Shoulder joint is an area of the body where the humerus attaches to the bone scapula, and the muscles that support.
Painful shoulder problem is one of the most common reasons for orthopaedic visits for musculoskeletal symptoms. The shoulder has the most movement of the major joints in the body. On the flipside, because of this wide range of motion, relatively unstable and easily subject to injury. Humeral head (ball) is larger than the socket of the shoulder joint holding. To stabilize the shoulder joint, muscles, tendons and ligaments anchor the bones of the joint together. Overuse injuries, degenerative changes and lack of use or movement can all contribute to tissue damage, loss of function and disorders of the muscles that support.
Shoulder consists of three osseous structures: the clavicle (collarbone), the scapula (shoulder blade), and, humerus (upper arm bone) and the muscles that support the ligaments and tendons. Articulation between the shoulder bones form the shoulder joint. Group of muscles and tendons that stabilize the shoulder called the “rotator cuff.” These muscles include the supraspinatus, infraspinatus, teres minor and subscapularis. subscapularis, they hold the humerus (ball) in the glenoid fossa (socket).
Three Common Shoulder Problems:
There are many types of shoulder conditions, for the purposes of this article, whose purpose is to provide a broad overview of the three different types and how Chiropractic care can improve the health and function of the shoulder area.
Rheumatism of shoulder pain is not as common as other types. It is usually progressive and develops slowly over time. The area of the shoulder joint may have tenderness, swelling and stiffness when aggravated. Shoulder joint can be affected by arthritis and osteoarthritis. Degeneration in the joints, or “wear and tear,” is a progressive wearing away of the cartilage on the joint surfaces Boney, exposing bare bones. Rheumatoid arthritis, on the other hand, is a systemic condition that causes inflammation of the lining of the joints. Inflammation may, from time to time, to attack and destroy the cartilage and bone. Gentle chiropractic mobilization of the shoulder and spine, accompanied with stretching and strengthening the muscles around the shoulder joint can help with inflammation improve the function of the shoulder joint. Maintain the strength of the shoulder muscles to prevent further muscle atrophy, and may slow down further degenerative changes. In severe cases joint replacement surgery may be an option.
2. Neck Pain or Degeneration
Shoulder pain can occur as a result of degeneration of the cervical spine or neck injury or thoracic spine. Degenerative disc narrowing joint space between two vertebrae, causing irritation and pinching the nerves in the neck or middle back area. The nerves leave the spine area or upper neck and into the shoulders and arms, or to provide nerve supply of the muscles that surround the shoulder girdle. This type of damage can cause referred pain to the shoulder area. Sometimes shoulder pain is actually due to a problem in your neck or a mixture of several different problems. Neck pain as a result of degenerative changes are relatively common. The pain may radiate, or spread, to the shoulder blades or under the arm. Patients may have an arm or shoulder complaints, such as pain or weakness, as a result of compression of the nerve roots. Magnetic resonance imaging (MRI) is a type of advanced imaging to determine whether the discs are injured or being encroached upon. Symptoms may include neck pain, pain behind the shoulder blade arm complaints, such as pain, numbness, or weakness, and rarely, difficulty with hand dexterity or walking. Treatment of cervical degenerative disc disease provides good to excellent results in over 75% of patients. A multi-disciplinary approach include: Chiropractic adjustments that may be useful in reducing muscle spasm and increase mobility. Heat, and exercise may also have benefits in improving function and stabilize the degenerative area. In severe cases surgery may be an option.
3. Frozen Shoulder
Appropriate term for frozen shoulder adhesive capsulitis. Shoulder capsule and connective tissue around the shoulder joint, inflame and become very stiff. The network then started to grow together to form a band of abnormal tissue, called adhesions. These adhesions cause reduced range of motion or movement and chronic pain. The pain is often felt deep within the shoulder joint and may be worse at night. The exact cause of frozen shoulder is still uncertain. It can be very painful and disabling and patients are sometimes slow to recover. This may be preventative, by maintaining mobility in, joint and lifestyle modification with diet and exercise, which can reduce the possibility of frozen shoulder. Certain diseases such as diabetes and cardiovascular disease can have an effect on the mobility of the joints as they progress. If you are able to continue to move well, maybe you will age well too. Chiropractic can help stimulate physical health and may compensate for common diseases often associated with aging. For treatment, the chiropractor typically do not use drugs in the treatment of frozen shoulder. Instead they use a variety of techniques to manage pain, and to restore range of motion and function in the shoulder. Chiropractors often use heat and cold to relieve pain and gentle chiropractic mobilization of the shoulder and spine, accompanied with stretching and strengthening the muscles around the shoulder.
Need Consultation for Shoulder Problems? Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.