Hi, thanks for writing to HCM.
Based on the description of symptoms, I suspect that he could have sustained a soft tissue
contusion involving the muscles & tendons causing him
severe pain.
An xray will rule out any recent
fracture and an MRI scan is necessary to know any
soft tissue injury in the shoulder joint.
The initial conservative management of this condition is as follows -
* REST - It is important to rest following the injury to allowed the injured muscle to properly heal.
* ICE PACKING - Apply ice to the injured area in the acute phase (first 48 hours after injury), and then after activities. Ice will help calm the inflammatory response and stimulate blood flow to the area.
* MOIST HEAT APPLICATION - Before activities, gentle heating can help loosen the muscle. Apply a heat pack to the groin prior to stretching or exercising. As a general rule of thumb, remember to heat before an activity and ice afterwards
* ANTIINFLAMMATORY MEDICATION - Oral anti-inflammatory medications (such as Aleve or
Motrin) can help relieve symptoms of pain and also calm the inflammation.
*
PHYSICAL THERAPY - may speed up the recovery process. Therapeutic modalities such as
Ultrasound, Massaging and specific exercises will be helpful.
If the symptoms are not resolving with the above measures, consult an orthopedic surgeon for further evaluation and management.
Hope this information is helpful. Good day