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12.21.2011

what is cause shoulder pain?

Shoulder pain is an extremely common complaint, and there are many common causes of this problem. It is important to make an accurate diagnosis of the cause of your symptoms so that appropriate treatment can be directed at the cause. If you have shoulder pain, some common causes include:

Shoulder arthritis is less common than knee and hip arthritis, but when severe may require a joint replacement surgery.

Biceps Tendon Rupture
A proximal biceps tendon rupture occurs when the tendon of the biceps muscle ruptures near the joint.

When do you need to call your doctor about your shoulder pain?
If you are unsure of the cause of your shoulder pain, or if you do not know the specific treatment recommendations for your condition, you should seek medical attention. Treatment of these conditions must be directed at the specific cause of your problem. Some signs that you should be seen by a doctor include:

Inability to carry objects or use the arm
Injury that causes deformity of the joint
Shoulder pain that occurs at night or while resting
Shoulder pain that persists beyond a few days
Inability to raise the arm
Swelling or significant bruising around the joint or arm
Signs of an infection, including fever, redness, warmth
Any other unusual symptoms

What are the best treatments for shoulder pain?

The treatment of shoulder pain depends entirely on the cause of the problem. Therefore, it is of utmost importance that you understand the cause of your symptoms before embarking on a treatment program. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment.
Not all treatments listed here are appropriate for every condition, but may be helpful in your situation.

Rest: The first treatment for many common conditions that cause shoulder pain is to rest the joint, and allow the acute inflammation to subside. It is important, however, to use caution when resting the joint, because prolonged immobilization can cause a frozen shoulder.
Ice and Heat Application: Ice packs and heat pads are among the most commonly used treatments for shoulder pain. So which one is the right one to use, ice or heat? And how long should the ice or heat treatments last? Read on for more information about ice and heat treatment.
Stretching: Stretching the muscles and tendons that surround the joint can help with some causes of shoulder pain. A good routine should be established, and following some specific suggestions will help you on your way.
Physical Therapy: Physical therapy is an important aspect of treatment of almost all orthopedic conditions. Physical therapists use different modalities to increase strength, regain mobility, and help return patients to their pre-injury level of activity. Some specific exercises may help you strengthen the muscles around the joint and relieve some of the pain associated with many conditions.
Anti-Inflammatory Medication: Nonsteroidal anti-inflammatory pain medications, commonly referred to as NSAIDs, are some of the most commonly prescribed medications, especially for patients with shoulder pain caused by problems such as arthritis, bursitis, and tendonitis.
Cortisone injections: Cortisone is a powerful medication that treats inflammation, and inflammation is a common problem in patients with shoulder pain. Discuss with your doctor the possible benefits of a cortisone injection for your shoulder pain condition.

Shoulder Pain Treatment Basics

Treatment Medications

Shoulder Pain Evaluation

Hot stones used for healing massage

The smooth, shiny stones piled in the corner of Doi Ku's Spa may seem unremarkable, but they are actually unique healing tools, used in the therapeutic massage known in Western culture as "La Stone".

Ku is the owner of Neurinamu Therapy near Hongik University in northern Seoul, popularly known as Hongdae, which offers a variety of therapeutic programs, including stone massage.

"These stones are made of basalt, and they come from the Andes Mountains in Peru,” she said. "It’s a type of dense, volcanic rock, high in iron-magnesium. This makes it an excellent conduit of energy for massage."

Stone massage has been in use for thousands of years in various cultures in India, China, and Hawaii. The technique typically involves placing heated, smooth basalt stones on specific points on the body. The volcanic rocks are believed to open up the energy channels of the body, also known as "Chakras" in accordance with ancient Ayurveda principles.

According to Ku, the therapy is believed to have numerous medical uses, as the heated stones penetrate the muscles, allowing for a “gentle but deep” tissue massage.

"Because the stones' warmth penetrates the muscles so well and relaxes them, it allows massage therapists to use deeper pressure with their hands," Ku explained. "The treatment improves blood circulation, relieves pain, releases toxins and restores balance in the body. This form of massage has been used to temporarily alleviate symptoms from painful diseases such as osteoarthritis, menstrual pain, and fibromyalgia, and if chilled, we can use the stones to treat inflammation."

Ku observes a slow increase in popularity of the treatment in Seoul.

"Many of my stone therapy clients are women suffering from menstruation related pain," she says. “But a large number use the therapy as a healthy means of re-balancing their mind and alleviating stress, coping with everyday aches and pains."

Prior to a session, the therapist will immerse stones in water and heat them in an electrical unit to achieve the proper temperature.

Temperatures typically range from 34-55 degrees Celsius. Heated oil is applied to the bare body so that the hot stones glide smoothly along the muscles.

"Each spa develops its own technique. We use lavender oil for our treatments, and we incorporate the hands more often than a convention La Stone therapist might. We believe the hands are the ultimate healing tools,” she said.

Clients are asked to lie face down. The massage therapist will then hold the heated stones and apply gentle strokes to massage the back. When the stones cool down, they are replaced.

"A typical session lasts for 80 minutes,” Ku said. "We serve herbal tea upon completion of a session; fluids are important after any massage. However, the most important thing to do is to focus on the moment. For that 80 minutes, your wellbeing is the most important thing in your life, and it's wonderful."

What Is Hot Stone Massage?

Hot stone massage is a specialty massage where the therapist uses smooth, heated stones, either as an extension of their own hands, or by placing them on the body while they massage other parts of the body. The heat can be both deeply relaxing and help warm up tight muscles so the therapist can work more deeply, more quickly. Watch a video of a hot stone massage.

The Origins of Hot Stone Massage

Hot stones warmed by fire were used by Native Americans to treat aching muscles, but the modern revival of hot stones in massage is generally credited to Mary Nelson, a native of Tucson, Arizona. She trademarked her style of hot stone massage, called LaStone Therapy, which has a Native American spiritual component and requires training and certification.
Most spas offer their own versions of hot stone massage (they might call it lava stone massage, river rock massage, and so on.) A hot stone massage, however, takes a lot of skill and sensitivity on the part of the therapist. One of my most memorable spa treatments was a hot stone massage. So was one of my worst. The therapist lacked finesse and I felt like an ironing board.

The quality of the treatment depends on how well the therapist has been trained, how skilled he or she is, and whether he or she enjoys doing the treatment. Some therapists don't like to do it because the hot stones are difficult to handle.

Even a terrific massage therapist can be so-so at hot stone. My best suggestion for making sure you get a great hot stone massage is to get a LaStone Therapy, because you know the therapist has been well-trained and has made a serious investment in training. You can also ask where the therapist learned hot stone massage, and how long he or she has been doing it.
This is also a treatment where you're counting on the spa and the therapist to be impeccable with sanitation, because those stones have been on someone else's body.

What Happens During a Hot Stone Massage?

Before you arrive, the massage therapist sanitizes the stones and heats them in bath of 120 to 150 degree water. The stones themselves are usually basalt, a black volcanic rock that absorbs and retains heat well, and have been smoothed by natural forces in the river or sea.

You usually start face down, with the therapist working on your back. First, the therapist warms up the body with traditional Swedish massage, then massages you while holding a heated stone. As the stone cools, the therapist replaces it with another. The therapist uses many stones of various shapes and sizes -- big ones on the big muscles, smaller ones on smaller muscles.

The therapist might also leave heated stones in specific points along your spine, in the palms of your hand, on your belly, or even between your toes to improve the flow of energy in your body. Many therapists believe that the stones themselves have an energetic charge and that needs to be maintained by placing them in a spiral pattern, placing them in a full moon periodically.
Be sure to speak up if the stones are too warm or the pressure too intense. And you can always ask them to stop using the stones if you don't like how it feels.

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Who Shouldn't Get Hot Stone Massage??
Hot Stone massage is not appropriate if you have diabetes, high blood pressure, heart disease, or are on medication that thins your blood. You shouldn't get a hot stone massage if you are pregnant or have a sunburn. You also may want to reconsider if you are menopausal, as it may trigger a hot flash.

Make The Most of Your Hot Stone Massage

TKOST HEALTH

Date of establishment : 2009

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