Shoulder Pain

The shoulder joint is the most flexible joint in the human body. Since it is capable of a wide variety of motion, there is also the tendency toward instability. In addition, other problems can occur. These include: strain, overuse, trauma, disuse and atrophy, and aging. Prompt physical therapy services can be very beneficial in order to prevent painful, chronic conditions such as rotator cuff tendonitis, bursitis, or “frozen shoulder”. The shoulder consists of the glenohumeral, acromioclavicular, and scapulothoracic joints. Injury to any of these joints or related muscles can lead to difficulty in shoulder function. In the past several years, health professionals have changed their approach to rehabilitation of the shoulder. They have discovered that prompt physical therapy is essential because immobilization and disuse of the shoulder leads to atrophy, further loss of mobility, weakness of bone and joint cartilage, and promotes soft-tissue scarring.

Manual Therapy:

Our therapists utilize a wide variety of manual therapy techniques including soft tissue mobilization, gentle joint mobilization, range of motion, manual stretching, trigger point and myofacial release, and Primal Reflex Release. These techniques are utilized to decrease pain, increase joint motion, reduce muscle spasm, increase flexibility, reduce scar tissue, and increase mobility.

Modalities:

A variety of state-of-the-art modalities including:

  •  ultra-sound/phonophoresis
  •  low level laser
  •  iontophoresis
  • electrical stimulation

 

Flexibility:

Shoulder joint flexibility and stability is critical for improvement in functional and performance of activities of daily living.

Strengthening:

Strengthening of the rotator cuff, cervical, and upper back musculature is a key factor in providing appropriate stabilityto perform activities of daily living and work tasks.

Postural Instruction:

Appropriate standing and sitting posture is important in avoidance of both neck and shoulder pain. Our physical therapists are trained to evaluate posture and recommend postural correction techniques.

Ergonomics:

Proper workstation placement is key in prevention of work related repetitive use injuries. The staff of Advanced Care Physical Therapy is certified in evaluation of individual work stations. They will be able to make recommendations to ensure proper ergonomics including assessment of the worksite and the particular job. Recommendations can be made for job rotation or change in technique.