The complexity of the shoulder joint allows it to perform many different movements and activities. The shoulder involves three different bones – the scapula, the clavicle, and the humerus – many connecting ligaments, and approximately 20 different muscles.
The shoulder has the greatest range of motion of any joint in the body. This is due to the four tendons which stabilise the upper arm bone in the shoulder socket. This great range of motion, however, tends to make us susceptible to shoulder pain.
Shoulder sprains, strains and dislocations are very common. Symptoms of shoulder pain include aching on the side and upper arm, or aching in the top and front of the shoulder. One of the most common shoulder injuries is Rotator Cuff Syndrome.
The rotator cuff is a confluence of tendons in the shoulder that insert into the outer aspect of the upper arm. They allow the muscles to raise and lower the arm, and rotate in and out.
Regardless of the reasons for pain if the imbalances and irritation to the shoulder are not corrected, pain and limitation of normal motion may develop. The severity can vary from a slight catching or pain to an almost complete inability to use the shoulder. This painful condition is often called Shoulder Impingement or Rotator Cuff Syndrome and can afflict individuals of all ages.
Pain can be aggravated by overhead use, and daily activities such as twisting a screwdriver, opening a bottle top or pulling a cork. If the rotator cuff is torn, the problem is more serious, however the symptoms are similar for the impingement syndrome. While serious cases may require surgery or cortisone, most cases can be managed by an appropriate health practitioner.
Treatment could involve:
- Soft Tissue work
- Rehabilitation- Restoring the functional chain of the shoulder
- Trigger point
- Dynamic Neuromuscular Stabilisation
- Active Release
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