Shoulder pain

By Trainer Sebastiano Sessa

The shoulder: great mobility, great vulnerability

Shoulder injuries are quite common. A personal trainer should recognize them and apply a correct training protocol.

A Personal Trainer, in front of a client with shoulder pain, will notice that this is often the consequence of instability that makes it degenerate. A painful shoulder can be the symptom of an injury. If the client has shoulder pain, in my opinion the pain falls into these types which I describe below and list:

HUMERAL SCAPULAR PERIARRITIS

The Periarthritis Scapolo Humerus is an inflammatory disease that involves the fibrous tissues surrounding the joint: tendons, serous bursae and connective tissue.

Periarthritis occurs gradually and insidiously, first with light pains and then with increasingly evident symptoms.

Shoulder pain is often at night, accompanied by difficulties in making even the most trivial movements, such as combing, shaving, etc. With time, fibrous adhesions can form which, if neglected, lead to the almost total blockage of the joint.

INSTABILITY

Scapulohumeral instability is the condition in which excessive translation of the humeral head on the glenoid compromises joint function.

LAUGHING

It is a severe trauma and means that the humeral head has completely escaped from its anatomical site, ie from the glenoid cavity. It is one of the most significant traumas possible for the glenohumeral, whose resolution, however, involves surgery.

HEADSET OF ROTATORS

The Rotator Cuff is practically represented by the confluence of the subscapularis tendon, which forms its front part; of the subspino, which with the small round creates the back part; of the supraspinatus, which with the coraco-humeral ligament forms its upper part.

The insertion of these tendons builds a cuff around the humeral head, which allows to realize an infinite quantity of rotational movements.