For folks who have been gaming ever since the time Duke Nukem 3D was released way back in 1997, it seems that after a 14-hiatus, the next installment of the game will be released that, of course, is way better than its prior version.
What still remains is the macho-jingoism that only the 'king' of the first-person-shooter genre can bring to the game with some heavy duty one-liners and some serious firepower to use against some seriously bad ass aliens.
And while there has been a lot of controversy about how the game portrays "women", there's no doubt that Duke Nukem with those broad shoulders is anything but a disappointment to women (even if he's only imaginary). And despite the onslaught of the alien race that is set to bring mankind to its knees, the least of his worries it seems no matter how many times he gets trampled on or beaten up is feeling pain, whether of the shoulder or other variety.
In the real world however, all of us suffer from shoulder pain is a problem that one faces (apart from the proverbial "numb thumb") for several reasons, but one thing is for sure… the pain is often excruciating if not debilitating.
Bursa, Shoulder Bursitis & its causes
This whole condition revolves around a little sac known as the "bursa" which is a little sac that is filled with fluid and is used as a gliding surface between tissues of the body to reduce friction. There are 160 bursae (plural of bursa), and most of which are located adjacent to the tendons near the large joints, and your shoulders being one of these joints.
Very simply, shoulder bursitis occurs doe to the inflammation or injury (bumping and bruising), repeated use of the arms as in pitching and serving in sports such as baseball and tennis to the bursa located in the shoulder joint and rheumatoid arthritis. Some medical reports suggest that shoulder bursitis becomes more prevalent with age.
Something as simple as just lifting a heavy weight incorrectly or even constant use of the shoulder muscles to can cause shoulder bursitis but in almost every instance, this injury will occur when the shoulder muscles and tendons are squeezed between the shoulder bones.
One of rarest reasons why shoulder bursitis can occur is through infection but another thing that is common amongst all these causes is that the bursa becomes inflamed and gets filled with too much liquid.
Symptoms and treatment for Shoulder Bursitis
But how will you know if you have this condition?
You are suffering from shoulder bursitis if you:
a) If you feel pain when you move your shoulder or lift your arms above your head
b) You may experience an aching pain when resting
c) If you turn onto your sore shoulder while asleep, and you experience a "rude awakening" of sorts.
d) If you cannot move your shoulder and arm as much as normally possible.
e) Your upper arm and shoulder may not be as strong as usual.
Most physicians will take an x-ray to determine whether or not you do have shoulder bursitis and will recommend shoulder treatment for this condition but there will be one thing that will be common amongst all doctors is that they will tell you to STOP using your arm and shoulders, even for simple movements (not unless you want to aggravate/ worsen the condition).
And as soon as the pain decreases, you can then resume slow movements.
Apart from this, ice packs covered in a towel and applied to the shoulder 3 to 4 times a day for 15 to 20 minutes is the first thing that can relieve the pain immediately. After a few days, applying heat to the inflamed area is another option using a warm compress, hot water bottle or heating pad.
While antibiotics, steroids and non-steroidal inflammatory medication are what some patients obtain for serious cases of this condition, in its worst condition, doctors might suggest physical therapy and surgery or both.
And gamers everywhere will go on a rampage in 2011, ignoring the numb thumbs and shoulder aches, when the 'king' takes back his throne… and why not? He's got 'balls of steel', y' know…