Shoulder Pain in Happy Valley

  • Rotator Cuff Strain – Shoulder pain can be a complex issue, but some basics are nearly always true. A delicate group of muscles, tendons and the capsule around the socket of the shoulder joint control the precise motion of the shoulder. These structures can be easily injured by high forces or mechanics that require these structures to perform tasks that they are not designed to accomplished. This type of injury often produces pain and can lead to poor performance of the rotator cuff and progress toward instability of the joint or tearing of tissues.
  • Hypermobility, Subluxation and Dislocation – Describe varying degrees of motion of the shoulder ranging from: excessive but without loss of joint contact during an event or activity (hypermobility), loss of normal joint contact but returning to normal contact after an event (subluxation or partial dislocation), and complete loss of normal joint contact and failure of the bones to return to normal position after an event (dislocation). Why these conditions happen can range from genetically poor contact between the ball and the socket of the joint, traumatic forces placed on the joint forcing a normal joint into abnormal positions, to mechanics and tissue restrictions that cause abnormal motion of the joint with activity. Regardless of the level of instability, addressing mechanics of the shoulder and arm, in addition to strengthening and training can improve the control of the rotator cuff can and help stabilize the shoulder with nearly any activity.
  • Impingement – the ball and socket of the shoulder joint operates in highly confined spaces with other bones that can compress the delicate structures, such as the rotator cuff, if motion of the shoulder is not functioning normally. This causes pain, often in a specific location (you can point to the painful area). If this is not corrected by changing your shoulder mechanics and correction of tissue restriction; it can lead to rotator cuff tears and may require surgical interventions. In a percentage of the population, structural variance of the shoulder blade can create a susceptibility to this type of injury.
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