Symptoms are dependent on the severity of the injury for example, shoulder pain with some, several or all movements of the shoulder.
Common causes include injuries caused by falls, lifting, pulling or being pulled by the arm, over extension of the shoulder joint, lifting weights, playing sports that require throwing an object such as a ball or swinging a racket, bat or stick such as baseball, football, rugby, tennis, squash or hockey etc., all requiring a high degree of shoulder rotation. Another cause can be problems with your cervical spine, either at the level of the cranium (occiput) and first cervical (Atlas) or second vertebrae (Axis), and or the 5th vertebra level which directly innervates the shoulder. Chronic nerve interference to the nerve supply to the shoulder muscles can make the joint more vulnerable to injury due to decreased function and possibly less strength and flexibility. Research has shown a significant correlation between poor posture and shoulder problems.
First, a thorough physical evaluation must be performed to determine the degree of injury. If necessary, further exams such as an MRI can be performed if severe injury is suspected. The muscles affected must be determined via the examination process. Those muscles and ligaments can be treated using our special computer assisted instrumentation, deep tissue techniques performed manually, cold laser therapy, ice therapy and specific dynamic shoulder treatments. If necessary, one can take anti-inflammatory and muscle relaxant medications and or use an anti-inflammatory cream, gel or ointment over the injured area to help relieve pain. We always suggest a non-drug approach to start, using medications only if you are not finding relief from therapy.