Common Ailments
- Shoulder and arm pains

  1. Tendonitis of the rotator cuff or biceps tendon
  2. Bursitis
  3. Arthritis
  4. Calcium deposits in tendons
  5. Frozen shoulder/adhesive capsulitis
  6. Unstable shoulder (hypermobile)
  7. Referred pain from neck, upper back or shoulder muscles

Shoulder pain is often quite complicated to treat because there is often more than one factor or area contributing to the shoulder problem. Poor posture, poor body mechanics or lack of exercise prior to repetitive movements such as gardening, throwing, housework, or computer work can lead to pain in the shoulder area. At Therapeutic Edge our goal is to accurately diagnose and establish an effective treatment plan to get you back to work or play as quickly as possible.

Tendonitis: inflammation of your tendon
This is usually associated with pain during movement or through part of the movement range (painful arc).

Calcium deposits in the tendons
It is unclear why the body actually deposits calcium in the tendons but it is theorized that the body is trying to protect the area from repeated trauma and therefore deposits calcium to protect the area. Calcium can be thick like toothpaste and often gets caught around the shoulder joint as you move causing pain.

Bursitis: inflammation of the bursae
The bursae act like anti-friction device between muscles, tendons, and bones. When bursae are inflamed, they are quite painful and may limit a wide variety of movements.

Arthritis: inflammation of a joint
Arthritis can occur from repetitive, overuse, poor posture, normal wear and tear on a joint over time (osteoarthritis) or systemic (rheumatoid arthritis). Arthritis can occur in the shoulder girdle at the sternoclavicular joint (between breastbone and collar bone), at the acromio-clavicular joint (between collar bone and shoulder blade) and at the glenohumeral joint (between shoulder blade and the arm).

Frozen Shoulder or adhesive capsulitis
Inflammatory response in the glenohumeral joint (between the shoulder blade and the arm). It occurs as we get older (25-30 years of age). The term frozen is used because of the stiffness or lack of movement at the joint. The problem is usually very painful and goes through three phases. Freezing: there is a gradual or rapid decrease in range of motion. Frozen: no change in range of motion. Thawing: a gradual increase in range of motion.

Torn or ruptured tendons:
A torn or ruptured tendon may be caused by a very rapid contraction of the muscle. The contraction is so strong that it partially or completely tears the tendon. This can happen from catching an object as it falls or trying to lift an object that is too heavy. The person usually feels acute pain and sudden weakness. Some tendons gradually are worn down over time from poor posture and repetitive arm movements. Once the tendon ruptures, the person may experience pain over a long time (years) and eventually notice they can no longer lift as much weight or reach as high.

Unstable Shoulder
Some shoulders actually move too much in one direction (unidirectional instability) from shoulder subluxations or dislocations, and others move too much in all directions (multidirectional instability). This unstable shoulder can cause pain and impingement as the joint moves around too much and damages surrounding tissue.

Referred Pain
This is pain that is referred from another source but causes shoulder or arm pain. Nerves from the neck or upper back when they are compressed may cause pain, numbness, pins and needles, or weakness in the shoulder and down the arm. The pattern of these changes tell us what nerve's are involved. Muscles and bones can also refer pain around the shoulder and down the arm.

Since so many factors may cause shoulder and arm pain, at Therapeutic Edge we offer a range of comprehensive treatment programs individually designed for your specific case including hands on treatments such as:

  • Exercises to strengthen and condition scapula stabilizes rotator cuff and shoulder muscles.
  • Mobilization involving small movements of one or more joints in the spine or shoulder girdle.
  • Manipulation to improve spine or shoulder mechanics
  • Physical modalities such as ultrasound, laser, TENS, ice, heat, IFC, neuromuscular stimulation
  • Acupuncture (with needles or non-invasively with laser) Manual myofascial release or dry needling to release tight muscles.
  • Advice and education regarding shoulder pain and prevention strategies.

Therapeutic Team

 
#16 - 1120   |   Yates Street   |   Victoria BC   |   V8V 3M9 250-385-5853 | info@therapeuticedge.ca
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