Most tendinitis is the consequence of tendon wear that occurs gradually over time. 
It happens, for example, as the wear of the sole of a shoe that sharpens and rips through overuse. 
Tendons that become inflamed most often are:

The rotator cuff is composed of four muscles that cover the head of the arm bone and hold it attached to the shoulder. The rotator cuff helps provide stability to the joint.

Usually, tendinitis is of two types:

Acute . Athletes who play ball frequently with force or people who perform other activities with the arm above the head may suffer from acute tendonitis; Acute tendinitis usually affects young people. 
Those who practice bodybuilding in the gym should be careful to perform the exercises correctly and not exaggerate; otherwise they may damage the muscles and tendons.

Acute tendinitis is characterized by:

  • Severe pain,
  • Limitation of movement.

Chronic –  Swimming is a sport that overloads the shoulder a lot. It is easy for swimmers to have tendinitis of the long head of the biceps.

Some repetitive tasks can cause chronic tendonitis or tendinosis over time. 
In this case, adults are the most affected. 
The symptoms are pain in the front or outside of the shoulder that can extend up to the middle of the arm. Rarely occurs:

  • A limitation of movement,
  • Swelling in joints.

The most prescribed treatment is: rest and physical therapy  laser treatment and ultrasound ).

Kinesio taping biceps on right shoulder

Kinesio Tapingforbrachial bicepscontraction and long biceps head tendinitis
Action: Relaxing, draining and anti-inflammatory
Shape: a “Y” band. 
Length: from a few centimeters below the elbow to the acromion. 
Apply the tape without tension, extending the arm later.

Calcification shoulder
The calcific tendonitis is a disorder that causes calcium deposits within a tendon and occurs more frequently in rotator cuff tendons. The treatment of calcified tendonitis depends on the severity of the symptoms; usually, resolves with physical therapy and shock waves are indicated for this health problem. In some cases, surgery is required to remove calcification.

Shoulder pain due to tendon
rupture Disruption, or laceration of tendons, may be caused by:

  • Sudden trauma ,
  • Degenerative and gradual changes in tendons due to age and overuse.

These disruptions can be partial or total and can rupture the tendon in two parts. 
In most cases of complete injuries, the two parts of the tendon are pulled by the muscle and tend to move away. 
The lesions of the supraspinatus and biceps are among the most frequent. 
The symptoms are:

  • Pain during movement,
  • Pain in bed at night,
  • Limitation of movement, especially internal rotation.

Conservative treatment includes:

In case the medical therapy is not enough, after a few months from the beginning of the pain, a surgical procedure can be performed.

Shoulder Impact Syndrome
The shoulder impact occurs when the upper and outer scapula (acromion) tightens the underlying soft tissues during lifting of the arm relative to the body. 
The doctor often uses the term periarthritis to indicate this disorder. 
When the person lifts the arm, the acromium scrubs or conflicts with:

  • The tendons of the rotator cuff,
  • A bursa subacromial.

This can lead to tendonitis and bursitis, causing:

  • Shoulder pain on the outside when lifting the shoulder laterally, especially when the arm forms a 90 ° angle with the chest,
  • Limitation of movement of the shoulder.

Over time, a major trauma can also cause rupture of the rotator cuff. 
Swimmers often have shoulder disorders, in particular the subacromial impact syndrome due to overload of the shoulder joint.

Diffuse or generalized pain in the shoulder

Arthritis Shoulder Pain Shoulder
pain can also be caused by arthritis or inflammation of the tissues that make up the joint:

  • Synovial membrane,
  • Capsule,
  • Ligaments,
  • Cartilage.

The symptoms are:

It usually occurs after age 50. 
Other types of arthritis are related to:

  • The rupture of the rotator cuff,
  • Diabetes,
  • Autoimmune diseases such as rheumatoid arthritis ,
  • Joint capsule disease.

Often, people avoid shoulder movements in an attempt to reduce pain. 
This causes a closure or hardening of the soft parts of the joint, causing a painful limitation of movement.

The doctor prescribes medicines for the treatment of arthritis; if they are not sufficient, it is essential to follow a natural diet, for example, the vegan / raw  diet or the blood group diet .

Shoulder Arthritis
Many people believe that arthritis  is the most common cause of shoulder pain in the elderly. 
Osteoarthritis is degeneration of the joint that occurs with age and consists of:

  • Reduction of cartilage ,
  • Bone changes with formation of osteophytes or bony nozzles in the perimeter of the joint,
  • Formation of zones with a higher or lower concentration of calcium in the bone.

In some cases, osteophytes may form under the acromion and interfere with the synovial sac and the supraspinal tendon. 
If there is little space between the acromion and humerus, this excess tissue can cause inflammation and pain.

The joint between the scapula glenoid and the humerus does not suffer from arthrosis because:

  • The shoulder should not support the weight of the body, as should the hip or knee .
  • Older people with shoulder pain often have rotator cuff injuries and pain occurs on only one side.

Shoulder prosthesis interventions are very rare compared to those of the hip.

Shoulder fracture

shoulder fracture affects:

Shoulder fractures in elderly patients are often the consequence of a fall. 
Younger patients may fracture the shoulder with a high energy injury, such as, for example:

  • A car accident,
  • A violent sports trauma.

Fractures cause:

  • Pain (worsens with moisture),
  • Swelling,
  • A large hematoma in the individual’s shoulder and chest.

The clavicle fracture is usually caused by a fall on an extended hand. 
The rupture of the scapula is usually caused by a direct impact.


Adhesive capsulitis shoulder pain

The adhesive capsulitis or frozen shoulder usually occurs between 40 and 65; arthrosis occurs later after 60 years. 
Frozen shoulder is more common in people with diabetes and may also occur after prolonged immobilization. 
The pain spreads to the entire shoulder, especially upper and posterior.

The joint capsule of the shoulder:

  • Retrace or shorten,
  • Thickens (becomes thicker),
  • Some adhesions form between the fibers.

The consequences are pain and limitation of movement. 
The difference from other shoulder disorders is that the blockage of the movement is abrupt, as if it encountered a hard obstacle. 
Treatment involves:

  • Passive mobilization ,
  • Shockwaves ,
  • Injections of cortisone,
  • If these remedies are not enough, it is possible to use unblocking under anesthesia .

Another possible natural therapy is diet modification. 
A risk factor for this disease is diabetes and this allows us to understand the importance of feeding  also in shoulder disorders. 
natural diet without cereals (bread, pasta, bread sticks, pizza, rice, barley, oats, etc.) can help heal. 
It is advisable to replace cereals with:

  • Legumes,
  • Potatoes,
  • Pseudocereals, such as quinoa and amaranth.

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