Shoulder Pain in Bismarck, MO. Those who experience shoulder pain know the effect it can have on your life. It makes everything from pouring a cup of coffee to playing volleyball painful and, in some cases, unfeasible. But you do not have to accept pain and limited shoulder movement. At Axes PT in Bismarck, MO, our professional physical therapists create tailored treatment plans, proven to work through research, to get you back to striking out opponents, or just combing your hair pain-free. Allow us to safely and effectively treat your shoulder pain. Make an appointment online or call our location most convenient for you.
The Anatomy of the Shoulder | Shoulder Pain in Bismarck, MO
The shoulder is among human body’s largest and most complex joints. In truth, it is made up of four independent smaller joints:
- The glenohumeral (GH) joint is the joint where the humerus (upper arm bone) fits into a relatively small dish called the glenoid. As the top of the upper arm bone is several times larger than the socket, it has the widest range of motion as any other human joint.
- The acromioclavicular (AC) joint connects the collarbone to the acromion, the bony tip on the outer edge of the scapula. A gliding joint, it allows you to outstretch your arm.
- The sternoclavicular (SC) joint is a gliding joint formed by the collarbone the sternum at the base of the neck. This joint is where the arm and body meet, it coordinates the movement of the upper limb with the core of your body.
- The scapulothoracic (ST) “joint” is more of a “floating” joint as it does not have typical joint characteristics. It attaches and allows movement between the shoulder blade and the part of rib cage at the back of our bodies.
The shoulder is supported and surrounded by:
- the four muscles of the rotator cup that surround the head of the humerus, which power movement and stabilize the ball of the humerus within the shoulder socket
- the shoulder capsule, a soft tissue sac that encloses the joints in the shoulder
- the four shoulder ligaments which help connect bone to bone and provide stability for the capsule
- the biceps tendon and rotator cuff tendons which allow muscles to power the bones
- the brachial plexus nerves that allow the brain to tell the shoulder and arm to move and the shoulder to tell the brain when it feels pain or other sensory information
- the blood vessels that supply nutrient-rich blood to the shoulder
Optimal shoulder and movement health depends on every part of the system functioning well. Blood must be allowed to reach the shoulder keep oxygen levels and muscles strong and repair minor damage. The muscles must have adequate strength and flexibility, the tendons attaching bone and muscle must be intact and strong, the ligaments connecting bones need to help support proper structure, and the nerves need to have a strong and secure connection to the brain. When any one of the parts of the shoulder is damaged, inflamed, or otherwise irritated, it often causes shoulder pain and movement problems. If you’re experiencing shoulder pain or any other symptoms of a shoulder injury, reach out to Axes’ physical therapists for a no-risk, no-obligation injury screening.

What Causes Shoulder Pain?
Shoulder pain can be caused by a variety of circumstances, from sports injuries to falls, a work injury from overuse to old age. Below are common causes of shoulder pain that our physical and occupations therapists see in Bismarck, MO:
- Bursitis — The bursae are small, fluid-filled sacs that cushion bones, tendons, and muscles in and around your joints. Bursitis the result of the bursae becoming swollen after overuse, often occurs in association with shoulder impingement, and can make basic activities like laying down for bed incredibly painful.
- Tendinitis — Tendinitis generally occurs because of a tendon becoming irritated. There are two causes of tendinitis:
- Acute: This can happen because of a sudden blow, excessive throwing, or other overhead activities needed in some sports and fields of employment, such as volleyball or moving objects overhead.
- Chronic: This can happen because of degenerative conditions or the body becoming weaker as we get older.
The condition causes pain and tenderness just outside the joint.
- Rotator Cuff Tear — These can also be acute, like a blow to the shoulder, or more chronic in nature. They usually start with fraying and then tear. People often live with partial thickness tears unaware. Complete tears, which pull the tendon off the bone, do not heal by themselves. Symptoms include having difficulty raising your arm or lifting things you normally can, pain when lying on the side of the affected shoulder, and a popping feeling when performing specific movements.
- Shoulder Impingement — Impingement describes when your acromion (the bony tip of your scapula) irritates the rotator cuff and bursae. It often occurs in combination with an injury that causes inflammation in the rotator cuff. Shoulder impingement is most common in people who are physically active.
- Shoulder Instability — This occurs when the head of the upper arm bone is forced out of the shoulder socket, and also can happen suddenly or from wear and tear. Dislocations can be repeated and partial or the entire bone coming out of the socket. It often is accompanied by injury to the supporting soft tissue of the shoulder. Long-term instability will cause shoulder pain and unsteadiness when performing certain motions.
- Arthritis — While arthritis refers to a range of diagnoses, the shoulder most commonly suffers from osteoarthritis. It occurs when the cartilage cushioning the ends of your bones breaks down. It can be the result of old age, frequent injuries, and overuse. There is no cure for arthritis, but you can find effective pain management techniques with Bismarck, MO physical therapists.
- Shoulder Fractures — The upper arm bone, clavicle, and scapula are the bones in the shoulder most prone to fracture. They are often the result of falling a significant distance or onto a hard surface or high-energy collisions such as a car accident. The shoulder pain is usually significant, and the shoulder will experience substantial swelling and bruising.
- Axillary Nerve Injuries or Brachial Plexus Injuries — Nerve damage in the shoulder is the result of when nerves are impinged on, when scar tissue blocks signals between the brain and shoulder, or the nerves rupture. These injuries can cause shoulder pain along with a range of other sensations. They are commonly caused by sudden trauma but can also happen because of degenerative conditions.
Sometimes, injuries are intertwined, for example how an untreated rotator cuff tear can lead to arthritis. If you’re currently suffering from shoulder pain, one of our safe, free injury screenings in Bismarck, MO may help you discover why you’re experiencing the pain. To diagnose shoulder pain a physician in Bismarck, MO may use a physical examination, an X-Ray, an MRI, a CT scan, arthrogram, and/or arthroscopy. For most injuries or conditions that cause shoulder pain, a personalized treatment plan with knowledgeable physical therapists that specialize in movement health in Bismarck, MO can be a great way to return to a pain-free daily life and the active lifestyle you deserve.
How Do Bismarck, MO Physical Therapists Treat Shoulder Pain?
Your tailored and proven physical therapy may include any one or a variety of different treatment plans:
- Instrument-assisted soft tissue mobilization to identify degenerative tissue, smooth out scar tissue, and treat the affected area
- Pre- and post-surgical rehabilitation, coordinated together with your surgeon, if your shoulder pain was caused by an injury that needed surgery to correct
- Kinesio Taping® to reduce pain and inflammation and allow you to participate in sports or go back to work while you are still recovering
- Blood flow restriction training to offer your shoulder a low-intensity exercise with high-intensity results
- Trigger point dry needling to attack damaged muscles, ligaments, and tendons deeper in the body to stimulate blood flow
- Posture correction to ensure you do not contribute to your injuries or do not heal correctly
- Injury prevention so you and your shoulder and stay healthy and active
- Other safe, effective exercises to optimize your mobility
Missouri Revised Statute §334.506 requires a prescription to attend physical therapy appointments, so you need to reach out to your Bismarck, MO primary care physician to see if physical therapy is rights for your shoulder pain. Our licensed physical and occupational therapists are responsible and work closely with your primary care physician to ensure your treatment plan is safe for your condition.
Other services we offer in Bismarck, MO include:
- Physical Therapy Clinic
- Carpal Tunnel Syndrome Treatment
- Sciatica Treatment
- Sports Medicine
- Hand Pain Physical Therapy
- Foot & Ankle Pain Treatment
- Hip Pain Treatment
- Plantar Fasciitis Treatment
- Stroke Rehabilitation
- Hip Replacement Physical Therapy

Bismarck, MO Shoulder Pain | Axes Physical Therapy
A well-functioning shoulder is essential to not only living our every day life, but to doing the things we love. At Axes, we focus on positive outcomes for Bismarck, MO people of all ages by creating evidence-backed treatment plans catered to your injury, pain level, age, and how physically active you need to be. Do not wait to get back to the things you love doing most and a pain-free life. Schedule an appointment online or call our location most convenient for you.












