4 Effective shoulder pain treatments and related problems

A group of researchers published a study on JMPT June 2011. They did a systematic review on manual and manipulative therapy (MMT) for common shoulder pain and disorders. The result shows that it is effective to treat shoulder complaints with manipulation, soft tissue techniques, exercises and other therapy.

Personally I have found that this is quite an effective approach for treating common shoulder related issues such as rotator cuff injuries (grade I and II), frozen shoulder, shoulder impingement syndrome, poor posture( inward rotated shoulder), and other chronic soft tissue problems as well.

What to expect for the first visit? After a thorough chiropractic, orthopedic, physical and neurological check up over shoulder, neck and upper back region, we can identify the cause of the problem. From there we know if this is something we can help. Generally speaking there will be 3 phases for treatment of care. First is to decrease pain and symptoms. Second is promote pain free range of motion over shoulder, neck and upper back area. Third phase is to restore proper proprioception, stability, strengthening the shoulder girdle and proper posture.

What are the treatment protocols? First step is the mobilization and adjustment of the shoulder, neck and upper back to restore proper joint motion. Once there is proper motion over the shoulder region the next step is to relax and loosen up the tight muscles in those area. There are many techniques for that and one I found very effective is "Gua Sha". This works very well to break up adhesion and promote healing.

Third step is to start with some cervical, thoracic and shoulder joints active range of motion exercises and also stretch out major muscles around it. This has to be done at home daily to promote healing and maintain proper mobility.
The last part is to the stabilization and strengthening of the shoulder joint itself. A very effective and easy way to do is to use Thera Band for exercises. Patients can do it at home or clinic. Proper instruction and direction is needed before start doing this at home. By strengthening the rotator cuff muscles, and stabilizing the shoulder joint, it can prevent future flare up and you can enjoy life more~

Active Spines Chiropractic Keeps Your Spine Active and Pain Free! You can contact Dr. Shao-Hao Cheng at 425-818-0086 or info@activespines.com

Referrence: Manipulative therapy for shoulder pain and disorders: expansion of a systematic review.