Shoulder Pain

Shoulder Pain

Shoulder Pain or InjuryShoulder Pain or Injury Overview:

The shoulder joint is incredibly mobile and relies heavily on muscular function for movement, control and stability. This means that specialised treatment and rehabilitation for a shoulder injury is crucial in returning to your pre-injury state. The most common shoulder injuries are rotator cuff injuries, bursitis and frozen shoulder (adhesive capsulitis). These occur as a result of two main mechanisms; being macro-trauma (after a tackle on the football field) and repetitive micro-trauma (baseball pitcher or poor computer use).

Anatomy
The Clavicle (collarbone)Sacpula(Shoulder Blade) Humerus (Upper arm)The shoulder is made up of three bones, the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone) as well as associated muscles, ligaments and tendons. The articulations between these bones make up the shoulder joints. The major joint of the shoulder is the glenohumeral joint, which is where the humerus attaches to the scapula. The other joints include the acromioclavicular joint and the sternoclavicular joint.
The rotator cuff is an anatomical term given to the group of muscles and their tendons that act to stabilize the shoulder. It is composed of tendons and muscles (supraspinatus, infraspinatus, teres minor and subscapularis) whose job it is to provide dynamic stability to the shoulder joint throughout all ranges of motion.
The shoulder must be mobile enough for the wide range of actions that the arms and hands are capable of, but also stable enough to allow for actions such as lifting, pushing and pulling. This compromise between mobility and stability results in a large number of shoulder injuries.

Common Injuries of the Shoulder

There are many different injuries associated with the shoulder, some common examples include:
•    Rotator cuff tear
Rotator Cuff tendon Injury•    Shoulder instability
•     Frozen shoulder (Adhesive capsulitis)
•    Shoulder impingement
•    Tendonitis
•    Subacromial bursitis
•    Calcific tendonitis
•    Fractures and dislocations
•    Overuse injuries (sprain/strains)
•    Acromioclavicular joint sprain
•    Osteoarthritis
•    Labral tears
Frozen shoulder (Adhesions and Fibrosis of the joint capsule)•    Sternoclavicular joint sprain

Causes
•    Direct or indirect trauma
•    Muscular imbalances
•    Poor biomechanics
•    Overuse
•    Anatomical variations
•    Poor technique
•    Use of incorrect equipment
•   Bad posture

Treatment

  • A thorough assessment of the injury so time is not wasted treating the wrong condition (may include ultrasounds & x-ray investigation)
  • Application of ice, heat and/or taping techniques
  • Use cross friction massage to promote healing and reduce scar tissue development
  • Active muscle releases
  • Correction of any biomechanical dysfunction of shoulder and surrounding joints through gentle mobilisation or manipulation
  • Light stretching protocols
  • Some shoulder injuries may be aided by Radial Shock Wave Therapy
  • Kinesiotaping is a useful tool to aid in shoulder function
  • Prescribe a specific shoulder rehabilitation program to strengthen the joint and help prevent future injuries

 

Shoulder Pain Exercise Video:

 

Upper Body Postural Exercise Video:

 

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Gladesville Healthcare Clinic
74 Morrison Rd
Gladesville NSW 2111.

Clinic Hours: Monday to Friday: By Appointment
Tel: 9816. 3071
Fax: 9816 2037
Email: info@gladesvillehealthcare.com.au

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