Is shoulder pain impacting your work, training or everyday life? We’ve got your back (and shoulders) with shoulder pain treatment Perth.
Anatomy of the Shoulder Joint
The bones making up the shoulder joint (glenohumeral joint) and other joints that make up the shoulder complex are the humerus (upper arm bone), scapula (shoulder blade), and clavicle (collarbone). These joints are stabilised and moved by the attaching muscles and tendons of the rotator cuff, chest, upper arm and back. So there is a lot happening in the area!
The Rotator Cuff
The rotator cuff is a group of muscles and tendons that attach to the scapula and humerus and work to provide stability to the shoulder joint during movement.
Overuse, repetitive movements, or sudden trauma can cause these structures to become irritated or sensitised, leading to pain and weakness in the shoulder.
Rotator cuff related shoulder pain often causes pain deep in front of the shoulder and over the shoulder blade, and pain and weakness is usually experienced with overhead and reaching movements.
Did you know that a reduction in mobility through the thoracic spine (mid back) can contribute to shoulder pain?
Postural strain such as slouching and hunching over or injury to the mid back can cause dysfunction to develop through the mid back area. Dysfunction and reduced range of motion through the thoracic spine can cause the shoulder to compensate, leading to overuse and strain of the rotator cuff muscles.
At Fortitude our shoulder pain treatment Perth includes managing associate thoracic spine stiffness or lack of mobility to improve all aspects of shoulder health.
Shoulder instability generally occurs following a partial or complete dislocation injury of the shoulder, or possibly repeated injuries. These mechanisms of injury usually involve trauma to the shoulder and arm of some kind.
Generally with this type of injury the passive structures of the shoulder including the labrum and supporting ligaments are damaged. Resulting instability can allow for the ball and socket joint of the shoulder to move more than it normally should, this will often result in further injury to the structures around the joint and an overload of the surrounding muscles and tendons. Depending on the nature and extent of instability, proper treatment inclusive of exercise rehabilitation can help work to improve the strength and stability of the shoulder.
Training Around Shoulder Pain
Is it safe to train and exercise through a sore shoulder? Depending on the nature of your shoulder injury or the specific cause of the pain, we use the ‘traffic light system’ as a guide to training around your pain.
Green Light: you experience no pain during or after training/exercise → proceed as usual.
Yellow Light: you experience some minor discomfort during or after exercise but it doesn’t linger and your shoulder is back to baseline quickly → you’re safe to train/exercise and load the shoulder but proceed with caution.
Red Light: you experience a significant amount of pain during training or your shoulder pain gets much worse after exercise → it is likely unsafe to load the shoulder at this time or you might need to find alternative movements/exercise.
Assessment and Treatment
As chiropractors, we treat shoulder pain in Perth through a combination of manual therapies (including soft tissue therapies and dry needling), exercise prescription and advice specific to you. Exercise rehabilitation works to improve strength and stability to the shoulder and the many surrounding structures that may be contributing to your pain.