Shoulder Problems
Introduction
The complexity of the shoulder joint allows it to perform
many different movements and activities. Anatomically, the
shoulder involves three different bones - the scapula, the
clavicle, and the Humerus - many connecting ligaments, and
approximately 20 different muscles. The main articulation, the
Glenohumeral joint, is connected by ligaments and a group of
muscles (and their tendon attachments) known as the rotator
cuff. Problems with the rotator cuff are common causes of
shoulder pain and disability.
As with other joints, shoulder problems can be caused by
trauma as with sports injuries, mechanical dysfunction due to
imbalances in the muscles, or by wear and tear of the tissues
surrounding the joint. Arthritic changes do occur in the
shoulder joint though not as commonly as the weight bearing
joints of the spine, hips and knees.
Anatomy
 Problems
in the shoulder often originate in the cervical spine as the
nerves from this region innervate all of the muscles and other
tissues of the shoulder, arm and hand. If these nerves are
irritated, the shoulder muscles can become tight or weak causing
dysfunction in the normal mechanics of the joint, especially in
the rotator cuff. A similar situation can occur if the should is
over=used by performing repetitive activities or playing sports
like golf or tennis. People who sit too much in a slouched
position or with the shoulders held forward are also at risk at
developing these imbalances and shoulder problems.
Rotator Cuff Syndrome
Regardless of the reason, if the imbalances and irritation to
the shoulder are not corrected, pain and limitation of normal
motion will eventually develop. The severity can vary from a
slight catching or pain to an almost complete inability to use
the shoulder. This painful condition is often called Shoulder
Impingement or Rotator Cuff Syndrome and can afflict individuals
of all ages.
Frozen Shoulder
 Another
common problem, especially among middle age women is "frozen
shoulder." This often-debilitating condition occurs when the
ligaments and tendons of the Glenohumeral joint get so irritated
that adhesions develop making the joint almost stuck together.
This results in an extreme limitation of shoulder motion and
pain that makes it difficult for some individuals to perform the
most basic activities. Left alone, frozen shoulder can take
several years to resolve and therefore needs attention by a
professional such as a chiropractor.
Treatment
The treatment of most conditions of the shoulder is basically
the same. One must correct muscle imbalances with either soft
tissue massage or electrotherapy modalities, restore proper
mobility to the shoulder joints and of course correct any
subluxations in the spine. Special rehabilitation exercises
advised by your chiropractor are also essential in order for a
full & fast recovery
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