INDUSTRY INSIGHT
CHIROPRACTIC
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Common Shoulder Injuries
The shoulder is an inherently unstable joint. While other ball-and-socket joints, such as the hip, have deep sockets that provide stability, the shoulder has a shallow socket. This affords the shoulder an increased range of motion, but also predisposes it to injury. These injuries can be acute( dislocations, separations, muscle tears) or degenerative( frozen shoulder, arthritis, impingement syndromes). Degenerative conditions typically arise from chronic overuse and dysfunctional mechanics, both of which can cause the joint to break down over time.
The shoulder complex is comprised of three bones( humerus, shoulder blade, and collar bone) which form two articulations. The primary joint of the shoulder is the gleno-humoral joint. This is where the head of the humerus fits into a socket formed by the shoulder blade. Just above this is the acromio-clavicular( AC) joint, which is where the collar bone articulates with a bony knob projecting out from the shoulder blade. The primary stabilizers of the shoulder are four relatively small muscles collectively known as the rotator cuff.
Acute Shoulder Injuries
Many acute shoulder injuries occur during contact sports or falls. One common injury is a shoulder dislocation. This occurs when the head of the humerus pops out of its socket. This can result in fractures of the humeral head or even nerve damage. A shoulder separation
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is different from a dislocation and occurs when the collar bone separates from its articulation with the shoulder blade. This injury can have a lengthy recovery because it involves a tear in the ligament that holds these two bones together. Rotator cuff tears typically occur during forceful movements of the arm against a load. If not treated properly these injuries can lead to shoulder instability and arthritic conditions.
Chronic Shoulder Injuries
Chronic overuse can cause arthritic changes in the shoulder complex. This causes bone spurs to form around the joints, which can lead to painful impingement syndromes. In this scenario, the bone spurs may compress or rub against tendons, which can cause these soft tissues to degenerate over time. The constant irritation of these tissues ultimately leads to chronic inflammation that may lead to the condition of“ frozen shoulder.” This entails run-away inflammation that makes the joint capsule fibrotic and stiff. Sufferers lose much of their range of motion and often require months of treatment before the inflammation resolves.
Chiropractic care can be very effective for most shoulder injuries. The treatments work to restore proper mechanics to the joint so that the body can heal itself naturally. If you are ever faced with a painful shoulder condition, contact The Joint Chiropractic for an evaluation to see how this form of treatment can get you back in the game.
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29 Initial Visit exam & adjustment
McCandless Crossing 8874 Covenant Ave Pittsburgh, PA 15237
Visit thejoint. com or call( 412) 364-1329 today to learn more.
* Offer valued at $ 39. Valid for new patients only. See clinic for chiropractor( s)’ name and license info. Clinics managed and / or owned by franchisee or Prof. Corps. Restrictions may apply to Medicare eligible patients. Individual results may vary. © 2016 The Joint Corp. All Rights Reserved.
This Industry Insight was submitted by Dr. Justin Shemenski, Chiropractor at The Joint Chiropractic of McCandless.
Dr. Shemenski attained his doctorate at D’ Youville College in Buffalo, NY. His clinical experiences included rotations at the Erie County Medical Center hospital system, a large multi-disciplinary sports medicine practice and a neurosurgery clinic that is run by the University at Buffalo medical school.
After graduation, he returned to the Pittsburgh area and worked as the clinic director of two multi-disciplinary practices that treated a large range of musculoskeletal conditions with traditional allopathic medical treatments, physical medicine modalities, physical rehabilitation, and chiropractic care.
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