Chiropractic Care for Arm Or Shoulder Pain

In the United States alone, shoulder pain is estimated to be 26% more common than other types of pains. Shoulder or arm pain is a common occupational hazard. People who lift heavy items and do repetitive shoulder movements such as construction workers and hairdressers, to arm pain over time.

Shoulder pain is a very common problem and it affects posture, frozen shoulder, shoulder instability, disorders. On the other hand, shoulder pain can also be due to a problem in another area like the neck.

In the United States alone, shoulder pain is estimated to be 26% more common than other types of pains.

Understanding Shoulder Pain

Shoulder pain arises from the shoulder joint but it can also be caused by pain on the surrounding area; particularly the neck, diaphragm, and the heart. This is called referred pain. It is a common symptom in hospital care.

Since shoulder pain shares overlapping features, it is important to properly assess it and look for red flags that can lead to better diagnosis and treatments.

The Anatomy of The Shoulder Joint

The shoulder is made up of different bones that are bound together through the shoulder joint. These bones include glenoid, humerus, acromion, scapula, and clavicle. There are three important articulations in the shoulder and these include the acromioclavicular joint, glenohumeral joint, and the sternoclavicular joint.

  • Surrounding the joints are ligaments and muscles. The muscle that surrounds the shoulder joint is the rotator cuff musculature, which is responsible for the stability and the ability of the shoulder to move in a rotating manner. The rotator cuff musculature is comprised of four muscles which include the:
  • Infraspinatus
  • Supraspinatus
  • Subscapularis
  • Teres minor.

These four muscles interlock to create a single unit. These connections within the shoulder pass the subacromial space where the subacromial bursa is located. This portion is where many pain receptors are located.

Facts and Epidemiology Of Shoulder Pain

According to the Center for Disease Control and Prevention (CDC) and National Center for Health Statistics (NCHS), shoulder pain accounts for 9% of the pain most Americans suffer from. It is a common condition that people suffer from at some points of their lives. If you suffer from shoulder pain, it is crucial that you know its facts and epidemiology to understand what this condition is all about.

  • Shoulder pain is considered as the third most common cause of hospital consultation. One percent (1%) of adult sufferers consult their general practitioner yearly to ask treatment for shoulder pain. The rest utilize home remedies to manage their shoulder pain.
  • About 85% of patients who suffer from shoulder pain are found to suffer from rotator cuff anomalies. The 15% are due to diseases such as fever, respiratory symptoms, and lymphadenopathy. An even smaller number of people suffer from shoulder pain due to cancer.
  • The prevalence of shoulder pain is higher among women pegged at 24.9% than men at 15.4%. It is also more common among elderly people than younger patients.

Causes of Arm and Shoulder Pain

About 85% of patients who suffer from shoulder pain are found to suffer from rotator cuff anomalies.

There are several risk factors why people suffer from shoulder or arm pain. People who often do repetitive movements of the shoulder and arms at work often suffer from shoulder pain. It is common among athletes, construction workers, hairdressers, factory workers, painters, and office workers. But what are the common causes of arm or shoulder pain? Below are the primary reasons why shoulder pain occurs:

Fit man exercising by ocean

•   Rotator cuff disorders: Rotator cuff disorders is comprised of several symptoms which include supraspinatus tendonitis, subacromial pain, rotator cuff tendinopathy and painful arc syndrome. All of these are characterized by having lesions on the rotator cuff as well as tendon diseases that result in the wear and tear of the affected area. The tear in the area may lead to bony spurs that cause extreme pain. This condition is often common among patients aged between 35 and 75 years old—especially those who have a history of lifting heavy weights or doing repetitive shoulder movements.

•   Glenohumeral disorders: Glenohumeral diseases include adhesive capsulitis and osteoarthritis. Adhesive capsulitis and arthritis are also called frozen shoulder. It causes deep joint pain as well as restrictive activities because the shoulder has impaired external rotation. This particular condition is often common among people who suffer from diabetes.

•   Acromioclavicular disorders: These types of shoulder pain disorders are caused by injury or osteoarthritis. It is characterized with localized pain and tenderness of the acromioclavicular joint that creates a restriction in the horizontal movement of the arms especially when the elbow is extended. In severe trauma, it often leads to deformity of the arms suggesting a tear in the acromioclavicular ligament. Osteoarthritis, on the other hand, causes impingement of the subacromial space.

•   Referred neck pain: Referred neck pain is characterized by pain and tenderness on the suprascapular area or the lower neck. This type of shoulder pain arises not because of anomalies on the shoulder joints but on other areas of the body particularly the neck. Referred pain may lead to restriction of the shoulder movements
which can also lead to generalized pain on the upper back and pain area. It is also called upper limb paresthesia.

Tacoma Chiropractic Care

Chiropractic care is a good alternative for people who are looking for relief from their arm and shoulder pain.

There are many types of treatments for shoulder pain and chiropractic care is one of them. Chiropractic care is a good alternative for people who are looking for relief from their arm and shoulder pain. If you are

located in Washington, Tacoma chiropractors are very knowledgeable in managing and treating your shoulder pain so that you won’t have to rely so much on drugs and other conventional treatments.

Chiropractic Diagnosis

There are several tests that Tacoma chiropractors use to detect anomalies of the shoulder. Diagnostic examinations are necessary to isolate areas of the shoulders that are causing pain. Proper chiropractic diagnosis is important so that your chiropractor will be able to design a treatment plan that is suitable for your condition. Below are some of the diagnostic tests Chiropractors do in order to determine the severity of shoulder pain.

•   Physical tests: Physical tests are often performed by chiropractors in determining the range of motion that shoulders can do. During the initial screening, chiropractors will not only test the stability of the shoulders but also the range of movements (passive, active and resisted) of the two shoulders. Aside from the range of movements, chiropractors will also inspect the affected area for deformity, swelling, bruising, or muscle wasting.

•   Medical history: Tacoma chiropractors will also look into your medical history if you have suffered from severe trauma in the past or osteoarthritis. Your medical history can tell if you are someone who is likely to suffer from shoulder pain or not.

•   Imaging tests: Imaging tests such as X-rays, CT scan, and MRI can also be used by chiropractors to confirm the presence of trauma as well as wear and tear of the shoulder joint.

Chiropractic Treatments As soon as Tacoma chiropractors are done examining the root cause of the sciatic pain, they can start implementing chiropractic treatments. Chiropractic treatments are non- invasive but they can bring a lot of relief to the affected area. Below are simple chiropractic treatments that Tacoma chiropractors do to treat an arm or shoulder pain.

•   Shoulder adjustments: Shoulder joints can misalign which causes the ligaments and muscles to pull in different directions. These cause muscle spasms, pain, and even inflammation. Reliable Tacoma chiropractors can perform gentle shoulder joint adjustment to shift the shoulder and correct its alignment. Alignment of the shoulder often involves the use of a drop table device, a speeder board or a hammer tool to manually adjust the joints without any problems. Aside from the shoulder joint, chiropractors will also consider adjusting the neck and upper back especially if the root cause of the condition is referred pain.

•   Posture: Another method that chiropractors do to treat shoulder pain is to correct the posture of their patients. This is a long-term and sustainable solution in treating shoulder pain, as correct body posture can prevent shoulder pain from reoccurring.

•   Exercises: Simple exercises can be done to treat shoulder pain.

However, before you do any shoulder exercises, your chiropractor will teach you the appropriate exercises. Examples of chiropractor- recommended exercises include making circular motions of the shoulder for 30 seconds or pulling on a rubber tubing to improve the resistance and strength of the shoulder muscles.

Conclusion

Shoulder pain can cause discomfort to a patient but you don’t need to dwell on the idea that shoulder pain is a normal part of your physiology. Let Tacoma chiropractors help you manage your arm and shoulder pain so that you can enjoy a pain-free life and do the things that you love to do. Don’t hesitate to call Dr. David Hendrickson at Discover Life Chiropractic, 472-4400 for an evaluation to see if chiropractic can help you relieve your shoulder and arm pain!

Click here to download a .pdf copy of this article.

Reference:

http://www.normanmarcuspaininstitute.com/tag/neck-and-shoulder-pain/ http://www.painmed.org/patientcenter/facts_on_pain.aspx http://patient.info/doctor/shoulder-pain-pro

Benefits of Chiropractic Care in Forward-Neck Posture

You. Yes…. You!

There is a chance that you are tilting your neck forward right now while holding your phone/laptop and reading this blog post.

There is also a chance that you just realized it and you tried to straighten your neck. Good!

You are not the only one. We live in a revolutionized and digital world where technological devices like phones and laptops play a very important role in our daily lives. With them, people have created social media empires and established businesses that have totally changed the way we carry out conventional activities. Advanced studies have even revealed that over 50% of people would carry their phones first in cases of fire outbreaks.

Yet, despite its wide usage, there has been a growing concern about the effects associated with this practice, as research has continued to give evidence of the effects that it brings.

A person spends 2 to 4 hours every day on an average reading or texting with their phones, and this figure is even higher for youths. This invariably means that they are going to spend at least two hours tilting their neck forward to look at their screens, leading to 800- 1400 hours of cervical spine stress every year.

What is Forward Head Posture?

           As the name implies, Forward Head Posture (FHP) is the steady loss of normal posture due to the forward bending of the head, thereby increasing the pressure on the shoulders and the neck. Not only does it cause a lot of discomfort and pain, but it creates tissue damage over time. In the past, FHP wasn’t really a thing. The absence of the normal neck curve wasn’t a serious physical problem except if the patient has spondylosis.

But things may have gotten out of hand.

The muscles of the neck and back are forced to work extra hard to keep your head in a forward position. This creates stiffness and severe pain over time.

Several effects come with FHP. Some include:

  • Wear and tear of the tissues: When the head tilts forward, there is an increased weight on the shoulder by some pounds. This loss of the normal curve of the cervical spine causes wear and tear that results in stresses that can cause degeneration and could ultimately require surgery.

To be able to eliminate or reduce stress on the spine, the individual must maintain good posture, which is defined as the alignment of the ears with the shoulders. Proper posture also enhances the level of serotonin and testosterone and increases feelings of balance and power. You can guess that poor posture does the exact opposite, as it affects every human activity by negatively affecting the endocrine system.

  • Excessive pressure on the neck: Research has shown that every 15 degrees of forward-head tilting results in increased pressure on the neck and shoulders, adding an extra weight of about 27 pounds. So, if the average angle a person tilts when looking down at a phone is about 60 degrees, imagine the excessive weight that the neck bears every time it bends. This will ultimately lead to wear and tear of the joints, and eventually, spinal degeneration.  

Other symptoms of Forward-Head Posture (FHP) include:

  • Headaches
  • Fibromyalgia: a rheumatic condition that consists of muscular pain, stiffness, and tenderness at specific places
  • TMJ pain: TMJ stands for temporomandibular joint, and it is otherwise referred to as the jaw joint. When TMJ is not properly placed or aligned, it can harm other joints and muscles.  
  • Depression
  • Tingling: This usually occurs in the upper limb
  • Fatigue
  • Negative behavioral habits amongst children
  • Aches and pain
  • Asthma: a respiratory condition that is characterized by difficulty in breathing.

And finally,

  • Hindered blood flow (which is considered the most dangerous)

How does proper posture aid the flow of blood?

Research has continuously provided evidence of how maintaining the right neck curve can increase the flow of blood. Looking at some of the strongest structures in the world, a major characteristic among them is that they consist of arcs. These arcs act as the force which sustains these structures (they include bridges and doorways) and their designs are the factors that determine its longevity. The same is true with the human body.

The structure of the human body consists of arcs, and the spine is considered the most important arc of them all. This spine is made up of several arcs that make it stronger and last longer. Whenever there is a loss in the normal spinal curves, it exposes the discs and bones to unwarranted degeneration. It also affects a person’s physical appearance. This happens over a long period, mostly due to improper posture.

The dangerous part about it is that loss of the spinal curves is linked to a reduction in vertebral artery hemodynamics. This means that there is a reduction in the amount of blood that flows to the brain and certain parts of the body. People with loss of neck curve usually experience disability, nerve tension, and a poor quality of life in general. The pressure also creates the foundation for the formation of bone spur and osteoarthritis as the neck muscles and tissues tend to work much harder to make up for the inadequacy.

So maybe the question on your mind is… How can I prevent, eliminate or reduce forward neck posture and its effects?

There are basically three ways:

  • Chiropractic care: This is one of the most powerful ways of treating FHP and back pain, as experienced medical practitioners continuously recommend it based on previous results. Chiropractors are considered the most effective medical practitioners when it comes to spine alignment and posture issues.

Chiropractors are mostly concerned with the musculoskeletal system.

That is, they deal with the pain that results from the misalignment of muscles, bones, and joints, or when the tendons and ligaments are not properly placed.

It doesn’t matter the kind of job a person does. Anybody can be affected by a slight disturbance in his/her musculoskeletal system.

  • Maintaining the right head posture: This is the most obvious one. By keeping the head properly aligned, you prevent or eliminate unnecessary stresses on the neck and shoulder. You can start by raising your phone a little bit when used in subsequent times.
  • Developing the right posture habits: This is extremely important. Maintaining proper posture aligns the bones and joints, prevents stress on the neck curve, reduces abnormal wear and tear of the discs and bones, and saves energy. A major sign of poor posture is back pain, and there are a lot of factors that can contribute to it such as obesity, pregnancy, stress, weak postural muscles, and even high heeled shoes.


To start, you must continuously be aware of your posture whether you are sitting, standing or lying down. When sitting, place both feet firmly on the floor, and avoid crossing your legs. When standing, relax your arms and pull your shoulders back with your knees slightly bent. When lying down, sleep with your back well stretched on the right mattress.

Okay. So how does it work?

Brilliant question.

Chiropractic care bases its system on the fact that a person’s total health is associated with the alignment of the spinal cord, which is a major component of the central nervous system (CNS), the system that processes pain.

The human body is made up in such a way that all parts are closely knitted together and connected. A misalignment in any part of the body can create several hazardous effects in other parts of the body, even parts that are not related.  The job of a chiropractor is to help patients to properly align their bodies through several spinal adjustments and allow the free movement of muscles and bones. When there is no restriction or obstruction in the musculoskeletal system, the pain reduces.

Chiropractors tend to solve the underlying problem rather than just touching the surface by healing only the symptoms. They pay attention to the nature of the spine by continuously observing the structure and motion of the spine.

What does a typical Tacoma chiropractic care appointment look like?

The beautiful thing about chiropractic care approach is that it influences the patient’s entire body. Chiropractors are specially trained to use certain non-invasive techniques to observe the body of a patient and the areas that need attention.

During the appointment, the patient may go through an examination, receive treatments that can align the body parts, or receive medical advice on the various lifestyle modifications that can be made to alleviate the pain (these may include posture, diet, etc.).

To enhance the effects of the chiropractic treatments, home or rehabilitative exercises may also be prescribed for the patient.

What are the benefits of chiropractic care?

The chiropractic care industry is consistently flourishing due to the several benefits associated with it. They include the following:

  • Chiropractic care is a holistic approach: Unlike some medical approaches that tend to solve only the symptoms or the affected areas, chiropractic care is a holistic approach. It not only aligns the spine and other areas properly, but it also helps the patient to evaluate their lifestyle choices, such as their diet, sleep, levels of physical activity, stress, etc. This way, they tend to influence the patient’s health way beyond the pain.
  • It is medicine-free: This is one of the reasons why chiropractic care is widely used amongst people. Most patients tend to familiarize themselves with drugs, whether they are prescribed or gotten over the counter. But chiropractic care provides drug-free pain relief, as it focuses more on sustaining a healthy body than treating the symptoms. Although there are various procedures that chiropractors use on their patients, none of it is as dangerous as surgery and only a few patients complain of side effects.
  • It is not dangerous: This is another top reason why chiropractic care is very popular. Despite the several techniques chiropractors use, none of them are as dangerous as undergoing surgery. In most cases, the patients get treated during a single appointment and can head back home in time for dinner!
  • It improves the patient’s posture: After all, what is the need for aligning the spine if the patient constantly maintains a wrong posture? Chiropractic care ensures that you maintain a proper posture, no matter the form you are in.
  • It promotes ergonomic ideas: In today’s world, we have been indoctrinated in the sitting culture. We sit at desks in our offices for long periods. Kids sit in class for long hours as well. We sit at every slightest opportunity and mostly with our heads tilted down towards our phones, and this is extremely harmful to our spinal health. Chiropractic care promotes ergonomic ideas by encouraging people to make small changes in their homes or offices to help them reduce the stresses on their neck curves.
  • Enhances mental health: It comes as no surprise that chiropractic care enhances the mental state of a person. Although much research hasn’t been done to link the effects chiropractic care has on mental health, it is assumed that since chiropractic care enhances the nervous system, it enhances the brain.

This approach focuses more on helping a person to achieve a balanced and healthier life, which includes eating the right foods and exercising often, which are key factors in maintaining mental health and clarity.

  • Flexible treatment plans: The beautiful thing about chiropractic care is that its treatments can be customized to suit the patient’s needs, unlike traditional medical procedures. If the patient is disabled or has a painful body part, the chiropractor knows exactly what to do in such cases. They create chiropractic adjustments plans that are unique to each patient
  • They are not just for FHP and back pains: The chiropractic care industry has gone beyond merely reducing neck and back pains. They now proffer effective solutions to health conditions such as ear infections, menstrual disorders, gastrointestinal infections, infertility problems, etc.
  • Chiropractic care saves you money: Healthcare is a luxury to a lot of people these days. With the uncertainty of the economy, who doesn’t want to save money? If you go through the normal medical procedure, you may end up going for several appointments, buying so many drugs and paying off a lot of bills. But by opting for chiropractic care, you tend to have fewer appointments, thereby spending way less than you are supposed to. Plus, you will be able to get a lot more information from a chiropractor than you normally would. Sounds like a fantastic idea!
  • It improves the quality (and quantity) of your sleep: There is a growing number of people experiencing sleeping disorders in our time than ever before. By reducing pain and aiding relaxation, chiropractic care has shown to help people sleep better by enhancing the quality, and invariably, the quantity of their sleep.
  • It’s the best pain treatment you’ll ever find: Research has shown that chiropractic care has proven to be more effective in relieving pain than conventional methods. Plus, it comes at low risk, as patients have no fear of invasive procedures or allergies.

What could be better than this? Contact us today to set up an appointment and start correcting Forward Head Posture.