The Unhappy Shoulder: A Conceptual Review of the Psychosomatics of Shoulder Pain

Vogel, Matthias; Binneböse, Marius; Wallis, Hannah; Lohmann, Christoph H.; Junne, Florian; Berth, Alexander; Riediger, Christian

doi:10.3390/jcm11185490

Cited by 8 publications

(11 citation statements)

References 88 publications

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“…Хроническая боль в области плечевого сустава (ХБОП)серьезная медицинская проблема, одна из наиболее частых причин развития хронической скелетно-мышечной боли, утраты трудоспособности и снижения качества жизни в современной популяции [1][2][3]. Хотя боль в плече входит в круг профессиональных интересов представителей многих специальностей -ревматологов, травматологов-ортопедов, неврологов, терапевтов, реабилитологов, -четкие рекомендации по ее диагностике и лечению не разработаны.…”

Section: хроническая боль в области плечевого сустава (хбоп) -клиниче...unclassified

“…ХБОП -один из наиболее частых вариантов хронической скелетно-мышечной боли после неспецифической боли в спине и остеоартрита (ОА) коленных и тазобедренных суставов [4]. В современной популяции распространенность этого синдрома достигает 20-33% [3]. Согласно данным метаанализа 20 исследований (n=40 487), боль в плече возникает в 13,4-56,6% случаев [5].…”

Section: хроническая боль в области плечевого сустава (хбоп) -клиниче...unclassified

“…Согласно данным метаанализа 20 исследований (n=40 487), боль в плече возникает в 13,4-56,6% случаев [5]. Частота синдрома сдавления ротаторов плеча (ССРП), или субакромиального импинджментсиндрома, колеблется от 4,6 до 46,0% в зависимости от изучаемой популяции [3]. Адгезивный капсулит ПС поражает от 2 до 5% жителей Земли и наблюдается у 30% пациентов с сахарным диабетом (СД) 2-го типа 50 лет и старше [6].…”

Section: хроническая боль в области плечевого сустава (хбоп) -клиниче...unclassified

“…Необходимо оценивать динамику процесса. Так, для адгезивного капсулита ПС весьма характерна стадийность: нарастание функциональных нарушений на фоне стихания боли и прогрессирующее снижение объема движений ПС во всех плоскостях [1][2][3][4]31].…”

Section: дифференциальная диагностикаunclassified

“…Боль в плече может быть проявлением скелетно-мышечной патологии других отделов (в частности, шейного отдела позвоночника, миофасциального синдрома мышц спины и грудной клетки), фибромиалгии, а также носить отраженный характер (при патологии печени, желчного пузыря, верхушки легкого и плевры). Однако в этих случаях не будет четкой связи болевых ощущений в области плеча с активными/пассивными движениями и нарушением функции ПС [1][2][3][36][37][38][39].…”

Section: дифференциальная диагностикаunclassified

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Council of Experts: chronic shoulder pain as a multidisciplinary problem

Karateev¹,

Лила²,

Zagorodniy

et al. 2023

Sovremennaâ revmatologiâ

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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.

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Section: хроническая боль в области плечевого сустава (хбоп) -клиниче...unclassified

Section: дифференциальная диагностикаunclassified

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Council of Experts: chronic shoulder pain as a multidisciplinary problem

Karateev¹,

Лила²,

Zagorodniy

et al. 2023

Sovremennaâ revmatologiâ

View full text Add to dashboard Cite

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The impact of mental health conditions on clinical and functional outcomes after shoulder arthroplasty: a systematic review

Jochl,

Afetse,

Garg

et al. 2024

JSES Reviews, Reports, and Techniques

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Developing attributes and attribute-levels for subacromial pain syndrome: A systematic review and qualitative study

Tróndarson,

Storgaard,

Larsen

et al. 2024

Pain Medicine

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Background Subacromial pain syndrome (SAPS), the most common cause of shoulder pain, can be treated through different treatments with similar effects. Therefore, in terms of deciding on the right treatment fit, patient preferences need to be understood. We aimed to identify treatment characteristics that delineate interventions (attributes) and corresponding sets of specific categorical range (attribute-levels) for SAPS. Methods This multiple method study systematically reviewed both qualitative and quantitative studies on patient preferences for treatment of SAPS, which informed semi-structured interviews with nine clinicians and 14 patients. The qualitative data from the interviews was analyzed using the framework analysis formulated by Ritchie and Spencer. Attributes and attribute levels of the systematic review and interviews were summarized and categorized. Results The search resulted in 2.607 studies, 16 of which met the eligibility criteria. The review identified 120 potential attributes, which were synthesized into 25 potential attributes. Fourteen new potential attributes were identified through the interviews, equaling a total of 39 attributes across 11 categories. Levels for 37 attributes were identified through systematic review and interviews, we were unable to identify levels for two attributes. Conclusions This study identified attributes and attribute levels for the treatment of SAPS. There was a discrepancy in the frequency of the represented attributes between the literature and interviews. This study may improve the understanding of patient preferences for the treatment of SAPS and help individualize care. Our study informs a future discrete choice experiment and supports shared decision-making in clinical practice.

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The Unhappy Shoulder: A Conceptual Review of the Psychosomatics of Shoulder Pain

Cited by 8 publications

References 88 publications

Council of Experts: chronic shoulder pain as a multidisciplinary problem

Council of Experts: chronic shoulder pain as a multidisciplinary problem

The impact of mental health conditions on clinical and functional outcomes after shoulder arthroplasty: a systematic review

Developing attributes and attribute-levels for subacromial pain syndrome: A systematic review and qualitative study

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