Shoulder Pain in Saint Paul, MO. Those who suffer from shoulder pain know how debilitating it can be. It can make any basic task from brushing your teeth to serving an ace on the tennis court frustrating and, sometimes, unfeasible. But you do not have to accept pain and limited shoulder movement. At Axes Physical Therapy in Saint Paul, MO, our licensed physical therapists create tailored treatment modalities, based on evidence, to get you back to optimal movement health. Let us help you make your shoulder pain an ancient memory. Make an appointment through our website or reach out to the location nearest you.
The Human Shoulder | Shoulder Pain in Saint Paul, MO
The shoulder is among human body’s largest and most complex joints. In reality, what is referred to as the shoulder joint is made up of four different joints:
- The glenohumeral (GH) joint is the joint responsible for connecting the upper extremity to the trunk. As the ball is several times larger than the socket, it is the most mobile joint in the body.
- The acromioclavicular (AC) joint connects the collarbone to the acromion, the part of the scapula that is the highest part of the shoulder. A plane style synovial joint, it helps extend the upper extremity from the trunk.
- The sternoclavicular (SC) joint is a gliding joint formed by the clavicle the breastbone at the bottom of the neck. This joint is where the arm and body meet, it it ensures your arm and body act in tandem.
- The scapulothoracic (ST) “joint” is more of a “floating” joint as it does not have does not have union by fibrous, cartilaginous or synovial tissues. It attaches and allows movement between the shoulder blade and the part of rib cage at the back of our bodies.
In order to support those four joints, the shoulder is made up of:
- the four muscles of the rotator cup that surround the head of the upper arm bone, which power movement and stabilize and protect the glenohumeral joint
- the shoulder capsule, a tough sheath or membrane that surrounds and protects the shoulder
- the four shoulder ligaments which help connect bone to bone and help reinforce the capsule
- the biceps tendon and rotator cuff tendons which allow muscles to power the bones
- the brachial plexus nerves that allow for the brain and muscles to communicate with each other
- the blood vessels that pump 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 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 the nerves need to have a strong and secure connection to the brain. When any of these parts are not at optimal health, 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 no-risk, no-obligation injury screening.

What’s Behind My Shoulder Pain?
Shoulder pain can be caused by numerous different circumstances, from sports injuries to being struck by an object, a work injury from overuse to old age. Below are common causes of shoulder pain that our physical and occupations therapists see in Saint Paul, MO:
- Bursitis — The bursae are small, fluid-filled sacs that work as a cushion and gliding surface between muscles, bones, tendons, and skin. Bursitis occurs when the bursae because swollen after repeated activities, often occurs in association with shoulder impingement, and can make basic activities like brushing your teeth immensely difficult.
- Tendinitis — Tendinitis is typically caused by inflammation or irritation of a tendon. There are two causes of tendinitis:
- Acute: The result of a sudden blow, repeated overhead motions, or other overhead activities common in some competitive and activities and occupations, such as swimming or moving objects overhead.
- Chronic: This can happen because of degenerative conditions or general weakness as we get weaker.
The condition causes pain and tenderness just outside the joint.
- Rotator Cuff Tear — These can also be caused by acute injuries, like falling on an outstretched arm, or more chronic in nature. They begin with fraying and ultimately tear. A partial thickness tear often goes unnoticed. Full-thickness 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 sleeping, and a grinding feeling with certain 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 occurs the most in people who are physically active.
- Shoulder Instability — This happens when the ball of the humerus is exits the shoulder socket, and also can happen suddenly or from 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 cause shoulder pain and unsteadiness when performing certain motions.
- 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. It can be the result of tissue weakening as we become older, persistent injuries, and wear and tear. Arthritis cannot be cured, but you can find effective pain management methods with Saint Paul, MO physical therapists.
- Shoulder Fractures — The upper arm bone, clavicle, 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-energy collisions such as a car accident. The shoulder pain is immediate and obvious, and the shoulder will experience considerable swelling and bruising.
- Axillary Nerve Injuries or Brachial Plexus Injuries — Nerve damage in the shoulder can occur when nerves are impinged on, when scar tissue blocks signals between the brain and shoulder, or the nerves are otherwise damaged. These injuries can cause shoulder pain along with a range of other sensations. They are commonly caused by a sudden blow but can also happen because of overuse.
At times, one injury leads to another, for example a dislocation causing damage to the nerves. If you’re currently suffering from shoulder pain, one of our no-obligation, free injury screenings in Saint Paul, MO may help you discover why you’re experiencing the pain. If you’ve sustained a severe injury or have severe shoulder pain, a physician in Saint Paul, MO may use a physical examination, various imaging techniques, and/or arthroscopy to discover the cause. For most injuries or conditions that cause shoulder pain, a personalized treatment plan with knowledgeable physical therapists and movement health specialists in Saint Paul, MO can be an effective way to return to optimal movement health.
Treating Your Shoulder Pain in Saint Paul, MO
Your personalized 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 doctor, if you need surgery to relieve your shoulder pain
- Kinesio Taping® to provide support for your shoulder and allow you to participate in physical activity or go back to work while your body heals
- Blood flow restriction training to offer your shoulder a low-intensity exercise with high-intensity benefits
- Trigger point dry needling to target harder-to-reach irritated soft tissue to stimulate blood flow
- Posture correction to ensure you do not contribute to your injuries or do not heal correctly
- Injury prevention so you can keep participating in the activities you love
- Other safe, effective techniques to increase and maintain your mobility
Missouri Law requires a prescription to attend physical therapy appointments, so it’s important to speak to your Saint Paul, MO physician to see if physical therapy is safe and an effective treatment option for your shoulder pain. Our professional physical and occupational therapists form a team with your primary care physician to ensure your treatment plan is safe for your condition.
Other services we offer in Saint Paul, 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

Saint Paul, MO Shoulder Pain | Axes Physical Therapy
Optimal movement health is imperative to not only living our every day life, but to keeping up the active lifestyles we desire. At Axes, we focus on positive outcomes for Saint Paul, MO people of all ages by creating evidence-backed treatment plans catered to your injury, pain level, age, and the activities you want to get back to. Do not wait to get back to the things you love doing most and a pain-free life. Request an appointment through our website or call our location nearest you.






