Shoulder pain requires an accurate diagnosis to develop a care plan for healing your shoulder injury as quickly as possible. While there are many causes of shoulder pain, a few common causes include:
Shoulder (Rotator Cuff) Tendonitis: Shoulder tendonitis can be caused by injury to the tendons of the rotator cuff resulting in inflammation. Tendonitis can be caused by an acute injury or by repetitive motions as seen in sports like tennis, golf, volleyball and baseball. Rotator cuff tendonitis treatment includes physical therapy and chiropractic care.
Rotator Cuff Sprain/Strain: A shoulder strain refers to a strained muscle (usually the rotator cuff) while a sprain refers to a ligament of the shoulder. Similar to tendonitis, physical therapy and chiropractic is the conservative treatment of choice for a rotator cuff sprain/strain.
Rotator Cuff Tear: Sometimes the rotator cuff muscles of the shoulder will tear if too much stress is applied. In order to diagnose a rotator cuff tear, orthopedic test can be performed. However, an MRI of the shoulder often needs to be done to confirm a rotator cuff tear. Conservative treatment for shoulder tears may include physical therapy, chiropractic care, anti-inflammatory medication, PRP (Platelet Rich Plasma) injections or Cortisone injections. In some cases, rotator cuff tears must be repaired surgically
Shoulder (Supraspinatus) Impingement: Shoulder impingement is caused by irritation and inflammation of the supraspinatus muscle which is part of the rotator cuff. As this tendon passes through the subacromal space, this space is often narrowed with poor posture (rounded shoulders), inflammation from repetitive motions or from a bone spur. Chiropractic adjustments often help with the postural issues while physical therapy treats the shoulder. In rare cases, a shoulder decompression surgery is needed increase the space thus relieving the impingement.
Frozen Shoulder:Frozen Shoulder (aka Adhesive Capsulitis) is can be seen after an acute injury or surgery or when the shoulder has been immobilized for a period of time. This injury is more common in older females. Physical therapy including shoulder mobilization, along with anti-inflammatory medication is the treatment of choice for patients with frozen shoulder.Again, in some cases, frozen shoulders may need to be repaired surgically.
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