Shoulder Pain in Cottleville, MO. Those who experience shoulder pain know the effect it can have on your life. It makes any basic task from watering the flowers to diving for a softball painful and, in some cases, impossible. But you do not need to live the rest of your life with pain and limited shoulder movement. At Axes Physical Therapy in Cottleville, MO, our licensed physical therapists create personalized treatment modalities, proven to work through research, to get you back to the activities you love most. Let us help you make your shoulder pain an ancient memory. Make an appointment online or find our location most convenient for you.
The Anatomy of the Shoulder | Shoulder Pain in Cottleville, MO
The shoulder is among the largest and most complex joints we have. In truth, it is a compound of four joints:
- The glenohumeral (GH) joint is the joint responsible for connecting the upper extremity to the trunk. Given the relatively shallow socket, it allows for more movement than any other joint.
- The acromioclavicular (AC) joint is formed by the junction of the clavicle the acromion, the bony tip on the outer edge of the scapula. A plane joint, it allows for additional rotation of the shoulder blade.
- The sternoclavicular (SC) joint is a gliding joint located where the collarbone meets the sternum at the base of the neck. As the only joint that connects the arm to the body, it coordinates the movement of the upper limb with the core of your body.
- The scapulothoracic (ST) “joint” is not a true anatomical joint as it does not have ligaments connecting it to bone. It is made up of the scapula and its articulation with the ribcage.
The shoulder is supported and surrounded by:
- the four muscles of the rotator cup covering the head of the upper arm bone, which power movement and stabilize and protect the glenohumeral joint
- the shoulder capsule, a soft tissue sac that encloses the shoulder
- the four shoulder ligaments which attach bones together and help reinforce the capsule
- the tendons in the biceps and shoulder which allow muscles to power the bones
- the brachial plexus nerves that allow for the brain and muscles to communicate with each other
- the arteries that supply nutritious blood to the shoulder
In order for the shoulder to function properly every joint, ligament, tendon, muscle, artery, capsule, and nerve must be able to work together. Blood must be allowed to reach the shoulder keep oxygen levels and muscles strong and stimulate the body’s natural healing processes. The muscles strong enough to move and flexible enough to safely make those movements, the tendons attaching bone and muscle must be intact and strong, the ligaments connecting bones need to be similarly healthy, and the nerves need to have a strong and secure connection to the brain. When any of these functions are not being carried out in a healthy way, it can lead to a breakdown of the whole complex, and anywhere from nagging to intense shoulder pain or loss of function. If if shoulder pain or poor shoulder movement is part of your daily life, reach out to Axes’ physical therapists for a no-risk, no-obligation injury screening.
What’s Behind My Shoulder Pain?
As the shoulder has so many moving parts, shoulder pain can have any of a number of root causes, from sports injuries to being struck by an object, a work injury from repeated activities to our bodies just getting weaker as we get older. Below are common causes of shoulder pain that our team see in Cottleville, MO:
- Bursitis — The bursae are small, fluid-filled sacs that act as shock absorbers and reduce friction in joints. Bursitis the result of the bursae becoming swollen after overuse, often occurs in association with shoulder impingement, and can make basic activities like brushing your teeth exceedingly painful.
- Tendinitis — Tendinitis is typically caused by inflammation or irritation of a tendon. There are two types of tendinitis:
- Acute: The result of a sudden blow, excessive throwing, or other overhead activities needed in some sports and occupations, such as volleyball or lifting and lowering objects.
- Chronic: The result of degenerative conditions or the body becoming weaker as we age.
Symptoms include aching, throbbing, and mild swelling.
- Rotator Cuff Tear — These can also be caused by acute injuries, such falling on an outstretched arm, or more chronic in nature. They begin with fraying and ultimately tear. People often live with partial tears obliviously. Complete tears, where the tendon is completely detached from the bone, do not heal by themselves. Symptoms include having difficulty raising your arm or lifting things you normally can, pain when sleeping, and a grinding feeling when performing specific motions.
- Shoulder Impingement — Impingement occurs when your acromion (outer edge of your scapula) irritates the soft tissue in your shoulder. It is often the result of rotator cuff swellings because of an injury. Shoulder impingement is rarely caused by overuse, but rather by physical activity.
- Shoulder Instability — This occurs when the humerus is exits the shoulder socket, and also can be the result of injury or overuse. A dislocation can be partial, coming in and out of the socket, or complete when the bone completely comes out of the socket. It often causes or is the result of injury to the supporting soft tissue of the shoulder. Chronic instability will result in shoulder pain and unsteadiness when performing certain motions.
- Arthritis — While there are many types of arthritis, osteoarthritis is the condition that typically affects the shoulder. Osteoarthritis is the degeneration of joint cartilage and the underlying bones. Common causes include old age, repeated injuries, and overuse. There is no cure for arthritis, but you can find effective pain management techniques with Cottleville, MO physical and occupational therapists.
- Shoulder Fractures — The upper arm bone, clavicle, and scapula are the bones in the shoulder most susceptible to fracture. They usually happen as the result of falling from a height or high-energy collisions such as being tackles in a football game. 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 stretched, when scar tissue blocks signals between the brain and shoulder, or the nerves are otherwise damaged. These injuries can cause shoulder pain, stingers, weakness, and loss of sensation in your upper extremities. They are commonly caused by sudden trauma but can also occur because of wear and tear.
At times, one injury leads to another, for example an impingement that leads to damage to the nerves. If you’re experiencing shoulder pain, one of our no-obligation, free injury screenings in Cottleville, MO may help you discover the underlying cause. To diagnose shoulder pain a physician in Cottleville, MO may use a physical examination, an X-Ray, an MRI, a CT scan, arthrogram, and/or arthroscopy. Most people who experience shoulder pain can experience relief with a customized treatment plan with professional physical therapists and movement health specialists in Cottleville, MO can be a great way to get you back to a pain-free daily life and the active lifestyle you deserve.
Treating Your Shoulder Pain in Cottleville, MO
Your customized and evidence-backed physical therapy treatment plan may include:
- Instrument-assisted soft tissue mobilization to detect and treat any soft tissue disorders
- Pre- and post-surgical rehabilitation, based on a plan with come up with alongside your surgeon, if your shoulder pain was caused by an injury that needed surgery to correct
- Kinesio Taping® to provide support for your shoulder and keep you safe as you participate in sports or work while you are still recovering
- Blood flow restriction training to improve strength while reducing overall stress on the shoulder
- Trigger point dry needling to target irritated muscles, ligaments, and tendons deeper in the body to stimulate blood flow
- Posture correction to ensure you do not contribute to your injuries or heal improperly
- Injury prevention so you can keep participating in the activities you love
- Other safe, effective treatment methods to optimize your mobility
Missouri Law stipulates that you need a prescription for physical therapy, so you need to reach out to your Cottleville, MO physician to see if physical therapy is safe and an effective treatment option for your shoulder pain. Our experienced physical and occupational therapists form a team with your primary care physician to make sure your treatment plan is safe for your condition.
Cottleville, MO Shoulder Pain | Axes Physical Therapy
Optimal movement health is imperative to not only living our every day life, but to doing the things we love. At Axes, we focus on positive outcomes for our Cottleville, MO clients by creating evidence-backed treatment plans catered to your injury, pain level, age, and desired activity level. You do not have to delay in getting back to the things you love doing most and a pain-free life. Schedule an appointment online or find our location most convenient for you.