Strap with Hot Cold Therapy for Rotator Cuff, Frozen Shoulder

 

 

FAQs about massage guns

Q: Can massage guns be used on all parts of the body?

A: Yes,  one can use massage guns on any part of the body that is experiencing pain or inflammation. The intensity and treatment head of the massage gun should be adjusted Depending upon the part of the body, span, and girth of the muscle. 

 

Q: How often should I use a massage gun?

A: There is no one-size-fits-all answer to this question, as it will depend on your individual needs. If you’re using a massage gun to relieve pain or stiffness, as a recovery drill you may want to use it several times per day. If you’re using it for general relaxation, once or twice per week may be sufficient. 

 

Q: How long should I use a massage gun on each area of my body?

A: Again, there is no one-size-fits-all answer to this question. However, a general rule of thumb is to massage each area moving for 2 to 10 seconds for 3 to 5 minutes in case of a pre-workout activation. In case of very tight muscles, 10 to 30 minutes with the use of oils and creams can help in recovering faster.

 

Q: Are there any side effects associated with using a massage gun?

A: Some people may experience minor bruising or redness after using a massage gun, but this is typically temporary and will resolve on its own. If you have any concerns, be sure to speak with your doctor before using a massage gun.

The post How to Use a Massage Gun on Your Shoulder appeared first on Siphox Health.

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Subscapularis tendon tear: causes, treatment, and symptoms https://reflexhealth.co/injury/rotator-cuff/subscapularis-tendon-tear/ Fri, 12 Aug 2022 08:19:29 +0000 https://reflexhealth.co/?p=11230 A subscapularis tendon tear is a tear of the subscapularis tendon. This tendon attaches the subscapularis muscle to the upper arm bone (humerus). It helps to rotate the arm inward and stabilize the shoulder joint. A tear of the subscapularis tendon can cause pain and difficulty rotating the arm.

The post Subscapularis tendon tear: causes, treatment, and symptoms appeared first on Siphox Health.

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Subscapularis tendon tears are a common injury, especially among athletes. However, they can occur in anyone who uses their shoulder muscles extensively. The subscapularis tendon attaches the subscapularis muscle to the upper arm bone (humerus). It helps to rotate the arm inward and stabilize the shoulder joint. A tear of the subscapularis tendon can cause pain and difficulty rotating the arm. The subscapularis muscle is one of the four Rotator Cuff muscles. 

 This blog will provide information about subscapularis tendon tears – what they are, how they are caused, and how to treat them – as well as ways to prevent them from occurring.

 

Subscapularis Tendon Tear, diagram shows subscapularis in the shoulder joint
By National Institute Of Arthritis And Musculoskeletal And Skin Diseases (NIAMS); SVG version by Angelito7 – Shoulderjoint.PNG, Public Domain, https://commons.wikimedia.org/w/index.php?curid=29907860

What is a subscapularis tendon tear and what causes it

A subscapularis tendon tear is a tear of the subscapularis tendon. This tendon attaches the subscapularis muscle to the upper arm bone (humerus). It helps to rotate the arm inward and stabilize the shoulder joint. A tear of the subscapularis tendon can cause pain and difficulty rotating the arm.

There are two types of subscapularis tendon tears:

Partial Tear

A partial tear is a small tear that does not completely sever the tendon. These tears are often the result of overuse or repetitive motions.

Complete tear

A complete tear severs the tendon completely. These tears are often the result of a single, traumatic event.

Symptoms of subscapularis tendon tear

The most common symptom of a subscapularis tendon tear is pain. This pain is often located near the shoulder joint and may radiate down the arm. Other symptoms include:

– Weakness in the shoulder

– Difficulty moving the arm

– Tenderness when touching the shoulder

– Swelling in the shoulder

– Bruising in the shoulder

 

How to prevent subscapularis tendon tears

There are several things you can do to help prevent subscapularis tendon tears:

– Make sure you warm up properly before any physical activity. This will help to loosen the muscles and prepare them for exercise.

– Stretch the muscles around the shoulder joint regularly. This will help keep them flexible and less likely to tear.

 

How to treat subscapularis tendon tears

If you have a subscapularis tendon tear, there are several things you can do to help treat it:

– Rest the shoulder joint as much as possible. This will allow the tendon to heal.

– Ice the shoulder joint regularly. This will help to reduce inflammation and pain.

– Apply compression to the shoulder joint

 

How subscapularis tendon tears can affect shoulder range of motion

 

Subscapularis tendon tears can affect shoulder range of motion in several ways. First, a tear in the subscapularis tendon can cause pain and inflammation, which can limit the range of motion in the shoulder joint. Second, if the subscapularis tendon is severely torn, it may not be able to function properly, which can also limit the range of motion in the shoulder joint. Finally, if the subscapularis tendon is completely torn, it will need to be surgically repaired, which will require a period of immobilization and physical therapy to regain full range of motion in the shoulder joint.

 

Using the Siphox Health app to measure subscapularis tendon tears

The Siphox Health app is a great tool for measuring subscapularis tendon tears. The app allows you to track your pain levels and range of motion so you can see how your injury is healing over time. It also provides helpful tips and exercises to help you recover from your subscapularis tendon tear.

The post Subscapularis tendon tear: causes, treatment, and symptoms appeared first on Siphox Health.

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What is Normal Range of Motion for Shoulder https://reflexhealth.co/shoulder-range-of-motion/what-is-normal-range-of-motion-for-shoulder/ Sat, 21 May 2022 15:47:15 +0000 https://reflexhealth.co/?p=10718 The post What is Normal Range of Motion for Shoulder appeared first on Siphox Health.

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The normal shoulder range of motion is 157° -162° for Forward Flexion, 148°-152° for Abduction, and 53° – 59° for External Rotation.

BMC Musculoskeletal Disorders, 2020

You should be able to move your shoulder in all directions-forward, backward, up and down without any pain or discomfort. If you are experiencing pain or a decrease in range of motion, it is best to consult with a doctor to determine the root cause of the problem and the best way to treat it.

 

What is normal shoulder range of motion?

The American Academy of Orthopedic Surgeons (AAOS) stated that the normal range of motion in shoulder is 180° for flexion, 180° for abduction, and 90° for external rotation1.

However, this study was published in 1965 and the methods of measuring the shoulder range of motion of the participants is not specified.

 

More recent studies have shown that:

normal range of motion is less than 180° for flexion and abduction, and less than 90° for external rotation

 

The charts below show the data from the BMC Muscoskeletal Disorders study for Forward Flexion, External Rotation and Abduction. The data can be found here

Normative Shoulder Range of Motion Data

Average range of active shoulder flexion, abduction and external rotation was measured in a population cohort aged 20 years and over to provide normative shoulder range of motion data.

What is Normal Shoulder Abduction Range of Motion? 

Abduction is the outward and upward movement of your arms from rest. 

The normal shoulder range of motion for abduction for males and females is 148°-152°.

The highest ROM for abduction for males is 159º, recorded at 20-24 years of age. The ROM for abduction decreases as far as 119º for males aged 85+. 

The highest ROM for abduction for females is 159º, recorded at 35-39 years old in their right arm. Interestingly, this shows an increase in abduction range of motion with age between 20 – 39 years old. The lowest abduction ROM for females is 115º measured at 80-84 years old in the left shoulder. 

You can see the full results for abduction range of motion of the shoulder in our  Abduction Range of Motion Charts Page

What is Normal Shoulder Flexion Range of Motion?

Forward Flexion is the forward and upward movement of the arm. The normal shoulder ROM is 157° -162° for Forward Flexion. 

The highest ROM for flexion in males is 174º, measured at 20-24 years of age in the right arm. The lowest ROM for flexion measured in the study is 130º, measured at age 85+ in the left shoulder. 

The highest ROM for flexion for females is 169º, also measured at 20-24 years of age and in the right arm. The lowest ROM for flexion for females is also 130º measured for participants aged 85+ in the left shoulder. 

You can see the full data for flexion ROM of the shoulder in our Range of Motion Charts page

 

What affects normal range of motion?

Age

Shoulder range of motion is affected by age. Generally, as people age their ROM decreases. However the results show that following a decrease in range of motion in their late 20’s, all cohorts showed an increase in range of motion in their 30’s. This could be due to lifestyle factors in the 20’s of younger adults entering the workforce, reducing their physical activity and therefore reducing their range of motion.

Entering their 30’s, adults may place higher importance on their health, and take appropriate actions to increase their wellbeing, such doing activities to increase their shoulder ROM.

The data for Abduction and External Rotation also show periodical increase in shoulder ROM with age, which further suggests that lifestyle choices can increase range of motion, and reduce the overall loss of ROM as we age.

Medical history

An individual’s medical history contributes to shoulder ROM- acute injuries have an immediate impact on shoulder range of motion, whereas medical conditions such as diabetes is linked to reduced range of motion.

Patients with diabetes are also more likely to develop frozen shoulder.

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