The shoulder complex is composed of several different joints working together to create a wide range of motion in many directions. This boney instability is counteracted with the shoulder musculature. The rotator cuff and other muscles work to create dynamic stability with every move the shoulder makes. Due to the heavy reliance upon muscle performance, the shoulder is very prone to injury. Listed below are some of the common shoulder problems treated at Rochester Sports and Physical Therapy:
- Rotator cuff tear. There are four muscles and tendons attached to the shoulder blade and arm that are collectively known as the rotator cuff. Trauma and/or repetitive moments can create inflammation in the area and may cause a partial or complete rotator cuff tear.
- Rotator cuff tendonitis and impingement. Tendonitis is the inflammation of the tendon that attaches muscle to bone. Due to the structure of the shoulder and the frequent use of the shoulder, the rotator cuff tendons can become irritated and inflamed. Impingement can occur with certain movements and postures associated with daily positioning and activities.
- Frozen shoulder. Also known as Adhesive Capsulitis, this condition occurs when there is inflammation in the shoulder that causes a restriction in the normal range of motion and pain with most movements. The joint capsule develops adhesions that must be stretched before normal function is restored.
- Shoulder instability or dislocation. A dislocation is typically associated with trauma to the shoulder. Instability can occur with or without trauma and involves excessive movement in the shoulder that can cause pain and increase the likelihood of a dislocation.
- Post-operative. After surgery, the shoulder tends to become weakened and range of motion can be lost. Rehabilitation as directed by your surgeon will help you get back to normal in a timely manner.
- Other conditions. Some other conditions we treat include arthritis, bursitis, fractures, brachial plexus injuries, Acromioclavicular (AC) joint sprains, muscle strains, bicep tendonitis, bicep tears, thoracic outlet syndrome, peripheral nerve injury, and labrum tears.
Evaluation, Treatment, and Prevention
- When coming to Rochester Sports and Physical Therapy for shoulder pain, the licensed physical therapists will perform a thorough evaluation to determine the cause of pain. The therapist will identify the factors that contribute to the pain such as muscle imbalances, postural stress, and faulty movement patterns.
- The first goal of treatment is to reduce pain. Modalities such as heat, ice, ultrasound, electric stimulation, can assist in decreasing inflammation and pain.
- In order to relieve arm pain it, is important to learn specific exercises and stretches that address muscle imbalances and correct faulty movement patterns. Not only will exercises and stretches help to relieve arm pain, but the knowledge of the techniques learned at Rochester Sports and Physical therapy will help the patient prevent additional problems in the future. Each of our patients receives an personalized home exercise program so they can continue to improve after they are finished with therapy. This empowers them to be responsible for the health of their bodies.