Introduction
The complexity of the shoulder joint allows it to accomplish many different movements and activities. The shoulder bones, i.e., the scapula, clavicle and humerus, are attached together by ligaments and nearly 20 different muscles. The principal articulation, the glenohumeral joint, is attached by ligaments and a group of muscles (and their tendon attachments) known as the rotator cuff. Problems with the rotator cuff are common causes of shoulder pain and disability. Sports injuries, mechanical dysfunctions from muscle imbalances, or wear and tear of the tissues around the joint are often the causes of shoulder problems. Arthritic changes do take place in the shoulder joint, but not as commonly as in the weight-bearing joints of the spine, hips and knees.
Anatomy
Problems in the shoulder often originate in the cervical spine as the nerves from this region animate all of the muscles and other tissues of the shoulder, elbow, arm and hand. Tight or weak shoulder muscles, caused by inflamed nerves can produce dysfunction in the normal mechanics of the joint, especially in the rotator cuff. A similar condition can occur if one overuses the shoulder in sports such as tennis and golf, or in other repetitive activities that cause the muscles of the joint to become overly tight or strained. People who sit too much in a hunched position, or with their shoulders held forward, are also at risk for promoting these imbalances and shoulder problems.
Rotator Cuff Syndrome
Despite the reason, if the imbalances and inflammation to the shoulder are not changed, pain and limitation of normal motion will eventually develop. The severity can vary from a slight “catching” or pain to an almost entire inability to use the shoulder. Individuals of all ages are afflicted by this painful problem known as Shoulder Impingement or Rotator Cuff Syndrome.
Frozen Shoulder
“Frozen shoulder” is another common predicament.Extreme inflamation of the ligaments and tendons of the glenohumeral joint can cause adhesions to develop almost sticking the joint together, thus producing incapacitation the shoulder. This results in extreme pain, as well as limitation of shoulder movement that makes even dressing oneself difficult! Left alone, frozen shoulder can take several years to resolve on its own, if ever, and therefore care by a professional, such as your Tampa chiropractor is extremely important. The disorders mentioned above are the most common of all shoulder disorders.
Treatment
The treatment of most symptoms of the shoulder is relatively the same. Muscle imbalances can be resolved with chiropractic treatment that includes soft tissue mobilization modalities to restore proper mobility to the shoulder joints and to correct any subluxations in the spine. Special rehabilitation exercises offered by your Tampa chiropractor are also essential for a fulland fast recovery.
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