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Shoulder Pain Picture
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Shoulder Pain

Shoulder PictureBeing tough has drawbacks, especially when it comes to shoulder pain. Having the grit to put up with a nagging ache deep in the shoulder may sound admirable, but it is just the wrong approach. Failure to address the reason for the ache almost always leads to more trouble.

The rotator cuff is very often the origin of shoulder pain. The rotator cuff is a network of 4 muscles and their tendons that help to lift and rotate the arm and stabilize the ball of the shoulder within the socket. Poor posture, improper body mechanics and weakness can lead to impingement of these tendons between two bones.

Let's say you go out to throw a football and come back a little sore.  The initial pain is accompanied by swelling in the tendons, making the fit between the bones even tighter and the tendons easier to pinch the next time you throw. The feedback loop is in place. You can try ointments, creams, ice and rest. The pain may resolve, but the cycle of tissue damage is in place, just waiting for the next time you try to play golf, or tennis, or, heaven forbid, to paint your bedroom ceiling. Sleeping on your shoulder will also likely wake you up with pain. What has happened?  

When tendons get pinched (or impinged), they develop micro tears. Continuing to use of the shoulder without changing how you do things will result in even larger tears and can cause excess bone growth, or spurs. Eventually the tendons are frayed and with any bone spurs, it is virtually impossible for the tendons to slide between bones unimpeded. You do not want to go down this path.    

The easiest way to prevent and/or heal irritated rotator cuff tendons is to correct faulty head/neck/ shoulder posture and strengthen the rotator cuff muscles.  

View the dramatic relationship between posture and shoulder function in the video below. Learn how to assess and correct your posture in the second video. Start recovering with a few simple changes. Then, doing strengthening exercises will help instead of aggravate your already unhappy tissues.

Better Shoulder Motion

Proper Posture

Easing Shoulder Pain

One Minute to Better
Shoulder Motion


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March 2010
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Other Causes of Shoulder Pain

There are many causes of shoulder pain and although the list is not exhaustive, several causes not related to a shoulder injury are listed below.
  1. Gout

  2. Heart attack or ischemic heart disease

  3. Lung tumor

  4. Axillary vein thrombosis

  5. Rib dislocation

  6. Gall bladder
    inflammation

  7. Spleen injury

  8. Cervical disc injury with radiating pain

  9. Inflammation of the pancreas

  10. Stomach ulcer

  11. Acid reflux
Although you may not know how to differentiate one of these problems from a shoulder injury, your physical therapist can determine if your pain is coming from your shoulder and, if so, treat it. If this is not the case, we will refer you to your physician to diagnose the source of your pain and determine the best treatment. 


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