Shoulder pain can take many forms – it can show up when you’re reaching toward the top shelf to put dishes away or when you’re struggling to find a comfortable position to sleep in without feeling a dull aching pain in your shoulder and neck. It can show up as a result of an injury, making you feel as if your shoulder is immobile. There are numerous reasons why someone may experience shoulder pain, and the severity can range from the temporary discomfort of a pulled muscle to the agonizing bone-on-bone friction of arthritis. Whatever the case may be, our MAXX Physical Therapy team is dedicated to offering you natural pain management modalities.
The Anatomy of Shoulder Pain
Your shoulder is capable of accomplishing many physical feats, and has the greatest range of all the joints in your body. However, with its complexities also comes the possibilities of pain and discomfort. It is a “ball-and-socket” joint, meaning the head of the upper arm bone, or “humerus,” fits perfectly in the corresponding space within the shoulder blade, or “scapula.” The ends of the bone are protected by a thick layer of cartilage, protecting the bones from rubbing together. Fluid-filled sacs called “bursae” also protect the tendons from rubbing against the bones. Tendons attach the bones in the shoulder to a set of bones, known as the rotator cuff. If something goes wrong with the intricacies that make up the mechanical interplay of the shoulder, pain can result.
The type of pain you feel in your shoulder can vary, depending on what is causing it. Pain from impingement, for example, typically occurs as you raise your arm up, and begins at a certain point in the range of motion. Pain resulting from a degenerated shoulder may create persistent aches every time you move your arm in certain directions. Acute injuries can result in sudden and intense pains that make it impossible for you to move your shoulder at all.
Potential Sources of Shoulder Pain
The complexities of the shoulder joint presents many opportunities for pain-causing conditions. Some of the most common causes of shoulder pain include:
Impingement - Impingement typically occurs because of abnormal movement and tracking of the humeral head as you lift your arm overhead. Pain typically occurs when lifting your arm at or above 90 degrees.
Rotator cuff tear - The rotator cuff is comprised of 4 muscles, tendons, and soft tissue that surround the shoulder joint. The job of the rotator cuff is to correctly guide the movement of the shoulder joint. With injury, overuse, poor posture, or even age, the rotator cuff can be partially or completely torn. Depending on the severity and situation, sometimes surgery is needed, but often the correct physical therapy treatments can help reduce pain and restore strength to the rotator cuff to compensate for the partial tear. If surgery is needed, physical therapy is an integral part of the rehabilitation to a full recovery.
Tendinitis - Tendinitis occurs when the shoulder joint is excessively overused typically due to the demands of a laborious job, overhead activity, or sport. Furthermore, poor posture is a major contributor, as this alters the normal forces on the tendons, and can set you up for tendon injury. This causes the tendons to undergo ongoing inflammation, resulting in swelling and painful impingement when raising your arm.
Frozen shoulder - Also known as “adhesive capsulitis,” frozen shoulder can occur if your arm has been in a case or sling for a while, or if you have been bedridden for an extended period of time. Furthermore, there are some ethnicities that are more predisposed, and women tend to have more instances than men. It is more common in women in the 40-60 years of age. Frozen shoulder results in a painful loss of motion in the shoulder with a tightening of the shoulder joint that severely limits motion.
Arthritis - The two main forms of arthritis that affect the shoulder are osteoarthritis and rheumatoid arthritis. Osteoarthritis occurs when the cartilage in the shoulder joint experiences significant “wear and tear,” typically due to age or excessive overuse. Rheumatoid arthritis occurs when the immune system decides to attack the membranes surrounding the shoulder joint, resulting in pain and inflammation. Both of these result in a painful loss of motion, weakness to the shoulder muscles, and difficulty performing normal, daily tasks.
Bursitis - Bursitis is a painful condition that affects the small, fluid-filled sacs — called bursae that cushion the bones, tendons and muscles near your joints. Bursitis occurs when bursae become inflamed. The most common locations for bursitis are in the shoulder, elbow and hip. But you can also have bursitis by your knee, heel and the base of your big toe. Bursitis often occurs near joints that perform frequent repetitive motion. Treatment typically involves resting the affected joint and protecting it from further trauma. In most cases, bursitis pain goes away within a few weeks with proper treatment, but recurrent flare-ups of bursitis are common.
Rotator Cuff Injury
Your rotator cuff is comprised of the muscles and tendons surrounding your shoulder joint. Sometimes, the rotator cuff can become torn or injured, due to repetitive overhead motions performed in sports (such as tennis) or jobs (such as carpentry.) Those who experience rotator cuff injuries or “torn shoulders” generally report a dull ache deep in their shoulder, arm weakness, difficulty reaching behind their backs, and disturbed sleep due to pain. At MAXX Physical Therapy, our Lake Charles physical therapists use natural and non-invasive methods which help relieve your shoulder pain and heal your rotator cuff injury.
While rotator cuff injuries sometimes require surgery if they are severe enough, there are several cases where physical therapy treatments can work just as well (if not better) than surgery. According to the American Physical Therapy Association, “A recent study from Finland asserts that when it comes to treatment of nontraumatic rotator cuff tears, physical therapy alone produces results equal to those produced by arthroscopic surgery and open surgical repair.” In this same study, a follow-up on 167 patients receiving physical therapy alone for their rotator cuff injuries, demonstrated that conservative treatment, such as physical or occupational therapy, should be considered as the primary treatment for this condition.
At MAXX Physical Therapy, we will conduct a physical evaluation and diagnostic tests to determine if you do indeed have a rotator cuff tear, and we will design a personalized treatment plan based on the needs of your diagnosis.
MAXX Pain Relief
Physical therapy is a natural, easy, and comfortable way to find relief for shoulder pain, without the need for harmful drugs or invasive surgery. Our therapists have treated a number of conditions resulting in shoulder pain, with patients finding improvement and relief after just a few short sessions... and sometimes on their initial visit!
Our physical therapists are movement experts, trained to pinpoint the cause of your pain through a variety of diagnostic techniques. During your evaluation, we will examine your range of motion, strength, coordination, your medical history, joint mobility, and mechanics of your joint motion. Once we have established the cause of your shoulder pain, we can create a specialized combination of physical therapy methods to manage and relieve your pain. Gentle manual therapy helps to restore normal joint movement, ease soft tissue restrictions, and promote circulation, while specific therapeutic exercises restore strength, and the correct sequence of muscle activation around the shoulder joint.
Finally, we teach you techniques to enhance your strength and to prevent recurrence of future shoulder problems. Don’t let your shoulder pain limit your physical abilities any longer! Our Lake Charles physical therapy practice will get you the help you need to start living your normal life once again. Request a FREE Pain Assessment or schedule an appointment with MAXX Physical Therapy today to get started on your journey toward pain relief.
What is the best exercise for shoulder pain?
While there is no one-stop solution for shoulder pain, there are many exercises that can be done to help strengthen the rotator cuff region and ease the pain you are expereincing. Our physical therapists are highly trained to help improve the flexibility and range of motion in your shoulder, in addition to relieving your pain and discomfort. This will be done through an individualized treatment plan designed specifically for you, including therapeutic modalities and targeted pain-relief exercises. A couple common rotator cuff-strengthening exercises that physical therapists prescribe are wall push-ups and chair push-ups. Resistance bands can also be used to increase the strength in your shoulder and help relieve pain. However, it is important to note that if your pain is serious, these exercises should not be performed without the aid of a physical therapist.
How many types of shoulder pain exist?
When it comes to your upper extremities, injuries typically fall into two categories: acute or overuse. Acute injuries are caused by a single specific incident, such as a strain or tear. Overuse injuries are caused by excessive repetitive movements over time. Both acute and overuse injuries can range from mild to severe and can have a significant impact on daily life function. Shoulder pain can also be chronic, meaning it has persisted for 3 months or longer, despite efforts to relieve it. If you have been living with chronic shoulder pain, it is in your best interest to consult with a physical therapist as soon as possible, so they can get to the root of the problem and treat you accordingly.
Can physical therapy help shoulder pain?
Two of the biggest goals of physical therapy are 1) to alleviate your pain and 2) to improve your function. Your physical therapist will work with you to make sure that both of these are achieved throughout your physical therapy sessions. Physical therapy has been proven to manage the pain of several conditions, and in many cases, it has even been proven to eliminate shoulder pain altogether, thus making the need for harmful drugs or surgical intervention obsolete.
What are the causes of shoulder pain?
There are several underlying causes that could result in shoulder pain. For example, a sudden injury or trauma to the shoulders can cause them to become painful. Repetitive motions can also cause shoulder pain, as your muscles, joints, and tendons are working in overdrive. While there are multiple factors that could be causing your shoulder pain, some of the most common include sprains, strains, a torn cartilage, dislocation, frozen shoulder, tendinitis, and arthritis.