SHOULDER INJURIES (BANKART LESION)
It is a problem encountered more intensely than other branches in branches such as volleyball, tennis, basketball, weightlifting, water polo and swimming where the shoulder is used extensively. This condition, called impingement, is a condition characterized by pain felt in the shoulder during shoulder or overhead activities. Patients who often complain of pain in the back of the shoulder express that the pain increases with throwing-throwing shoulder movement. The patient should be evaluated by a physician who specializes in shoulder. Examination and MRI (Magnetic Resonance Imaging) have an important place in diagnosis. Primarily, it is recommended to strengthen the rotator-cuff and scapula-related muscles with rehabilitation exercises. If results cannot be obtained following such a study, arthroscopic surgery may be recommended. Returning to sports activities after surgery requires a period of 6-8 weeks. Physical Therapy and Rehabilitation should begin immediately after surgery. Following treatment, athletes often achieve their pre-injury performance. In order to avoid such a problem, shoulder flexibility and strength should be brought to the level required by the activities. In addition, good warming and stretching should be done before exercise. ROTATOR CUFF It is the name given to the muscle group that includes the 4 muscles that adhere tendons around the shoulder. Among these muscles, the supraspinatus muscle is involved in lifting the shoulder, the subscapular muscle in the shoulder internal rotation (inward rotation), and the infrasupinatus and teres minor muscles in the external rotation of the shoulder (outward rotation). Rotator cuff tendinitis (inflammation of the tendon) or tear of the tendon as a result of overuse is a common problem in sports branches where the shoulder is used predominantly. The most common complaint is upper arm outer flank pain. Pain often increases at night and with overhead shoulder activities. Activities such as tennis and weightlifting are often painful. Clicking sound can be heard on the shoulder. Insufficient shoulder strength often results in rupture of the rotator cuff. The patient should be evaluated by a physician who specializes in shoulder. Examination and MRI (Magnetic Resonance Imaging) have an important place in diagnosis. 70% of patients can be treated without surgery. Activities that force the shoulder should be avoided during the treatment process. In line with the doctor's recommendation, anti-inflammatory drugs and cold applications are among the first things to do. After the pain is reduced to a certain extent, rotator cuff rehabilitation exercises can be started with the doctor's recommendation. The primary goal is to strengthen the tissue that remains intact, together with the scapular (shoulder blade) muscles. Physical Therapy agents may need to be added to the treatment to get results from the treatment. If no results are obtained despite serious rehabilitation, cortisone injection can be applied. The benefit of the injection is closely related to the experience of the physician who will do the injection. If no results are obtained after 2-3 months of treatment, surgical intervention may be considered. Following the surgery, rehabilitation should be started immediately under the supervision of a specialist physician. SHOULDER DISCHARGES AND INSTABILITY The shoulder joint is the most mobile joint in our body. Therefore, it is the most vulnerable joint against dislocations. The most common (95%) dislocation is the forward one (shoulder comes forward). Common complaints after dislocation are pain and numbness spreading to the arm. After getting out, it is necessary to apply to the nearest health institution (such as Napoleon) by suspending the shoulder without forcing, at least opening a button or two in front of the shirt and putting the hand in. During this period, cold can be applied to the shoulder area to reduce pain. The shoulder should be evaluated by a specialist physician as soon as possible. The course of treatment is related to the degree of dislocation and damage. If you frequently encounter shoulder dislocation problems, the shoulder should be evaluated by a specialist physician and an appropriate treatment program should be selected. POINTS TO BE CONSIDERED WHEN DOING THE WEIGHT STUDY In order not to encounter problems in weight training for the shoulder, there are technical points that should be considered. For example; To do the pull-down movement towards the front of the shoulder rather than the back of the shoulder, not to drop the elbows below the shoulder level in the bench-press movement, and the palm of the hand should be facing the face while holding the tool arm or bar in all kinds of movements.