Dr. Robert Laquerrre has completed a post graduate certification course in the advanced diagnosis and treatment of shoulder issues. The shoulder is one of the most complicated joints in the body and is often misdiagnosed and under-treated. If the shoulder pain is not addressed early it can lead to chronic inflammation resulting in the shoulder becoming painful, weak and restricted. If the shoulder problem is detected early and diagnosed properly it can often be treated with significant positive results.
Bursitis and Tendonitis
Problem: You can injure the bursa and tendons of your shoulder with repeated lifting, reaching, or other overuse. In time, this overuse can irritate and inflame the cushioning bursa and cord-like tendons. The pain usually can be pinpointed, since there may be tenderness in the area. Range of motion also becomes limited. When untreated, the pain and immobility of bursitis and tendonitis get progressively worse. If your condition requires medical treatment, you will be referred to an appropriate specialist.
Treatment: Goals of therapy are to relieve pain, reduce inflammation, and increase range of motion and stability, and decrease irritation of the bursa and tendons. Treatment begins with gentle shoulder manipulation. This helps to reduce inflammation of the bursa and tendons, disperse fluid build up, break adhesions, and increase mobility. Spinal adjustment may also be used. Cold packs relieve pain and inflammation; moist heat relieves pain and promotes circulation and healing. Other therapies such as ultrasound or electrotherapy may also be used.
Problem: The normal wear and tear on your shoulder year after year as you age can erode the cartilage lining, the bone, and the bursa in your shoulder. The smooth head of the humerus degenerates and the cartilage and bursa no longer fully protect the surfaces as they rub together. The pain is a persistent, dull, general ache that’s aggravated by activity and relieved by rest or heat. If untreated, the pain becomes harder to relieve and immobility increases. A medical referral will be made, if indicated.
Treatment: Goals of Therapy are to relieve discomfort, strengthen your shoulder, restore some mobility, and help you learn to deal with chronic shoulder pain. Treatment begins with gentle shoulder manipulation and mild range of motion. Your chiropractor also may do spinal adjustments to relieve muscle spasm and restore range of motion in your shoulder and neck. Cold packs relieve pain and inflammation; moist heat relieves pain and promotes circulation and healing. You’ll be given exercises to strengthen shoulder muscles and diet changes may be recommended.
Rotator Cuff Injury
Problem: Any one of your four rotator cuff tendons can be inflamed, stretched, or torn by overuse. It’s a painful injury because even slight movements of your shoulder affect the tendons. Range of motion of your shoulder is quite limited and stability is decreased. Several types of rotator cuff injuries can be treated by your chiropractor; however, if it’s necessary, you’ll be referred to an orthopaedic surgeon.
Treatment: Goals of Therapy are to relieve pain, heal the tendon(s), strengthen the muscles, restore range of motion and stability, as well as prevent future injury. Treatment begins with gentle shoulder manipulation to prevent the build-up of adhesions which can limit mobility. Spinal adjustment may be prescribed for muscle spasms. Cold packs relieve pain and inflammation; moist heat relieves pain and promotes circulation and healing. Other therapies such as ultrasound or electrotherapy may also necessary.
Problem: Your shoulder is meant to move. However, when it’s stiff and painful, it’s only natural not to move it. Trouble is, when you don’t use your shoulder, it can develop adhesions which trigger a cycle of more pain and immobility. As you use your shoulder less, the adhesions get worse, and bursa becomes inflamed, swollen, and tender. Then, one day, you wake up and you can’t move your shoulder at all; it’s “frozen”. Any movement-even breathing-may cause severe pain.
Treatment: Goals of therapy are to relieve pain, restore range of motion, and help you learn to prevent recurrence. Treatment includes gentle exercises to increase mobility in your shoulder. Spinal adjustments help relieve muscle spasm. Cold packs relieve pain and inflammation; moist heat relieves pain and promotes circulation and healing. Shoulder manipulation and strengthening exercise may be added to your therapy later. Other treatments such as ultrasound or electrotherapy also may be used. A referral for medical care will be made, if necessary.
Do not hesitate to contact us for further information or to discuss your specific health care needs.