Arm And Shoulder Pain Conditions

Our Doctors Diagnose, Treat And Manage Arm Pain And Shoulder Pain Issues.

Understanding Arm And Shoulder Pain Conditions

Issues causing arm and shoulder pain can arise from numerous conditions, affecting individuals of all ages. Common causes include injuries such as sprains, strains, or fractures, often resulting from accidents or falls. Also, overuse or repetitive strain from activities like typing or lifting can lead to conditions such as tendinitis or bursitis. In some cases, underlying health issues like arthritis or a pinched nerve in the neck can also result in discomfort in these areas. Proper diagnosis is crucial for effective treatment and early intervention can help mitigate the impact and improve quality of life, and this is where our experts can help.

Other factors that may contribute to arm and shoulder pain include poor posture and muscle imbalances. These can place strain on the muscles and tendons in the arms and shoulders, leading to chronic pain over time. Read on to learn more about the various conditions that are common causes of shoulder pain.

Rotator Cuff Injuries

A fairly common issue that affects the shoulder are rotator cuff injuries, causing pain and limited mobility. The rotator cuff is a group of four muscles and tendons that stabilise the shoulder joint, enabling a wide range of arm movements. An injury to this area typically occurs from repetitive overhead activities or acute trauma, such as lifting heavy objects or falling on an outstretched arm. Symptoms can include a dull ache deep in the shoulder, difficulty lifting the arm, and weakness in the shoulder.

They can be classified as either partial or complete tears. Partial tears involve damage to some of the fibres in the tendons, while complete tears involve a full rupture of one or more of the tendons. These injuries are more common in individuals over the age of 40, as the tendons become weaker and less elastic with age. People who participate in activities that require repetitive arm movements, such as painters, cricket players and swimmers are at a higher risk for developing rotator cuff injuries.

Chiropractic Treatment For Rotator Cuff

If left untreated, rotator cuff injuries can lead to chronic pain and weakness in the shoulder. Chiropractic offers a drug-free approach to rotator cuff treatment. During a session, we will perform a thorough examination of the shoulder and may also administer X-rays, performed in-house, to confirm the diagnosis and determine the extent of the injury. Based on the findings, your chiropractor will develop an individualised treatment plan that may include manual adjustments to the shoulder and surrounding joints, as well as soft tissue therapy to reduce inflammation and improve range of motion. The goal for our treatments is to not only address the immediate pain and discomfort but also work towards preventing future injuries.

Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder, medically known as adhesive capsulitis, is a condition characterised by stiffness and pain in the shoulder joint. Over time, the shoulder becomes increasingly difficult to move, often impacting daily activities and quality of life. The exact cause of frozen shoulder is not entirely understood, but it is more common in individuals over the age of 50 and is often associated with prolonged immobilisation or injury.

Adhesive capsulitis can be classified into two categories: primary and secondary. Primary frozen shoulder occurs spontaneously, without any known cause, and is the most common form of the condition. Secondary frozen shoulder is caused by a specific event or underlying medical condition.

Symptoms of frozen shoulder usually develop gradually and go through three stages: freezing, frozen, and thawing. During the freezing stage, pain in the shoulder may become increasingly severe, making it difficult to move the joint. This stage can last anywhere from 6 weeks to 9 months. In the frozen stage, pain may begin to subside but stiffness remains, making it difficult to perform daily activities such as brushing hair or reaching for objects behind the back. This stage can last anywhere from 4 to 6 months. Finally, in the thawing stage, shoulder movement begins to improve and pain gradually subsides. This stage can last for up to a year.

Treatment from a chiropractor for frozen shoulder can be an effective part of managing and alleviating symptoms. Chiropractors may use a variety of techniques and therapies to improve shoulder mobility and reduce pain. These may include manual manipulation of the shoulder joint to enhance range of motion, targeted exercises to strengthen the surrounding muscles, and soft tissue therapies to reduce inflammation and tension. The goal of chiropractic care is to foster a holistic approach to healing, aligning with conventional medical treatments to expedite the recovery process and restore full functionality to the shoulder.

While this condition can be a debilitating condition, it is treatable with proper care and management. Seeking treatment from a chiropractor can provide relief and aid in the healing process, while lifestyle changes can help prevent future occurrences. By understanding the causes, symptoms, and stages of frozen shoulder, individuals can take proactive steps to maintain shoulder health and prevent the condition from worsening.

Shoulder Impingement Syndrome (Shoulder Tendonitis)

Another common shoulder condition is Shoulder Impingement Syndrome. This occurs when the shoulder's tendons are intermittently trapped and compressed during shoulder movements. This pinching or rubbing of the tendons against the shoulder blade can lead to inflammation, pain, and restricted movement. Typically caused by repetitive overhead activities, shoulder impingement is prevalent in athletes who engage in sports like tennis, swimming and cricket. It can also be caused by degenerative changes in the shoulder joint, such as osteoarthritis or bone spurs. Shoulder impingement syndrome is often characterised by pain and tenderness in the front of the shoulder, which may radiate down the arm. This pain is usually worsened with overhead activities, reaching behind the back, or even just lifting objects. The affected shoulder may also feel weak or have limited range of motion. To diagnose shoulder impingement syndrome, our doctors will perform a thorough physical exam and review the patient's medical history. X-rays may also be used to rule out other conditions and assess any structural abnormalities in the shoulder joint.

Treatment For Shoulder Tendonitis

Chiropractic treatment for shoulder tendonitis focuses on reducing pain and inflammation, restoring range of motion, and strengthening the shoulder muscles. This may include chiropractic adjustments to improve joint mechanics, soft tissue therapy to release tension in the surrounding muscles, as well as exercises and stretches designed to improve flexibility and strength. Patients with shoulder impingement syndrome may also benefit from lifestyle modifications such as avoiding activities that aggravate the condition and practising proper posture. Using proper form during physical activities can also help prevent unnecessary strain on the shoulder joint. It is important for individuals with shoulder impingement syndrome to listen to their bodies and avoid pushing through pain or discomfort. Resting and allowing the shoulder to heal is crucial in preventing further damage and promoting recovery. Our treatment can often provide effective relief for those with mild to moderate shoulder impingement syndrome without the need for invasive procedures. With proper treatment and management, most individuals with shoulder impingement syndrome are able to resume their normal activities and live without chronic pain. But it is important for patients to continue practising good posture and maintaining a balanced exercise routine to prevent future occurrences of this condition.

Shoulder Bursitis

Shoulder bursitis is inflammation of the bursa, a small fluid-filled sac that helps reduce friction between the bones, muscles, and tendons in the shoulder joint. This inflammation often results from repetitive movements or prolonged pressure on the shoulder, leading to pain and limited mobility. Some common causes of shoulder bursitis include overuse or repetitive strain, trauma or injury to the shoulder, and certain medical conditions such as arthritis or gout. It can also occur as a result of poor posture, muscle imbalances, or weakness in the muscles supporting the shoulder joint.

It can affect people of all ages and activity levels, but it is more common in athletes and individuals who engage in activities that involve repetitive overhead arm movements. It can also occur as a secondary condition to other shoulder injuries or conditions, such as rotator cuff tears or frozen shoulder. Symptoms of shoulder bursitis may include pain, tenderness, swelling, and stiffness in the affected shoulder. The pain may worsen with movement or pressure on the area and may radiate down the arm. In some cases, there may be redness and warmth around the shoulder joint.

Treatment For Shoulder Bursitis

Our team is experienced in effectively managing shoulder bursitis. We focus on restoring proper alignment and function of the musculoskeletal system, which can help reduce inflammation and alleviate pain. During an initial consultation, we will thoroughly assess the patient's condition by reviewing medical history, conducting a physical examination, and possibly ordering imaging studies. Treatment may involve adjustments to the shoulder and spine to improve joint function, as well as soft tissue therapies such as stretching exercises. In addition to manual adjustments, we will provide advice on ergonomics, posture, and exercises to strengthen the shoulder muscles, thereby reducing strain on the bursa. Addressing underlying issues such as muscle imbalances or poor posture, chiropractic treatment aims to not only relieve symptoms but also prevent future occurrences of bursitis. Patients should actively participate in their treatment by following exercise programs and making lifestyle changes that support healing and shoulder health.

Shoulder Labral Tear

A shoulder labral tear occurs when the ring of cartilage, called the labrum, that surrounds the socket of the shoulder joint is damaged. This injury can result from acute trauma, such as falling on an outstretched arm, or from repetitive motions involving the shoulder, commonly seen in athletes who perform overhead activities like throwing or swimming. However, it can also occur from degenerative changes in the labrum due to ageing.

Types of Shoulder Labral Tears

There are different types of shoulder labral tears, depending on where the damage occurs. These include:

SLAP (Superior Labrum Anterior and Posterior) tear: This type of tear occurs at the top portion of the labrum where the biceps tendon attaches.

Bankart lesion: This is a type of tear that happens at the bottom part of the labrum where it meets the front (anterior) portion of the glenoid socket.

Fraying: This refers to a small injury in which there is no visible tear, but the labrum is worn or frayed.

Detached: This type of tear occurs when a portion of the labrum completely detaches from the bone.

Symptoms

The symptoms of a shoulder labral tear can vary depending on the severity and location of the tear.

Some common symptoms include:

- Pain in the shoulder joint, especially with overhead activities
- Weakness or instability in the affected shoulder
- Catching or popping sensation in the shoulder joint
- Limited range of motion in the affected shoulder

If you are experiencing these symptoms, contact us and book an appointment for an accurate diagnosis. A Doctor will conduct a physical examination to assess your range of motion and strength in your shoulder. Where necessary we can order required imaging to further confirm the diagnosis.

Treatment for a shoulder labral tear will depend on the severity and location of the tear, as well as your age, overall health, and activity level. Chiropractic is an effective treatment for shoulder labral tears, as it can help improve joint mobility, reduce pain and inflammation, and promote healing.

Shoulder Arthritis

Shoulder arthritis is a degenerative condition that affects the joints in the shoulder, leading to pain, stiffness, and reduced range of motion. The most common types of arthritis that can impact the shoulder are osteoarthritis and rheumatoid arthritis. Osteoarthritis in the shoulder is the wearing down of cartilage, which can occur due to ageing or previous injuries, while rheumatoid arthritis is an autoimmune disorder that attacks the lining of the joints. Both types of arthritis can significantly impact a person's daily life and limit their ability to perform everyday tasks.

In addition to osteoarthritis and rheumatoid arthritis, there are other types of arthritis that can affect the shoulder. These include post-traumatic arthritis, which occurs as a result of a previous injury or trauma to the shoulder joint, and septic arthritis, which is caused by an infection in the joint. Other less common types of shoulder arthritis include psoriatic arthritis, gouty arthritis, and ankylosing spondylitis.

Symptoms Of Shoulder Arthritis

The symptoms of shoulder arthritis may vary depending on the severity and type of arthritis.

Some common symptoms include:

- Pain in the shoulder joint, which may worsen with movement or at night.
- Stiffness in the shoulder, making it difficult to move or lift the arm.
- Swelling and tenderness around the joint.
- Reduced range of motion in the shoulder.
- Difficulty performing tasks such as reaching overhead or behind your back.

If you experience any of these symptoms, contact us for an accurate diagnosis and treatment plan. Early diagnosis and management are crucial in reducing the progression and maintaining quality of life.

Treatment For Arthritis In The Shoulder

Chiropractic treatment for shoulder arthritis focuses on restoring joint function and alleviating pain through non-invasive techniques. Chiropractic aims to improve overall joint health and prevent further degeneration while supporting the body's natural ability to heal itself. Our chiropractors will conduct a thorough examination to determine the extent of your condition and any underlying causes. From there, we will develop a personalised treatment plan tailored to your specific needs, often incorporating spinal or shoulder joint manipulation to alleviate pressure. Additionally, we will usually recommend and explain certain exercises and stretches to improve mobility and strengthen the muscles surrounding the shoulder joint.

Shoulder Pain Treatment

Shoulder pain is a common issue that can be caused by a variety of factors. It's important to understand the potential causes of shoulder pain so that you can take steps to prevent it or seek proper treatment when necessary. By maintaining awareness of the various conditions that can lead to shoulder pain and taking preventative measures, you can significantly reduce their risk of developing chronic discomfort or injury. Regular exercise, strengthening shoulder muscles, and incorporating flexibility training can fortify the shoulder joint, making it more resilient to stress and strain. Modifying activities to reduce repetitive stress on the shoulders and ensuring proper ergonomics in workspaces can further protect the shoulder area. By taking a proactive approach to shoulder health, you can preserve mobility and enhance their overall quality of life, minimising the impact of shoulder pain on daily activities. You can always seek guidance from our healthcare experts for the best approach to managing and preventing shoulder pain.

Scapular Dyskinesis (Shoulder Blade Dysfunction)

Shoulder blade dysfunction, also known as scapular dyskinesis, refers to an abnormal movement or position of the scapula during shoulder motion. This condition often results from muscle imbalance, poor posture, repetitive motion, or an injury to the shoulder. The exact effects of shoulder blade dysfunction can vary depending on the underlying cause and severity of the condition. However, it typically leads to pain, weakness, and limited range of motion in the affected shoulder. This can significantly impact daily activities and sports performance.

The scapula, also known as the shoulder blade, is a flat triangular bone located on the upper back. It plays a crucial role in supporting and stabilising the shoulder joint, which allows for a wide range of motion. The scapula works together with other muscles and bones to provide strength, mobility, and stability to the shoulder complex. When there is dysfunction in the movement or position of the scapula, it can disrupt this delicate balance and lead to various symptoms. One common symptom of shoulder blade dysfunction is pain in the affected shoulder. This can be felt as a dull ache or sharp pain when performing certain movements or even at rest.

In addition to pain, individuals with shoulder blade dysfunction may experience muscle weakness or fatigue, which can further exacerbate the condition. This weakness can make it difficult to perform everyday tasks, such as lifting objects, reaching overhead, or pushing and pulling movements. Over time, if left untreated, shoulder blade dysfunction can lead to more serious issues, such as tendonitis or rotator cuff injuries, due to the increased strain placed on other components of the shoulder.

Treatment For Shoulder Blade Dysfunction

Firstly, our Chiropractors will perform an extensive evaluation to determine the underlying cause of your shoulder blade dysfunction. Once the cause has been identified, a custom treatment plan will be developed to address the specific needs of each individual. Depending on the severity of the condition, treatment may include chiropractic adjustments, soft tissue therapy, corrective exercises, and postural retraining.

With a focus on restoring proper movement and alignment, chiropractic adjustments can be highly beneficial in reducing pain and improving overall function of the shoulder, with an aim to relieve tension and reduce inflammation. Corrective exercises are an essential component of treatment for shoulder blade dysfunction. These exercises aim to strengthen weak muscles while stretching tight muscles to restore balance and stability in the shoulder complex. Your doctor will provide specific exercises tailored to your individual needs, along with guidance on proper form and technique.

Other Shoulder Pain Issues

Aside from common causes like rotator cuff injuries and arthritis, shoulder pain can stem from a variety of other conditions. These may include:

Referred Pain from the Neck (Cervicogenic Shoulder Pain): Sometimes, pain in the shoulder can actually be referred from a problem in the neck. This is known as cervicogenic shoulder pain and can be caused by issues such as nerve compression or muscle strain in the neck.
Biceps Tendon Rupture: The biceps tendon connects the bicep muscle to the shoulder blade. Injury or overuse of this tendon can cause it to rupture or tear, resulting in shoulder pain and weakness.
Shoulder Instability: This occurs when the structures that hold the arm bone in the shoulder socket become weak or damaged, causing the joint to become dislocated or subluxed (partially dislocated). This can lead to recurrent episodes of pain and instability in the shoulder.
Thoracic Outlet Syndrome: This rare condition involves compression of nerves and blood vessels between the collarbone and first rib, causing pain and numbness in the shoulders and arms.
Read more about Thoracic Outlet Syndrome.
Postural-Related Shoulder Pain: Poor posture can put strain on the muscles and ligaments in the shoulder, leading to pain and discomfort. This is especially common with sedentary jobs or activities that require repetitive movements.

It's important to consult us if you are experiencing persistent or severe shoulder pain, as we can properly diagnose and manage any underlying conditions. Maintaining good posture and properly stretching before physical activity can help prevent shoulder pain from occurring in the first place.