| If you have ever woken up at night with a
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| | be suffering from a degenerative
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| painful shoulder, you're not alone. It's
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| | condition which is affecting a small
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| a very common complaint in the over 50s,
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| | joint located between the collarbone and
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| and could be hiding a more serious
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| | shoulder blade. Again, the majority of
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| problem, but one that could be dealt with
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| | patients can be helped with a course of
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| quickly and simply.
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| | Hydrocortisone injections.
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| Things that go bump in the night
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| | Patience is an unnecessary virtue -
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| It's a strange occurrence that shoulder
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| | Symptom 3
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| pain is generally much worse at night.
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| | Truly agonising pain and progressive
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| People often think that it's simply to do
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| | stiffness in the shoulder are symptoms of
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| with the fact that at night, the brain
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| | a 'frozen shoulder'. Extremely painful,
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| doesn't have anything else to concentrate
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| | the condition progresses in three stages.
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| on. However, although not yet fully
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| | The first 6-8 months is characterised
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| understood, there is a scientific reason
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| | predominately by pain, the second 6-8
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| that goes some way in explaining the
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| | months by pain and stiffness and the
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| phenomena. It's all related to our body's
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| | third, by mainly stiffness. Be warned,
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| natural rhythms, as our cortisol drops to
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| | this condition does not show up by X-ray
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| its lowest level in the early hours of
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| | or by scanning as both of these simply
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| the morning, so the pain increases.
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| | appear normal. The good news is that by
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| But if you are suffering, what can be
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| | 18-24 months the condition will have
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| done, and what is the probable cause?
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| | naturally run its course and resolved
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| Dread getting dressed - Symptom 1
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| | itself. If you think that you have a
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| Sufferers who have a combination of
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| | frozen shoulder and do not want to wait,
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| steady pain when the shoulder is at rest
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| | you may be able to benefit from a
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| and more intense pain when the arm is
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| | manipulation of the shoulder under
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| raised to shoulder height, for example,
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| | anaesthetic. This should break the
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| when reaching for objects from a shelf or
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| | natural cycle of events and help restore
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| even when driving, may be suffering from
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| | movement and reduce the pain.
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| a tendon injury. This is where the
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| | Grinding to a halt - Symptom 4
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| tendons have changed shape, which may
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| | Grating in the shoulder, together with
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| have happened for a number of reasons.
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| | progressive pain and stiffness, and a
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| Most sufferers of this type of shoulder
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| | restriction of all movements, could be a
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| problem can be helped with a series of
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| | sign of osteoarthritus. This is a
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| three Hydroctorisone injections.
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| | condition that needs to be managed and is
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| However, there is some effort required by
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| | best controlled with analgesics and
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| the patient, as an exercise regime will
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| | anti-inflammatories. Fortunately, only a
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| help to strengthen up the other muscles
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| | very few patients with this condition
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| in the shoulder to prevent them rubbing
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| | require shoulder replacements, and those
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| against the tendon.
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| | that do can be cheered by the fact that
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| Hands Up - Symptom 2
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| | this generally has excellent results.
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| Generally, if the type of pain you are
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| | So if your stirrings in the night are due
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| feeling is localised on the tip of the
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| | to a painful shoulder, don't hesitate. Go
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| shoulder, with pain most obvious when
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| | and see an orthopaedic surgeon. There's
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| lifting the arm straight upwards, you may
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| | really no need to live with the pain.
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