Mar 07

Frozen shoulder, the most restrictive shoulder problem of all?


It is on frozen shoulder gorey, e of the most common, frustrating and painful conditions to affect the shoulder especially in the 45+ years age group. It can develop following a trauma or an accident with your shoulder, such as dislocation or fracture, or can slowly develop for no clear apparent reason.

Usually, clients present to us when the arm becomes very painful and when it feels stiff and weak and when they are getting unable to work, sleep, or use it properly because of the pain. Female patients often complain that they cannot hook their bra, or dress easily and men say that they cannot reach their wallet in their back pocket!

If ignored with time the situation progressively deteriorates leading to more extreme restriction of the arm and to an immobile painful shoulder.

It can’t be stressed enough that early evaluation is always the best approach in order to avoid progression and deterioration of a frozen shoulder. Shoulder exercises alone do not effectively stop progression and often patients then may be given the impression nothing can be done. Left to progress, it is not uncommon that a frozen shoulder can last 2 years or more.

Our chiropractors are specialised and extremely experienced in the examination, treatment and rehabilitation of frozen shoulder and it is a special interest area of both chiropractors. We would be delighted to offer guidance and help to anyone potentially affected by the condition which is both a frustrating and painful condition to suffer.

After a thorough and careful initial assessment of your shoulder which may include x rays (x-ray facilities onsite) or further imaging our chiropractors can confirm the presence of frozen shoulder or another potential shoulder disorder and specific advice will be given to you as to how your condition should be best treated and managed.

The focus of chiropractic treatment and rehabilitation of the shoulder will be to help you regain movement and flexibility in your shoulder which will significantly ease the shoulder and arm pain. Specialised chiropractic manipulative and soft tissue treatment techniques are used to help your shoulder, together with specific prescribed exercises that clients are taught to perform at home.  Our focus will be to bring your shoulder back to proper mobility and strength through non invasive physical treatment in the fastest possible time allowing you to feel that life can go back to normal!

You may not only need treatment in your shoulder joint where you feel the pain, but also in your upper back and the back of your shoulder neck and shoulder pain Goreyblade, since these areas are often affected by the frozen shoulder. Advice may also be given concerning your posture for those clients with shoulder pain that may be linked to poor posture.

Gorey Family Chiropractic is covered by VHI, Irish Life Health, Laya as well as smaller health Insurance companies such as HSA, Garda Medical etc.

For further information please call 053 (94) 83338
or feel free to email us with your enquiry at info@chiropractor.ie

Mar 23

Treating a common cause of shoulder pain

shoulder strecthShoulder impingement syndrome is a common shoulder condition causing shoulder pain and restricted movement. Often the cause of this pain is related to injury to the the rotator cuff  (a group of muscles and tendons that surround the shoulder joint and help to keep it stable) which occurs when the tendons of the rotator cuff muscles become irritated and inflamed.

Certain movements, such as lifting the arm upwards and outwards, will cause one of these tendons to become intermittently trapped and compressed within the shoulder joint. Often patient’s report being unable to lie on the affected shoulder due to significant pain and soreness.

Causes of Shoulder Impingement Include:
* Injury to the shoulder causing inflammation of the supraspinatus tendon ( either due to trauma or repetitive injury)
* Weakness or malfunction of the rotator cuff muscles of the shoulder sometimes aggravated by shoulder arthritis
* Instability of the shoulder joint
* Poor posture including forward head carriage and rounded shoulders
* Inflammation of the subacromial bursa, a fluid filled sac in the shoulder joint

Symptoms:

* Shoulder pain when your arm is at shoulder height and or when your arm is raised overhead
* Shoulder pain that can travel from the shoulder to the elbow
* Pain when lying on a sore shoulder
* Shoulder pain at rest as your condition deteriorates.
* Muscle weakness or pain when attempting to reach or lift the arm
* Pain when putting your hand behind your back
* Pain when reaching for a seat belt
* Pain on combing hair
Shoulder pain can also increase lying on the shoulder at night. Other symptoms include a grinding or popping sensation during movement of the shoulder.

Who suffers from Impingement?
Impingement syndrome is most likely to occur in people who engage in physical activities that require repeated overhead arm movements such as tennis, golf, swimming, weight lifting or throwing a ball.
Sedentary lifestyles where a person has already developed rounding of the shoulders and occupations that require overhead lifting or work to be done above shoulder height are also at risk of rotator cuff impingement.

Treatment options for Shoulder Impingement

Recovery and treatment depends on diagnosing the cause of your shoulder pain and restricted movement. Your chiropractor or other specialised health professional will be able to conduct a series of orthopaedic tests and carefully examine your shoulder physically to determine the cause of the shoulder problems. On occasion an x ray made need to be taken , or you may need to be referred for MRI to better evaluate the extent of the shoulder condition.

Various physical treatments methods including stretching and massage are administered to improve the function of the shoulder and  to help restore the movement of the shoulder, ease the pain and promote healing.

Sometimes poor flexibility and alignment of the spine may also need to be addressed simultaneously through manipulation/ mobilisation of the spine.

Specific exercises are used to help to regain shoulder strength and flexibility. Muscle rehabilitation is extremely important for the recovery and maintenance of shoulder injuries. Postural advice and corrective treatment is necessary particularly if you noticeably carry your head forward of your body or if you are round shouldered.

Occasionally  surgery is required if a tendon tear is larger or if significant shoulder arthritis is present and your chiropractor or healthcare practitioner can determine if this type of referral is necessary.

GOREY FAMILY CHIROPRACTIC: SUPPORTING YOUR RECOVERY, MAINTAINING RECOVERY AND PREVENTING INJURY

If you or a family member or friend is suffering with shoulder pain, or symptoms resembling shoulder impingement please feel free to contact one of our chiropractors for a thorough and professional evaluation and assessment. Our aim is to help you regain function through accurate diagnosis and timely treatment delivery.
For a new patient consultation please contact our Gorey Family Chiropractic Team on 053 94 83338 or email your enquiry to info@chiropractor.ie