Common causes of shoulder pain are rotator cuff, labral tears, muscle imbalances, or pinched nerves from the neck. We will get you the correct diagnosis and appropriate therapies.
Shoulder pain is most commonly caused by an injury to the rotator cuff, biceps tendon, or a labral tear. Frozen shoulder (adhesive capsulitis) is another condition that can frequently cause shoulder pain. Other causes of shoulder pain can be from a pinched nerve in the neck, which refers pain in the shoulder.
Before beginning treatment, it's helpful to identify the cause of pain. Although there are several overlapping treatments for all shoulder pain, a correct diagnosis helps give an appreciation for which therapies will be most beneficial. For example, if the shoulder pain is caused by a disc bulge in the neck, treatments such as spinal decompression directed to the neck will be crucial.
The rotator cuff is the combination of 4 deep muscles of the shoulder and a common tendon they all share, which attaches to the humerus (arm bone that becomes the shoulder). Rotator cuff injuries are the most common cause of shoulder pain. This pain occurs when the tendon of the rotator cuff becomes inflamed (tendinitis) or when the tendon gets weak and starts to degenerate (tendinosis). Rotator cuff pain can occur due to an acute injury or develop over time as a form of wear and tear.
Another cause of rotator cuff pain is impingement syndrome. Impingement syndrome is a medical term that describes when the rotator cuff gets trapped between two shoulder bones. Rotator cuff impingement syndrome can result from the tendon being inflamed/enlarged or from bone spurs.
There is no single treatment that is best for treating the rotator cuff. Instead, a combination of therapies is recommended to get the best results. For example, myofascial release on the shoulder muscles and tendons promote a healing response. Stretching restricted muscles and fascia can improve mobility and create more space for the rotator cuff tendon. Most importantly, rehabilitation will strengthen the rotator cuff tendon and improve the overall strength and coordination of surrounding muscles.
In some instances, injections may be helpful in the treatment of rotator cuff syndrome. Most rotator cuff pain does not require surgery. However, there are two instances in which surgery is necessary. First is if the tendon tears all of the way through. The second is if bone spurs are projecting into the tendon.
The biceps muscle has two tendons. One of them runs along the rotator cuff tendon and attaches deep within the shoulder. Like the rotator cuff, this tendon can become inflamed (tendinitis) or degenerated (tendinosis). Another issue that sometimes occurs with the biceps tendon is that it can pull away from its attachment deep within the shoulder, creating a labral tear.
Treatment for the biceps tendon is similar to what was described for the rotator cuff above. Myofascial release techniques, stretches, and rehabilitation are all essential components.
The labrum is a thick rim of cartilage that gives depth to the socket portion of the shoulder. Sometimes a part of the labrum can tear, creating instability within the shoulder. There are different regions and degrees of severity that the labrum can tear.
The best treatment options for labral tears will depend on the severity and how it responds to a trial of rehabilitation. There are a lot of instances in which rehabilitation can reduce or even eliminate symptoms. However, more severe tears may require surgery.
A frozen shoulder is when the capsule (ligaments) of the shoulder becomes inflamed and then later becomes thick and tight, causing limited mobility. There are three phases to frozen shoulder. In the first phase-freezing, the shoulder is inflamed, and almost all movements are painful. The second phase has less inflammation, so the pain is not as bad. However, the capsule is very restricted, making moving the shoulder very difficult. In the third phase, the shoulder finally starts to get back its range of motion.
Treatment for frozen shoulder is different for each phase. For example, anti-inflammatory medications, ice, and interferential therapy can all help reduce the pain during the first phase of freezing. During the second frozen phase, it is vital to perform gentle yet frequent sessions of stretching and mobilization to regain mobility. Myofascial release and gentle rehabilitation are valuable to speed recovery times during this phase.
Our chiropractors work with shoulder pain with great results. We provide a thorough exam in order to discover the injury. Next, we discuss and implement a treatment plan consisting of the correct therapies for you. For example, combining myofascial release, rehabilitation, and spinal adjustments.
Our office has the necessary knowledge to help with shoulder conditions, such as rotator cuff tendinopathy, impingement syndrome, labral tears, and frozen shoulder. We focus on an individualized approach that addresses the specific injury, posture, alignment, muscular imbalances, and movement patterns.
Whether you're looking for answers and solutions to a complicated condition, or just need a body tune-up, our office can help.
We specialize in leading, non-invasive therapies that restore alignment, enhance movement, and promote healing.
Sciatica is the term used for sciatic nerve pain that goes down the back of a leg. It can be from a disc bulge, pinched nerve, or tight muscles in the back of the hip.
Disc bulges (or herniations) occur when the fluid from the inside of a disc leaks out and presses against a nerve. The best course of treatment utilizes a combination of therapies.
Common causes of hip pain are hip impingement, bursitis, tendinosis, arthritis, and sciatica. Our office gets you a correct diagnosis then begins the appropriate therapies.
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