If you would like to learn more about how we treat shoulder pain in our clinic, then continue reading.
Principles of Treatment:
Activity Modification: It is very important to modify your activities and encourage healing. Read more about the P.R.I.C.E acronym by clicking on P.R.I.C.E
Specialized Manual Therapy Techniques: Cumulative stresses to the rotator cuff, shoulder musculature, or scapular stabilizers can lead to scar tissue and “knots”. These soft tissue imbalances can impair function and cause pain. We use techniques such as Graston Technique, Active Release Technique, Trigger Point Dry Needling,Cupping Therapy, and Deep Tissue Laser Therapy. These techniques stimulate healing and loosen scar tissue. In some cases, the symptoms of rotator cuff tendonitis can be due to active trigger points in your infrspinatus muscle. Trigger point therapy can be very effective.
Altered Bio-Mechanical Forces: It is very important to assess the coordination of movement between the humerus and the scapula as well as between the scapula and the ribcage. For example, the scapula shouldn’t move during the first 30 degrees of arm raise and, thereafter, should move in an approximate ratio of 2 degrees of gleno-humeral motion for every 1 degree of scapular upward rotation. The scapula may also tip out or wing out due to weakness of the scapular stabilizers. A shoulder shrug may also be apparent due to weakness of the rotator cuff or due to stiffness in the shoulder joint capsule. One of the most common injuries of the shoulder is called shoulder impingement syndrome. Click HERE to see how we evaluate for impingement syndrome.
Stretching: In a lot of cases of impingement syndrome, there is hypermobility of the gleno-humeral joint. This means that there is too MUCH motion. It is very important to have your shoulder adequately assessed as “stretching” of the shoulder would be harmful, not helpful. Many types of shoulder stretches can cause further compression of already damaged joints or tissues. It is important to assess the TOTAL motion of each shoulder. Check out the video link above to see our special tests to differentiate one movement dysfunction from another.
Strengthening: A complete manual muscle testing evaluation needs to be performed in order to isolate specific areas of weakness. Your program should consist of both rotator cuff and scapular stabilization exercises in order to promote dynamic stability. Total Motion Release can also be very effective. We choose the most effective and research proven exercises to get you better—quicker.
Home Exercise Program: The rest is up to you! Compliance with your home exercise program is paramount to a speedy recovery.
The fundamentally most important part of treating shoulder pain is understanding proper posture & body mechanics and safe, effective pain management strategies. Here is a link to our YouTube channel for FREE education and videos on the Best Exercise for shoulder pain. Our channel is called Best 3 Strategies.
If you feel that you are ready to take the next step in resolving your shoulder pain, then maybe you should consider our FREE Injury Screening. Your insurance should cover your physical therapy, but if you want to give us a “test drive”, then fill out the form below and we will schedule a FREE screening ASAP.
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"I started unable to use my foot and when I was released from PT I was able to walk better than I was walking prior to my fall when I broke my ankle. While I was being treated at WalkWell I was one of the family. It was home away from home. My shoulder has bothered me off and on for years, an old childhood injury has finally been properly diagnosed and treated, thanks to the WalkWell family and Chris. ‘I am just one of the many WalkWell miracles”
"The leg worked just fine at the Hood to Coast Relay. Left foot, stance phase, no problem with the Achilles. For reference, this was our 191st mile, my 23rd, just over 24 hours after we started.( perhaps that explains my sloppy form and slight toeing.) We came in 100th out of 1,023 teams. Thanks for fixing me up."
"I have had an amazing experience at OrthoWell. I was in an automobile accident several months ago and after being treated for months by a chiropractor he suggested I might get even more relief working with Chris Dukarski. I came in still suffering from lower back, hip and knee pain that just would not get better. After being treated by Chris for only six weeks I am now able to walk without pain and have begun exercising again."