Introduction to biomechanics


How to Treat Shoulder Pain

People of all ages suffer from shoulderphysical therapy program can alleviate
pain. The causes are many and can rangeshoulder pain and you won't have to
from an unknown onset to a traumaticconsider having an injection.
event. Many people develop shoulderPhysical therapy treatment can consist
pain from performing repetitive typeof the following interventions:
activities for prolonged times. Others1. Therapeutic exercises: this will
will experience pain in the shoulderconsist of range of motion,
following a fall onto the shoulder or onconditioning, and strengthening
the outstretched arm. Sometimes theexercises. The goal here is to maximize
reason for pain is not as obvious. Iand restore any loss of range of motion,
see many cases where a person cannotimprove the overall endurance of the
identify what caused the pain in theshoulder blade and shoulder muscles and
shoulder. Often times this pain forto improve the strength of these same
unknown reasons can occur when someonemuscles. Adequate strength of the
bumps their shoulder against the doorshoulder blade muscles is just as
jam in the middle of the night whenimportant as having strong rotator cuff
going to the bathroom. This rathermuscles. These two groups must work
benign action sets off a chemicaltogether in order to restore normal
process in the shoulder that will buildbiomechanics and to prevent further
up over several days. Eventually thisinjury.
will cause pain in the shoulder. Since2. Manual therapy: this will consist of
the injury occurred several days earlierhands on treatment that the physical
the person cannot recall any event thattherapist would perform on you. This
started the process. Regardless of themight consist of joint mobilization
cause of the pain in the shoulder the(i.e. techniques designed to improve
treatment is often similar from case tojoint motion and relieve pain), or soft
case.tissue massage (i.e. techniques designed
Treatment of the shoulder can encompassto improve muscle and connective tissue
several different areas. Conservativeflexibility and to relieve pain).
measures include medication such as3. Modalities: this consists of machines
anti-inflammatories or pain medications,that the physical therapist may apply to
rest, cortisone injections, and oryour painful shoulder to assist in pain
physical therapy. All of these methodsrelief and healing along with the other
can be effective in helping relieve atreatments mentioned above. Some of
painful shoulder especially when theythese machines are ultrasound,
are performed in combination with eachelectrical stimulation, TENS, or
other.iontophoresis.
Often times when you present to yourAll of these interventions can be used
medical doctor with complaints ofin the treatment of a painful shoulder.
shoulder pain they will prescribe someIt is common in clinical practice to use
medication as described above. It isa combination of these interventions.
easy to recommend that a person rest theIt has been my experience in treating
painful shoulder but it may be difficulthundreds of shoulder patients over the
to do depending on their occupation oryears that therapeutic exercise is an
responsibilities at home. Injectionsabsolute in the treatment of the painful
for the painful shoulder are sometimesshoulder. Well rounded exercises that
given right away depending on yourtarget the shoulder blade and shoulder
medical doctor's philosophy. Some MD'smuscles are the mainstay of any good
would rather you attend physical therapyphysical therapy regimen for the
before considering injecting the painfultreatment of shoulder pain. A painful
shoulder. Injections are not the endshoulder can persist for years. With
all beat all and they do not offerthe right education you won't have to
relief to all patients that receivesuffer any longer!
them. Often times a well rounded



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