Shoulder Pain in Wilbur Park, MO. If you live with shoulder pain, you know how hard it can be to manage. It can make everything from pouring a cup of coffee to playing volleyball painful and, for certain people, unfeasible. But you do not need to live the rest of your life with pain and limited shoulder movement. At Axes PT in Wilbur Park, MO, our professional physical therapists are experts at designing tailored treatment plans, based on evidence, to get you back to the activities you love most. Trust in us to turn your shoulder pain from a daily occurrence into a thing of the past. Schedule an appointment online or find the location nearest you.
How Does the Shoulder Work? | Shoulder Pain in Wilbur Park, MO
The shoulder is one of the the largest and most intricate joints we have. In actuality, it is a multiplex of four joints:
- The glenohumeral (GH) joint is the joint responsible for connecting the upper extremity to the trunk. Given the relatively shallow dish, it has the widest range of motion as any other human joint.
- The acromioclavicular (AC) joint connects the collarbone to the acromion, the part of the shoulder blade that is the highest part of the shoulder. A plane style synovial joint, it allows you to outstretch your arm.
- The sternoclavicular (SC) joint is a plane-style synovial joint formed by the collarbone the sternum at the base 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 is made up of the shoulder blade 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 GH joint
- the shoulder capsule, a soft tissue sac that surrounds and protects the joints in the shoulder
- the ligaments of the shoulder which provide passive stability while still allowing for a wide range of movements
- the biceps tendon and rotator cuff tendons which allow muscles to power the bones
- 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 arteries that pump nutrient-rich 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 be allowed to reach the shoulder maintain healthy soft tissue and stimulate the body’s natural healing processes. The muscles must have adequate strength and flexibility, the tendons connecting them to the bones must be strong, flexible, and free of rips or tears, the ligaments that attach our bones need to help support proper structure, 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 can lead to a breakdown of the entire system, 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 free injury screening.
What Causes Shoulder Pain?
As the shoulder is complex, 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 old age. Below are common causes of shoulder pain that our physical and occupations therapists see in Wilbur Park, MO:
- Bursitis — The bursae are small, fluid-filled sacs that cushion bones, tendons, and muscles in and around your joints. Bursitis occurs when the bursae because inflamed after repeated activities, often occurs in combination with irritation of the rotator cuff, and can make daily activities like laying down for bed exceedingly difficult.
- Tendinitis — Tendinitis generally occurs because of 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 competitive and activities and occupations, such as swimming or lifting and lowering objects.
- Chronic: This can happen because of degenerative conditions or the body becoming weaker as we get older.
Symptoms include smarting pain, throbbing, and slight swelling.
- Rotator Cuff Tear — These can also be caused by sudden trauma, like 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. Full-thickness tears, which pull the tendon off the bone, do not heal by themselves. Symptoms include pain with certain movements, pain when sleeping, and a grinding feeling when performing specific motions.
- Shoulder Impingement — Impingement is the result of the rotator cuff and bursae rubbing against your shoulder blade. It often occurs in tandem with 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 stretched, torn, or detached, and also can happen suddenly or from overuse. Dislocations can be repeated and partial or the entire bone coming 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 a sense of the shoulder “giving way.”
- Arthritis — While arthritis refers to a range of diagnoses, 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, persistent trauma, and overuse. There is no cure for arthritis, but effective pain management is possible with Wilbur Park, MO physical therapists.
- Shoulder Fractures — The upper arm bone, clavicle, and shoulder blade are the most commonly broken bones in the shoulder. They are often the result of falling from a height or high-impact collisions such as being tackles in a football game. The shoulder pain is immediate and obvious, along with substantial swelling and contusions.
- Axillary Nerve Injuries or Brachial Plexus Injuries — Nerve damage in the shoulder can occur when nerves are stretched, when scar tissue blocks signals between the brain and shoulder, or the nerves are torn into two pieces. Axillary nerve and brachial plexus injuries can cause shoulder pain along with a range of other sensations. They are commonly caused by high-impact trauma but can also occur because of degenerative conditions.
At times, one injury leads to another, for example how an untreated rotator cuff tear can lead to arthritis. If you’re currently suffering from shoulder pain, one of our no-obligation, free injury screenings in Wilbur Park, MO may help determine the underlying cause. If you’ve sustained a severe injury or have severe shoulder pain, a physician in Wilbur Park, 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 tailored treatment plan with knowledgeable physical therapists and movement health specialists in Wilbur Park, MO can be an effective way to return to the activities you love.
How Do Wilbur Park, MO Physical Therapists Treat Shoulder Pain?
Your personalized and evidence-backed physical therapy may include any one or a variety of different treatment plans:
- Instrument-assisted soft tissue mobilization to identify degenerative tissue, break down scar tissue, and treat the affected area
- Pre- and post-surgical rehabilitation, based on a plan with come up with alongside your physician, if you need surgery to relieve your shoulder pain
- Kinesio Taping® to provide support for your shoulder and allow you to participate in sports 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 attack irritated soft tissue deeper in the body to encourage the body’s natural healing processes
- Posture correction to make sure you are not inadvertently causing your shoulder pain or do not heal correctly
- Injury prevention so you and your shoulder and stay healthy and active
- Other safe, effective techniques to optimize your mobility
Missouri Revised Statute §334.506 requires a prescription to attend physical therapy appointments, so you need to reach out to your Wilbur Park, MO doctor to see if physical therapy is safe and an effective treatment option for your shoulder pain. Our licensed physical and occupational therapists are responsible and work closely with your primary care physician to make sure your treatment plan is safe for your condition.
Wilbur Park, MO Shoulder Pain | Axes Physical Therapy
A healthy shoulder 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 Wilbur Park, MO residents by creating evidence-backed treatment plans based on your injury, pain level, age, and desired activity level. You do not have to delay in getting back to the activities you love and a pain-free life. Request an appointment through our website or call the location nearest you.