The shoulder must be fully examined. If a misalignment of the shoulder joint is determined, it must be “adjusted” using a special technique that helps to put the joint in its proper position. This often results in instant relief of pain. The swelling should be treated with ice in most cases for at least the first 5 days of onset, though some specialists prefer heat to increase blood circulation in the area. We then treat the entire shoulder region to make sure there is proper function and alignment, as well proper alignment and function of the Cervical spine which supplies the nerve energy to the shoulder.