Shoulder Pain in Troy, MO. Those who experience shoulder pain know how debilitating it can be. It makes any basic task from brushing your teeth to making a breakaway layup frustrating and, in some cases, unfeasible. But pain and limited shoulder movement is usually manageable and beatable with safe and effective treatment. At Axes PT in Troy, MO, our professional physical therapists are experts at creating customized treatment modalities, proven to work through research, to get you back to optimal movement health. Let us help you make your shoulder pain an ancient memory. Request an appointment through our website or reach out to the location most convenient for you.
How Does the Shoulder Work? | Shoulder Pain in Troy, MO
The shoulder is one of the the largest and most intricate joints we have. In actuality, what we call the shoulder joint is made up of four different joints:
- The glenohumeral (GH) joint is the joint where the humerus (upper arm bone) fits into a relatively small dish called the glenoid. Because the top of the upper arm bone is 3-4 times larger than the 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 part of the shoulder blade that is the highest part of the shoulder. A plane joint, it helps extend the upper extremity from the trunk.
- The sternoclavicular (SC) joint is a plane-style synovial joint located where the clavicle meets the breastbone at the bottom of the neck. As the only joint that connects the arm to the body, it connects 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 does not have union by fibrous, cartilaginous or synovial tissues. It is made up of the scapula and its articulation with the ribcage.
In order to support those four joints, the shoulder consists of:
- the four muscles of the rotator cup covering 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 shoulder
- the four shoulder ligaments which provide passive stability while still allowing for movements in different planes
- the tendons in the biceps and shoulder which affix muscle to bone
- the brachial plexus nerves that send motor messages from the brain to muscles and sensory information (like pain) from the joints back to the brain
- the arteries that pump much-needed blood to the shoulder
Proper shoulder strength, flexibility, and movement depends on every part of the system being healthy and working together. 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 strong, flexible, and free of rips or tears, 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 of these parts are not at optimal health, it can lead to a breakdown of the whole system, and anywhere from nagging to severe shoulder pain or loss of function. If you’re experiencing shoulder pain or any other symptoms of a shoulder injury, reach out to Axes’ physical therapists for a free injury screening.
What’s Behind My Shoulder Pain?
As the shoulder has so many moving parts, shoulder pain can have many root causes, from sports injuries to a car accident, a work injury from repeated activities to old age. The following are common causes of shoulder pain that our team see in Troy, MO:
- Bursitis — The bursae are small, fluid-filled sacs that cushion bones, tendons, and muscles in and around your shoulders, elbows, hips, knees, and other joints. Bursitis the result of the bursae becoming inflamed after repeated activities, often occurs in combination with shoulder impingement, and can make basic tasks like brushing your teeth tremendously difficult.
- Tendinitis — Tendinitis is typically caused by a tendon becoming irritated. It typically falls into one of two categories:
- Acute: This can happen because of a sudden blow, excessive throwing, or other overhead activities needed in some competitive and activities and occupations, such as tennis or moving objects overhead.
- Chronic: The result of wear and tear or general weakness as we age.
Symptoms include smarting pain, throbbing, and mild swelling.
- Rotator Cuff Tear — These can also be acute, such a blow to the shoulder, or repetitive movements or old age. They usually start with fraying and then tear. A partial tear often goes unnoticed. Complete tears, which pull the tendon off the bone, do not heal by themselves. Associated symptoms are having difficulty raising your arm or lifting things you normally can, pain when sleeping, and a popping sensation when performing certain movements.
- Shoulder Impingement — Impingement is the result of the rotator cuff and bursae rubbing against your shoulder blade. It often occurs in combination with an injury that causes inflammation in the rotator cuff. Shoulder impingement occurs the most in people who play sports or are otherwise active.
- Shoulder Instability — This happens when the head of the humerus is allowed to move out of the socket when the capsule or ligaments become stretched, torn, or detached, 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 is accompanied by injury to the surrounding areas of the shoulder. Long-term instability will result in shoulder pain and a sense of the shoulder “giving way.”
- Arthritis — While arthritis refers to a range of diagnoses, the shoulder most typically suffers from osteoarthritis. It is the result of the cartilage that acts as a shock absorber between your bones breaks down. Common causes include tissue weakening as we become older, repeated trauma, and wear and tear. There is no cure for arthritis, but you can find effective pain management methods with Troy, MO physical therapists.
- Shoulder Fractures — The humerus, clavicle, and scapula are the most commonly broken bones in the shoulder. They usually happen as 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 substantial swelling and bruising.
- Axillary Nerve Injuries or Brachial Plexus Injuries — Nerve damage in the shoulder can occur when nerves are stretched, when scar tissue interferes with 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 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 instability that leads to impingement. If you’re experiencing shoulder pain, one of our safe, free injury screenings in Troy, MO may help you discover the root of it. To diagnose shoulder pain a physician in Troy, 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 experienced physical therapists and movement health specialists in Troy, MO can be a successful way to return to a pain-free daily life and the active lifestyle you deserve.
How Do Troy, MO Physical Therapists Treat Shoulder Pain?
Your personalized and evidence-backed physical therapy treatment plan may include:
- Instrument-assisted soft tissue mobilization to detect and treat any problems with your muscles, ligaments, or tendons
- 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 sports or go back to 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 damaged muscles, ligaments, and tendons deeper in the body to encourage the body’s natural healing processes
- 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 treatment methods to optimize your mobility
Missouri Revised Statute §334.506 requires a prescription for physical therapy, so it’s necessary to speak to your Troy, MO physician to see if physical therapy is rights for your shoulder pain. Our experienced physical and occupational therapists form a team with your primary care physician to make sure you are getting the care that is safe for your condition.
Troy, MO Shoulder Pain | Axes Physical Therapy
Optimal movement health is essential to not only carrying out daily tasks with ease, but to keeping up the active lifestyles we desire. At Axes, we focus on positive outcomes for our Troy, MO clients by creating proven 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. Make an appointment online or find our location most convenient for you.