Shoulder pain is a common presentation at our Chiro & Physio clinic in Marrickville. In
Julie Cai
November 15, 2022
Shoulder pain is a common presentation at our Chiro & Physio clinic in Marrickville. In today's post, we will be focusing on the symptoms and causes of shoulder impingement.
Shoulder impingement is one of the most prevalent shoulder injuries. Your shoulder is made up of numerous joints, tendons, and muscles that provide your arm a wide range of motion. Because the shoulder is made up of so many distinct components, it is susceptible to a variety of disorders. The rotator cuff tendonitis is a common cause of impingement due to increased inflammation. Other structures such as biceps tendon, shoulder bursae and joints can also be inflamed, causing restricted movement and pain. In this article, discuss in depth on the causes, mechanics and how physical therapy and chiropractic treatments can help.
Individuals with shoulder impingement often report pain at the front, top and back of their shoulder, especially when they lift their arm overhead or backwards. They may also experience:
Although shoulder impingement is an overarching term for when any of the structures around the glenohumeral joint are irritated, there are some structures that may be more affected than others.
These vary depending on presentation, and mainly include:
The rotator cuff muscles are a set of four muscles that stabilise the shoulder joint, and help lift and rotate the arm. The rotator cuff, especially the supraspinatus tendon, runs between a narrow space between the acromion and humerus. This arrangement makes the tendon susceptible to being ‘pinched’ or impinged between these bones, which creates irritation and swelling. Like a vicious cycle, the rubbing between these bones causes swelling, which then further narrows the space between the acromion.
This phenomenon commonly occurs with:
You may have a had a shoulder scan that reported a subacromial or subdeltoid bursitis. A bursa is a liquid-filled sac that can be found between tissues (bone, skin, tendons and muscle). Because of this fluid, the bursa can act as a cushion, reducing friction and irritation between tissues that move against one other.
When the bursae are not inflamed, joints move easily and painlessly. However, when it gets irritated and swollen, Chiropractic, Physiotherapy or Osteopathy can be effective in reducing the pain.
Biomechanical dysfunction in the shoulder due to muscular imbalance or injury can lead to wear and tear of certain structures which in turn causes irritation and discomfort. The two common types we see are:
Shoulder dyskinesis is when pain in the shoulder is caused by dysfunction in scapula movement. The scapula, often known as the shoulder blade, is a triangular-shaped bone in the upper back. A complex system of muscles surrounds and supports the bone, which works together to enable you to move your arm. The posture of the scapula at rest or in motion might be altered if these muscles become weak or unbalanced as a result of an injury or disease.
This condition typically presents with rolled shoulders, forward head position and tight shoulder and neck muscles.
The main cause of this syndrome is due to the increased prevalence of technology where we see many people on their phones and computer devices for prolonged periods of time. Over a long period of time, this can lead to headaches and muscular ache.
Due to the multiple causes of shoulder impingement, it is important to be thoroughly assessed and be provided an individual treatment plan. Our Chiropractor and Physiotherapist at Hyper Health are able to effectively treat shoulder impingement disorders. Our clinic is located in Marrickville, servicing the Inner West suburbs of Sydney. If you have any further questions about how we can help with your shoulder, head over to our Contact Us page, or book in now to make an appointment.
Podiatry is a branch of medicine that deals with diagnosing and treating disorders of the feet and lower limbs. A podiatrist (also known as a chiropodist) is a healthcare professional who specialises in this field. Podiatry is a relatively new branch of medicine, only emerging as a distinct profession in the early 20th century. However, the field has grown rapidly in recent years, owing to increasing awareness of the importance of foot health. Today, podiatrists play an important role in keeping people mobile and active. They often treat conditions such as bunions, heel pain, ingrown toenails and Achilles tendonitis. In addition, they can provide advice on footwear and foot care for people with diabetes or other medical conditions that put them at risk of foot problems.
Dry needling is a type of therapy that involves inserting thin needles into the skin and muscles. The needles are usually made of stainless steel and are very thin, so they cause minimal pain when inserted. However, some people report feeling a brief, sharp pain when the needle enters the skin. There are several theories as to why dry needling causes this pain. One theory is that the needles stimulate nerve endings in the skin and muscles, which triggers a pain response. Another theory is that dry needling causes a release of chemicals called cytokines, which can increase pain sensitivity. It’s important to note that while dry needling may cause some discomfort, it is generally not considered painful. Many people find relief from their chronic pain after undergoing dry needling therapy.
A syndesmosis injury is a serious condition that can occur when the bones in the ankle joint are not properly aligned. This can happen when the foot is planted awkwardly, or the ankle is twisted. If not treated properly, a syndesmosis injury can lead to long-term problems. There are two main types of syndesmosis injuries: anterolateral and posterior. Anterolateral injuries are more common when the foot is planted awkwardly on an uneven surface. Posterior injuries are less common and occur when the ankle is twisted. If you think you have a syndesmosis injury, it is important to see a doctor right away. Treatment will vary depending on the severity of the injury but may include rest, ice, elevation, and immobilization. Surgery may also be necessary in some cases.
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