Shoulder Girdle Pain
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Chiropractic for Acute, Subacute and Chronic low back pain, Chronic Neck pain, Migraine, Cervicogenic Headache, Shoulder girdle pain and dysfunction, Adhesive Capsulitis, Tennis Elbow, Hip and Knee Osteoarthritis, Patellofemoral Pain Syndrome, Spinal Rehabilitation.
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What are the Common causes of shoulder pain?
Shoulder pain can arise for many different reasons:
Acromioclavicular arthritis:
(wear and tear of the joint formed by the collar bone and shoulder).
Adhesive capsulitis (Frozen shoulder):
where the shoulder capsule becomes drier, sticky, causing friction and restriction inside the joint capsule.
Bicipital tendinitis and bursitis:
Pain when the tendon or bursa become compressed beneath the acromion when raising the arm to the side.
Rotator cuff tear:
A strain of which can leave the arm a bit weak after the pain has subsided.
Synovitis:
which is inflammation of the shoulder joint and acutely painful raising the arm.
The best evidence in the form of research for the efficacy of chiropractic treatment relates to the above conditions.
Other causes of shoulder pain or dysfunction can include trauma such as a Labral tear, Ligament injury (Acromial-clavicular tear), Shoulder dislocation or instability caused over a period of time, and referred pain from the neck.
FOOTNOTES
1 Chen KC, Chiu EH. (2008) Adolescent idiopathic scoliosis treated by spinal manipulation: a case study. J Alternative Complementary Med. 2008 Jul(6):749-51.
CONCLUSIONS: Chiropractic treatment was associated with a reduction in the degree of curvature of adolescent idiopathic scoliosis in this case, after half a year of conventional medical treatment had failed to stop curve progression. This suggests that in at least some severe and progressive cases of scoliosis, chiropractic treatment including spinal manipulation may decrease the need for surgery.
http://www.ncbi.nlm.nih.gov/pubmed/18673077?dopt=AbstractPlus
2 Lantz CA, Chen J. (2001) Effect of chiropractic intervention on small scoliotic curves in younger subjects: a time-series cohort design.
J Manipulative Physiol Ther 2001, 24:385-393.
Life University, Marietta, GA, USA.
CONCLUSION: Full-spine chiropractic adjustments with heel lifts and postural and lifestyle counselling are not effective in reducing the severity of scoliotic curves.
3 Seaman DR, Winterstein JF. (1998) Dysafferentation: a novel term to describe the neuropathophysiological effects of joint complex dysfunction. A look at likely mechanisms of symptom generation.
J Manipulative Physiol Ther 1998, 21:267-280.
Postural control dependent significantly upon cervical joint mechanoreceptors and other afferent input from ligament and musculotendinous sources. It may be that the unleveling of the pelvis and sacrum sometimes has a dramatic knock on effect with the spine that sits on the sacrum, all the way up to the skull, affecting postural control.
4 Morningstar MW, Woggon D, Lawrence G. (2004) Scoliosis treatment using a combination of manipulative and rehabilitative therapy: a retrospective case series. BMC Musculoskeletal Disorders 2004, 5:32doi:10.1186/1471-2474-5-32
Outstanding results on a group of 19 patients who had an average reduction of Cobbs angle by 17º over a 4 to 6 week period, employing a combination of chiropractic manipulation and rehabilitation.
5 Tarola GA. (1994) Manipulation for the control of back pain and curve progression in patients with skeletally mature idiopathic scoliosis: two cases. J Manipulative Physiol Ther. 1994 May;17(4): 253-7.
Diversified-type CMT has a favourable effect on acute back pain when used palliatively. The procedure may also have a favourable long term effect of preventing recurrence of back pain and on retarding curve progression when used routinely 1-2 times per month.
http://www.biomedcentral.com/1471-2474/5/32#B51
6 Lewit K. (1985) Muscular and articular factors in movement restriction. Manual Medicine 1985, 1:83-85
Loss of cervical lordosis with forward head carriage may elicit a pelvo-ocular reflex, which would shift the pelvis forward to balance the centre of gravity for the head.