Our chiropractic care is not limited to only neck or back pain relief; we take care of your shoulder pain, too. Dr Neil Koppel is trained to adjust and treat extremities including knees, smaller joints such as the toes, and the shoulders. Sometimes shoulder pain is caused by joint irritation, and other times it can be caused by tissue irritation. Chiropractic care for shoulder pain can often be achieved through manipulation and other related treatments.
The shoulder joint is the most mobile joint in the body and it is surrounded by nerves, tendons, bursa and other tissues which can all be irritated and cause pain. Tendons help attach muscle to bone while ligaments attach bone to bone. Four tendons make up the rotator cuff: supraspinatous, infraspinatous, subscapularis and teres minor. All of these originate from the back near the shoulder blade and attach to make a cuff or circle around the glenoid fossa, or shallow bowl, of the shoulder blade, also called the scapula. The cuff and joint are further strengthened by cartilage and ligaments.
Tendons, muscles or ligaments around the joint can stretch and tear causing pain. Pain further up the body, in the neck, can also refer pain into the shoulder joint as can trigger points in the muscle. Diagnostic examination will include determining range of motion of the neck and shoulders as well as testing of the muscle and related sensations. If the pain and symptoms are unresponsive to the initial treatment, imaging such as a CT scan or MRI can further help identify origin of the problem.
Signs that you should seek treatment for your shoulder pain include:
- Shoulder pain that persists more than few days
- Recurring shoulder pain
- Inability to carry objects or use your arm
- Injury that causes deformity of the joint
- Shoulder pain that occurs at night or while resting
- Inability to raise the arm
- Swelling or significant bruising around the joint or arm
- Signs of an infection, including fever, redness, warmth or swelling
Shoulder Pain and Chiropractic Care
If you have shoulder pain that lasts past a few days you should seek specialist treatment to minimize the complications. It is very important to keep the shoulder moving to avoid the complication of frozen shoulder. When you come to our office we will tell you what shoulder motions to emphasize and which ones to avoid as your injury heals. Therapeutic treatments, such as ultrasound and ice, can be used to remove the inflammation of the shoulder. Removing the inflammation in the joint usually results in a significant decrease of the pain. Specific muscle stretching and at home exercises are used to correct any muscular imbalances between the upper back and chest. Correcting these imbalances helps the shoulder motion. Most shoulder conditions do not require surgery. But, if your pain does not resolve with these treatments, further testing, such as an MRI, may be required to determine exactly how much shoulder damage it is.
To determine if chiropractic care can help you with your shoulder pain, call today at (239) 214-0214.