Shoulder Pain in Town and Country, MO. Those who suffer from shoulder pain know how hard it can be to manage. It can make any basic task from pouring a cup of coffee to serving an ace on the tennis court frustrating and, sometimes, not even an option. But you do not have to accept pain and limited shoulder movement. At Axes PT in Town and Country, MO, our experienced physical therapists create tailored treatment plans, proven to work through research, to get you back to the activities you love most. Allow us to make your shoulder pain an ancient memory. Schedule an appointment through our website or reach out to our location most convenient for you.
The Anatomy of the Shoulder | Shoulder Pain in Town and Country, MO
The shoulder is one of the the largest and most intricate joints we have. In reality, 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 has the widest range of motion as any other human joint.
- The acromioclavicular (AC) joint connects the clavicle to the acromion, the bony tip on the outer edge of the scapula. A gliding joint, it allows for additional rotation of the shoulder blade.
- The sternoclavicular (SC) joint is a plane-style synovial joint located where the collarbone meets the sternum at the bottom of the neck. As the only joint that connects the arm to the body, it links 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 does not have union by fibrous, cartilaginous or synovial tissues. 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 allow for movement movement and stabilize and protect the glenohumeral joint
- the shoulder capsule, a a fluid-filled sac that surrounds and lubricates the joints in the shoulder
- the ligaments of the shoulder which provide passive stability while still allowing for movements in different planes
- the biceps tendon and rotator cuff tendons which attach muscle to bone
- 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 pump much-needed blood to the muscles, ligaments, and tendons
In order for the shoulder to function properly every joint, ligament, tendon, muscle, artery, capsule, and nerve must function well. Blood must flow freely to 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 connecting them to the bones must be intact and strong, the ligaments that attach our bones need to be similarly healthy, and messages most be able to be sent and received between the brain and shoulder. When any one of the parts of the shoulder is damaged, inflamed, or otherwise irritated, it often causes shoulder pain and movement problems. If if shoulder pain or poor shoulder movement is part of your daily life, reach out to Axes’ physical therapists for a complimentary injury screening.
What Causes Shoulder Pain?
Shoulder pain can be caused by numerous different circumstances, from sports injuries to acute trauma, a work injury from repeated activities to old age. The following are common causes of shoulder pain that our physical and occupations therapists see in Town and Country, MO:
- Bursitis — The bursae are small, fluid-filled sacs that work as a cushion and gliding surface between tissues. Bursitis occurs when the bursae because inflamed after repeated activities, often occurs in combination with shoulder impingement, and can make basic activities like getting dressed incredibly difficult.
- Tendinitis — Tendinitis is typically caused by inflammation or irritation of a tendon. It typically falls into one of two categories:
- Acute: The result of trauma, excessive overhead motions, or other overhead activities needed in some competitive and activities and fields of employment, such as swimming or lifting and lowering boxes.
- Chronic: The result of degenerative conditions or general weakness as we get weaker.
Symptoms include a dull ache, throbbing, and slight swelling.
- Rotator Cuff Tear — These can also be caused by acute injuries, such lifting an incredibly heavy object, or repetitive movements or old age. They usually start with fraying and then tear. A partial thickness tear often goes unnoticed. Full-thickness tears, which go all the way through the tendon, often require surgery. 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 clicking feeling with specific movements.
- Shoulder Impingement — Impingement occurs when your acromion (outer edge of your scapula) irritates the soft tissue in your shoulder. It often occurs alongside an injury that causes inflammation in the rotator cuff. Shoulder impingement is rarely caused by overuse, but rather by physical activity.
- Shoulder Instability — This occurs when the humerus is allowed to move out of the socket when the capsule or ligaments become damaged, and also can be the result of injury or wear and tear. 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 happens in combination with injury to the surrounding areas of the shoulder. Long-term instability will result in shoulder pain and unsteadiness when performing certain motions.
- Arthritis — While arthritis refers to a range of diagnoses, the shoulder most commonly experiences osteoarthritis. Osteoarthritis is the degeneration of joint cartilage and the underlying bones. 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 Town and Country, MO physical and occupational therapists.
- Shoulder Fractures — The humerus, clavicle, and scapula are the bones in the shoulder most susceptible to fracture. They are often the result of falling a significant distance or onto a hard surface or high-impact collisions such as being tackles in a football game. The shoulder pain is usually intense, along with substantial inflammation 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 their electric signals, or the nerves rupture. These injuries can cause shoulder pain, stingers, tingling, and loss of feeling in your shoulder, arm, or hand. They are usually the result of a sudden blow but can also happen because of wear and tear.
At times, one injury leads to another, such as 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 Town and Country, MO may help determine why you’re experiencing the pain. If you’ve sustained a severe injury or have severe shoulder pain, a physician in Town and Country, MO may use a physical examination, various imaging techniques, and/or arthroscopy to discover the cause. Most people who experience shoulder pain can experience relief with a tailored treatment plan with licensed physical therapists that specialize in movement health in Town and Country, MO can be an effective way to get you back to the things you love to do the most.
Treating Your Shoulder Pain in Town and Country, MO
Your customized and proven physical therapy treatments may include:
- 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 reduce pain and inflammation and allow you to participate in sports or work while your body heals
- Blood flow restriction training to offer your shoulder a low-intensity exercise with high-intensity results
- Trigger point dry needling to attack harder-to-reach damaged muscles, ligaments, and tendons to encourage the body’s natural healing processes
- Posture correction to make sure you are not inadvertently causing your shoulder pain or heal improperly
- 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 stipulates that you need a prescription to attend physical therapy appointments, so you need to reach out to your Town and Country, 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 form a team with your primary care physician to ensure your treatment plan is safe for your condition.
Town and Country, 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 patient results for Town and Country, MO people of all ages by implementing evidence-backed 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. Schedule an appointment through our website or reach out to the location nearest you.