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Benign symmetric lipomatosis, also known as Madelung's disease, is an adult-onset skin condition characterized by extensive symmetric fat deposits in the head, neck, and shoulder girdle area. [1] The symmetrical fat deposits are made of unencapsulated lipomas , which distinguishes it from typical lipomatosis which has encapsulated lipomas that ...
They usually occur just under the skin, but occasionally may be deeper. [1] Most are less than 5 cm (2.0 in) in size. [2] Common locations include upper back, shoulders, and abdomen. [4] It is possible to have several lipomas. [3] The cause is generally unclear. [1] Risk factors include family history, obesity, and lack of exercise.
Subacromial bursitis is a condition caused by inflammation of the bursa that separates the superior surface of the supraspinatus tendon (one of the four tendons of the rotator cuff) from the overlying coraco-acromial ligament, acromion, and coracoid (the acromial arch) and from the deep surface of the deltoid muscle. [1]
Shoulder pain or tenderness and, occasionally, a bump in the middle of the top of the shoulder (over the AC joint) are signs that a separation may have occurred. Sometimes the severity of a separation can be detected by taking X-rays while the patient holds a light weight that pulls on the muscles, making a separation more pronounced.
Nodules are small firm lumps usually greater than 1 cm in diameter, found in skin and other organs. [ 1 ] [ 2 ] If filled with fluid they are usually softer and referred to as cysts . [ 2 ] Smaller (less than 0.5 cm) raised soft tissue bumps may be termed papules .
These include the subacromial, prepatellar, retrocalcaneal, and pes anserinus bursae of the shoulder, knee, heel and shin, etc. (see below [broken anchor]). [1] Symptoms vary from localized warmth and erythema (redness) [ 1 ] to joint pain and stiffness, to stinging pain that surrounds the joint around the inflamed bursa.
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Rotator cuff stretches are preferred when constructing an exercise treatment plan. Some specific stretches for the rotator cuff include, the wall press, shoulder roll, retraction of the shoulder blade, etc. ECE (eccentric contraction exercises) is proven to be more effective with pain since the muscle is being elongated.
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