Hillsboro, MO

Hillsboro, MO

Get back to to the things you love doing most with Axes Physical Therapy.

Shoulder Pain in Hillsboro, MO. If you live with shoulder pain, you know how debilitating it can be. It can make everything from watering the flowers to making a breakaway layup painful and, sometimes, unfeasible. But pain and limited shoulder movement does not have to be a part of your everyday life. At Axes PT in Hillsboro, MO, our experienced physical therapists create customized treatment plans, based on evidence, 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 nearest you.

The Anatomy of the Shoulder | Shoulder Pain in Hillsboro, MO

The shoulder is one of the the largest and most complex joints we have. In truth, it is made up of four independent smaller joints:

  1. The glenohumeral (GH) joint is the joint responsible for connecting the upper extremity to the trunk. Given the relatively shallow socket, it is the most mobile joint in the body.
  2. The acromioclavicular (AC) joint connects the collarbone to the acromion, the bony tip on the outer edge of the shoulder blade. A plane joint, it allows for additional rotation of the shoulder blade.
  3. The sternoclavicular (SC) joint is a plane-style synovial joint located where the collarbone meets the breastbone at the bottom of the neck. As the only joint that connects the arm to the torso, it it ensures your arm and body act in tandem.
  4. The scapulothoracic (ST) “joint” is not a true anatomical joint as it does not have does not have union by fibrous, cartilaginous or synovial tissues. It is made up of the shoulder blade and its articulation with the ribcage.

In order to support those four joints, the shoulder is made up of:

  • the four muscles of the rotator cup covering the head of the upper arm bone, which allow for movement movement and stabilize the ball of the humerus within the shoulder socket
  • the shoulder capsule, a soft tissue sac that surrounds and protects the shoulder
  • the ligaments of the shoulder which help connect bone to bone and help reinforce the capsule
  • the tendons in the biceps and shoulder which attach muscle to bone
  • the brachial plexus nerves that allow for the brain and muscles to communicate with each other
  • the blood vessels that supply nutritious blood to the shoulder

In order for the shoulder to function properly the entire complex system must be able to work together. Blood must be allowed to reach the shoulder maintain healthy soft tissue and repair minor damage. The muscles must have adequate strength and flexibility, the tendons attaching bone and muscle must be strong, flexible, and free of rips or tears, the ligaments connecting bones need to help maintain structure, and messages most be able to be sent and received between the brain and shoulder. When any of these functions are not being carried out in a healthy way, it often causes shoulder pain and movement problems. If you’re experiencing shoulder pain or any other symptoms of a shoulder injury, contact Axes’ physical therapists for a complimentary injury screening.


Shoulder Pain Hillsboro, MO | Injury Rehabilitation | Physical Therapy Near Hillsboro


What’s Behind My Shoulder Pain?

Shoulder pain can be caused by a variety of circumstances, from sports injuries to falls, a work injury from overuse to our bodies just getting weaker as we get older. Below are the most common underlying conditions that lead to shoulder pain in Hillsboro, MO:

  • Bursitis The bursae are small, fluid-filled sacs that act as shock absorbers and reduce friction in joints. Bursitis occurs when the bursae because swollen after overuse, often occurs at the same time as irritation of the rotator cuff, and can make basic tasks like getting in and out of cars exceedingly difficult.
  • Tendinitis Tendinitis is typically caused by a tendon becoming irritated. It typically falls into one of two categories:
    • Acute: The result of a sudden blow, excessive overhead motions, or other overhead activities common in some sports and fields of employment, such as volleyball or moving objects overhead.
    • Chronic: The result of wear and tear or general weakness as we get weaker.

    Symptoms include aching, tenderness, and mild swelling.

  • Rotator Cuff Tear These can also be caused by sudden trauma, such a blow to the shoulder, or wear and tear. They usually start with fraying and then tear. People often live with partial tears obliviously. Complete tears, which pull the tendon off the bone, often require surgery. Common symptoms are pain when performing specific motions, pain when sleeping, and a cracking sensation with specific motions.
  • Shoulder Impingement Impingement is the result of the rotator cuff and bursae rubbing against your shoulder blade. 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 forced out of the shoulder socket, and also can be the result of injury or 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 a sense of the shoulder “giving way.”
  • Arthritis While there are at least six kinds 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 tissue weakening as we become older, frequent injuries, and wear and tear. There is no cure for arthritis, but you can find effective pain management techniques with Hillsboro, MO physical therapists.
  • Shoulder Fractures The humerus, collarbone, and scapula are the most commonly broken bones in the shoulder. They are often the result of falling a significant distance or onto a hard surface or high-impact collisions such as a car accident. The shoulder pain is immediate and obvious, along with considerable swelling and contusions.
  • Axillary Nerve Injuries or Brachial Plexus Injuries Nerve damage in the shoulder is the result of when nerves are compressed, when scar tissue blocks signals between the brain and shoulder, or the nerves are otherwise damaged. Axillary nerve and brachial plexus injuries can cause shoulder pain, stingers, tingling, and loss of sensation in your shoulder, arm, or hand. They are usually the result of a sudden blow but can also occur because of degenerative conditions.

At times, one injury leads to another, for example instability that leads to impingement. If you’re experiencing shoulder pain, one of our no-obligation, free injury screenings in Hillsboro, MO may help you discover the root of it. If you’ve sustained a severe injury or have severe shoulder pain, a physician in Hillsboro, MO may use a physical examination, an X-Ray, an MRI, a CT scan, arthrogram, and/or arthroscopy to discover the cause. For most injuries or conditions that cause shoulder pain, a customized treatment plan with experienced physical therapists and movement health specialists in Hillsboro, MO can be a successful way to get you back to optimal movement health.

Treating Your Shoulder Pain in Hillsboro, MO

Your customized and evidence-backed physical therapy may include any one or a variety of different treatment plans:

  • Instrument-assisted soft tissue mobilization to identify soft tissue restrictions, 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 provide support for your shoulder and keep you safe as you participate in physical activity or go back to 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 harder-to-reach irritated soft tissue to stimulate blood flow
  • Posture correction to make sure you do not contribute to your injuries or do not heal correctly
  • Injury prevention so you do not lose your active lifestyle in the future
  • Other safe, effective treatment methods to increase and maintain your mobility

Missouri Revised Statute §334.506 requires a prescription to attend physical therapy appointments, so you need to reach out to your Hillsboro, MO primary care physician to see if physical therapy is safe and an effective treatment option for your shoulder pain. Our experienced physical and occupational therapists are responsible and work closely with your primary care physician to ensure you are getting the care that fits into your overall treatment plan.

Shoulder Pain Hillsboro, MO | Injury Rehabilitation | Physical Therapy Near Hillsboro

Hillsboro, MO Shoulder Pain | Axes Physical Therapy

A well-functioning shoulder is important to not only carrying out daily tasks with ease, but to keeping up the active lifestyles we desire. At Axes, we focus on patient results for Hillsboro, MO residents by developing proven treatment plans based on your injury, pain level, age, and desired activity level. Do not wait to get back to the activities you love and a pain-free life. Request an appointment through our website or reach out to our location most convenient for you.

Services Offered

Services Offered
  • Physical Therapy
    • Pre/Post Surgical Rehabilitation
    • Acute Injury Management
    • Chronic Injury Management
  • Occupational Therapy
  • Advanced Work Rehabilitation
  • Work Conditioning/Hardening
  • Functional Capacity Evaluations
  • Certified Hand Therapy
  • Vestibular Therapy/Concussion Management
  • Trigger Point Dry Needling
  • Sports Physical Therapy
  • Pediatric Orthopedic Physical Therapy
  • Instrument Assisted Soft Tissue Mobilization
  • Spine Specialty – Certified Manual Therapy
  • Free Injury Screenings
  • Kinesio Taping®
  • Blood Flow Restriction Therapy

Our Team

Stephen Brunjes
OTR/L, CEAS
Angie LeClere
Front Office
Mary McKinney
Front Office
Helen Ziegler
Front Office
Kaila Mikesch
PT, DPT, CMPT
Ryan Knuckles
PT, DPT, Astym Cert., Dry Needling Cert.
Ernie Goddard
Clinic Director, PT
Natalie Carter
PT, DPT, Astym. Cert.
Emma Witte
PTA, ASTYM Cert.

Locations

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Injuries and pain shouldn’t keep you from moving and doing the things you love.