Hard Shoulder
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 US NAVY HARD Shoulder Boards ADMIRAL 1 Star Lower Deck $55.00 Time Remaining: 3d 4h 6m Buy It Now for only: $55.00 |
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 US NAVY HARD Shoulder Boards LT COMMANDER Supply Corp $32.00 Time Remaining: 22d 4h 13m Buy It Now for only: $32.00 |
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 Navy Hard Shoulder Board 2 $9.99 Time Remaining: 25d 22h 7m Buy It Now for only: $9.99 |
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 RVN NAVY HQ THIU T LT CMDR SHOULDER HARD BOARDS $48.00 Time Remaining: 6d 13h Buy It Now for only: $48.00 |
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 Army Hard shell Medical Shoulder Bag stenciled with ABL 1962 $47.00 Time Remaining: 3d 12h 3m |
 US NAVY WHITE UNIFORM NEW LT CDR SHOULDER HARD BOARDS $39.95 Time Remaining: 9d 8h 44m Buy It Now for only: $39.95 |
 VINTAGE US NAVY WO2 HARD SHOULDER BOARDS EXCELLENT MADE BY WOLF BROWN $17.99 Time Remaining: 24d 5h 53m Buy It Now for only: $17.99 |
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 US NAVY WHITE UNIFORM LIEUTENANT SHOULDER HARD BOARDS $37.95 Time Remaining: 7d 8h 30m Buy It Now for only: $37.95 |
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 RVN NAVY CMDR HQ TRUNG T SHOULDER HARD BOARDS $51.00 Time Remaining: 19d 5h 14m Buy It Now for only: $51.00 |
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Hard Shoulder
Shoulder Pain - Why does my shoulder hurt from the Everett Clinic
The shoulder is a complex area of the body that includes many joints, tendons, ligaments, and muscles. When one small part breaks down or does not function properly, it can affect everything else around the shoulder and cause many different problems. When this happens, your body uses pain to tell you something is not working correctly. Such pain can range from a small, occasional ache to a severe, constant pain that keeps you awake at night.
The most common causes of shoulder pain are impingement syndrome, rotator cuff tendon tears, shoulder arthritis, frozen shoulder, and biceps tendon tears. Some patients have more than one of these problems, so your doctor will need to know the details of your symptoms, perform an examination, and sometimes order special tests in order to make the correct diagnosis.
Impingement syndrome is the most common cause of shoulder pain. Patients with impingement syndrome experience pain when they raise their hand above their shoulder or out to the side. It can also cause pain and stiffness when a patient reaches behind his back, or tries to reach toward his other shoulder. In severe cases, the shoulder pain is more bothersome at night and can wake the patient up if he rolls onto the painful side. When asked to point to the pain, the patient will either indicate one or two spots on the front of the shoulder, or put his whole hand over the side of the shoulder. Because they feel pain radiating down the arm or up toward the neck, some patients worry that the nerves are also injured, but this is not the case. The nerves are normal, but the pain from the shoulder can spread all the way down the arm.
Every time we move our shoulders, the shoulder muscles pull on the rotator cuff tendons. These tendons can wear out, just like any other part of the body, and when they do, they can start to cause pain. The rotator cuff tendon has a soft tissue bursa (a small pouch) that protects the tendon from injury. If that bursa becomes inflamed or worn out, the tendon can become damaged and cause pain. Pain can also be caused by bone spurs growing over the rotator cuff tendons. This is part of the normal aging process, although it is less common than damage to the bursa. Such bone spurs can rub against the bursa and irritate the rotator cuff tendons. The pain occurs when the arm is raised to shoulder height, because that is the position where the rotator cuff is strained the most.
The first step in treating impingement syndrome is to try to understand its cause. Repetitive physical activities can injure the rotator cuff, and so can recurring shoulder positions in which the arm is held overhead or to the side. These activities and positions must be avoided so that the tendon can rest and heal. The rotator cuff can also wear out when it is placed under abnormal stress. This occurs when the patient neglects to use the other muscles in his shoulder when lifting heavy things. Learning the proper technique for lifting objects, with the correct posture of the back and shoulder blades, will take stress off of the injured rotator cuff tendon and allow it to heal. Once the tendon is no longer irritated and inflamed, the muscles attached to the rotator cuff tendon can be exercised. This is an important step.
A common misperception of physical therapy is that it will not benefit patients who already participate in demanding sports or heavy-duty jobs. "I already lift 50 lbs all day at the construction site. Physical therapy isn't going to make me stronger than my job already does." This type of perspective is like that of a pitcher who thinks he can make it to the major leagues just by pitching as many inning as he can. The shoulder depends on a lot of other muscles in the body, including those in the hips, abdomen, and back for core strength. If those muscles are not conditioned, then the shoulder muscles have to work twice as hard to lift the same amount of weight. The shoulder blade is the platform for the rotator cuff muscles. If the should blade is not held in the correct position, then the rotator cuff muscles do not have the leverage needed to move the arm, and the body compensates by using the rotator cuff muscles twice as much. This is easy to do occasionally, but if you have to do it all day on a construction site (or every pitch for 9 innings), your body loses the ability to compensate, and eventually the tendons are injured. So physical therapy is beneficial because it strengthens the muscles that we often neglect during our normal activities and teaches us how to use every muscle properly.
Another treatment option for impingement syndrome is steroid injections into the inflamed rotator cuff bursa. These injections are much less painful than those given in other areas of the body, like the foot or hand. Many patients ask, "Isn't a steroid injection like putting a Band-AidTM on the problem, rather than fixing it?" The answer is yes, but in this case, a Band-AidTM is exactly what is needed. The steroid temporarily covers up the pain, allowing the patient to fix the problem with physical therapy. Proper sleep is also important when treating an injured rotator cuff, so if steroid injections help a patient sleep, it will be beneficial. Steroids have side effects, which include tendon degeneration, but this usually occurs after multiple injections. One or two injections rarely cause tendon tears in the shoulder.
If rest, activity modification, and physical therapy do not cure the pain from impingement syndrome, then surgery may be needed. The surgery can be performed with an arthroscope, an instrument with a tiny camera on the end that can be inserted through small incisions around the shoulder. This type of surgery makes the recovery relatively easy. Your surgeon will look inside the shoulder joint to make sure all the other structures are normal, then remove the injured rotator cuff bursa and any bone spurs that may be irritating the rotator cuff. The success of the surgery depends on the healing of the rotator cuff, which will take up to 6 months. The rehabilitation process includes a few weeks of rest immediately after the surgery, as well as physical therapy once the pain from the surgery subsides. Those patients who experience temporary pain relief from an injection prior to surgery often have more pain relief after surgery. The surgery will most likely eliminate any constant, aching pain and night pain, but patients may still have brief pain associated with overhead activity.
About the Author
Michael J. Codsi, MD joined the Everett Clinic in 2007. He completed his medical degree at the University of Southern California in 1999, before going to Tufts University in Boston to complete his residency in Orthopaedic surgery. He then did his shoulder surgery fellowship training at the Cleveland Clinic and became a staff surgeon at the Cleveland Clinic for two years. He published several original research articles on rotator cuff repair, biologic implants for rotator cuff repair, and the biomechanics of shoulder joint replacement. He has authored book chapters on arthroscopic rotator cuff surgery, complex reconstruction of the shoulder joint, and physical exam of the shoulder. His surgical expertise is in arthroscopic rotator cuff repair, arthroscopic instability repair, shoulder joint replacement, shoulder and elbow fractures, clavicle disorders, scapular winging, AC joint arthritis, arthroscopic labrum repair, frozen shoulder release, sports injuries, shoulder infections, elbow instability, elbow joint replacement, and tennis elbow.
how many people have been killed or injured whilst sitting in there vehicle on the hard shoulder?
I can recall 1 case of a car getting smashed and another of a lorry driver being killed when his load of steel was pushed through the cab. Have a few issolated accidents been used as an excusse to brain wash people into thinking the hard shoulder is very dangerouse so leave your vehicle if it breaks down, as once it starts being used as an extra lane accidents like this are going to increase
ok mate i work for the highways agencey worken on the motorways , the motorways around the northwest are like my second home and i can answer your question for you ok yes it is true that cars,lorrys,vans ect when they are broken down do useully get hit on the hard shoulder its not an every day thing but they do get it the worst time is in the night because the visability is very poor. when we have got lads worken on the hard shoulder by law they will need a lorry called an ipv it means in-pact-vechile you might of seen them they have a big blue arrow on the back and a light board with an orange arrow flashing and there is a cushion on the back the lorry must be at least 100m away from the lads who are working and we get a lot of car drivers runing in to them . for the public we have introduced the traffic officers (they look like police but they are not) when you use the sos phone you are callen them out to sit behind you to make you safer . there is a nother thing is that the public like to be nosey so they start to rubber neck and the cars usually start to swerve to miss the one goen slower because they just want to look at you to see what you are doen it happens . thats why they tell you to get out of the car and stand well clear .
Mark Knopfler - Hard Shoulder