Healing Chronic Shoulder Pain

As we get older, years and decades of mechanical stress may lead to deterioration of joints, ligaments, and tendons. This degenerative process, commonly known as arthritis, primarily affects weight-bearing joints such as the hips and knees and those found in the lumbar spine. The shoulder, too, is especially prone to undergo arthritic changes owing to its extreme mobility. The extensive range of motion at the shoulder is built-in to the design of this structure, but the tradeoff is instability. The design of the shoulder sacrifices stability for mobility.

Degenerative disorders of the shoulder typically involve the rotator cuff. This broad, flat structure is composed of the muscle-tendon units of the four rotator cuff muscles: the supraspinatus, infraspinatus, subscapularis, and teres minor. The thick covering of the rotator cuff surrounds the head of the arm bone and supports and strengthens the shoulder joint. But owing to the shoulder's inherent instability contrasted with its great mobility, the soft tissues of the rotator cuff undergo repetitive stress and strain. Ultimately, degenerative changes may occur, leading to the two prominent symptoms of pain and restricted range of motion.

An entire orthopedic sub-specialty focuses on treatment of chronic shoulder pain and includes long-term use of anti-inflammatory medication, corticosteroid injections when medications do not provide sufficient relief, and eventually surgery to repair tears in the various rotator cuff tendons. "Revision" surgery is commonly performed when the benefits of prior surgery are exhausted.¹

The good news is that in many cases, a more optimal approach is available, one that utilizes the body's own natural recuperative powers. For many people, chronic shoulder pain can be reduced and chronic loss of mobility can be improved by engaging in specific activities and performing specific rehabilitative exercises. The goals of rehabilitation are to increase shoulder range of motion and build up shoulder strength. As these goals are accomplished, the likely result is reduction of intensity and frequency of occurrence of shoulder pain.

Engaging in an overall strength training program is an important general approach to managing chronic shoulder pain.^2,3 Strength training should be done progressively, starting with light weights and building up over time. Exercises specific to the shoulder include seated dumbbell or barbell presses, dumbbell or cable lateral raises, seated bent-over rows, and internal and external rotation exercises done with very light dumbbells on a flat bench. If one has experienced an acute shoulder injury, early rehabilitation should precede rehabilitative strength training. Early rehabilitation includes pendulum exercises and finger-walking up a wall in both forward-facing and side positions.

Your chiropractor is experienced in injury rehabilitation and will be able to help you design an effective flexibility and strengthening program for improved shoulder function.

 

 Chronic injuries require specific rehabilitation and a long-term approach. Patience is required and it is important to recall that the problem has developed over the course of years and will not be fixed in a matter of weeks or months. Progress should be obtained in the short-term, but such situations usually require consistent, ongoing attention to achieve a long-term solution.

Performing the appropriate rehabilitative activities is critically important and chiropractic care can be of great assistance in getting the most out of your exercise program. Regular chiropractic care improves the mobility of your spinal column and removes nerve interference which may cause tight, inflamed muscles. The result is a body that is optimized for good health and full function. By enabling maximum spinal mobility and maximum function of your nerve system, regular chiropractic care helps maximize your body's ability to recover from chronic injury.

Please let us know if we can help you improve your health in any way!

(386) 492-4881 or reach us on the web at www.AtlanticChiroFL.com

¹Keener JD: Revision rotator cuff repair. Clin Sports Med 31(4):713-725, 2012

²Lewis JS: A specific exercise program for patients with subacromial impingement syndrome can improve function and reduce the need for surgery. J Physiother 58(2):127, 2012

³Andersen LL, et al: Effectiveness of small daily amounts of progressive resistance training for frequent neck/shoulder pain: randomised controlled trial. Pain 152(2):440-446, 2011

What's Your Tuba Player?

Your brain and nervous system is the conductor that orchestrates the workings of your entire body. With clear communication, the beautiful music we know as “life” is produced.

But many people have a problem with their tuba player! For some the tuba player could be their thyroid. Or their gall bladder. Or their stomach. Or their lower back. Or whatever.

Their tuba player can’t see the conductor! That causes one of two things. Sometimes the tuba player just sits quietly. Other times, the tuba player goes overboard.

The medical approach would be to surgically remove or chemically suppress the tuba player. The chiropractic approach is to restore the connection between the tuba player and the conductor. Naturally, that involves locating and correcting interference to the controlling commands that travel over the nervous system.

Chiropractic care can bring harmony to your music of life! Call us, and let us help you orchestrate the health and wellness you deserve!

(386) 492-4881 or reach us on the web at www.atlanticchirofl.com or give us a +1 on our Google Plus page!!!

Wanting More From Your Care?

What are you hoping to get from your chiropractic care? Less pain? Less tightness? Or more health? More movement? Or more life?


Many people begin care because they have an ache or a pain they want to silence. In other words, they start out wanting less. As they learn what chiropractic care is (and what it isn’t) they discover it could offer more. More of what they really want. Participating in that discovery is one of the greatest joys of our practice.

Some don’t see the implication between a proactive (more) and a reactive (less) approach to their health. Instead, they prefer to come in only when they have obvious symptoms. No worries. We love them just as much. Everyone shows up at a different place on this journey of self discovery. We’re merely here to serve, whether they want less or more.

Please call us if you have any questions, or have a person in mind you would like to refer to our office!
(386) 492-4881 or on our website at www.atlanticchirofl.com

What Exactly Is Whiplash?

When you think of whiplash, most people immediately think “car accident.” But a fall or many types of repetitive movement may also cause whiplash. Sometimes the symptoms from whiplash take days or even weeks to manifest themselves, but the damage it causes can last for years.

What exactly is whiplash? It’s a condition in which the joints in the back of the neck, joints that usually slide easily over one another, are forced together, causing damage to the nerves, discs, ligaments and muscles all around them.

The symptoms? Generally, these include headaches, dizziness, neck and arm pain, decreased attention span, an inability to focus and fatigue. These symptoms can be both very painful and downright debilitating to the whiplash sufferer.

It helps to come into our practice immediately for a thorough examination if you have been involved in an accident and suspect that you might be the victim of a whiplash injury. The earlier you establish the proper intervention, via chiropractic adjustments, the better your chances for a full recovery.

Of course, chiropractic adjustments also help older whiplash injuries, but recovery is usually slower and care during the acute phase generally takes longer.

We manage whiplash injuries with careful and precise neck adjustments, sometimes ice and rehabilitative exercises that are designed to address the injured neck and shoulder muscles and joints. This has been shown to be very effective in managing the symptoms of whiplash, particularly the headaches that often accompany this type of injury.

Visit www.atlanticchirofl.com for more info!

Spinal Curves, What Do They Mean?

When you think of your spine, do you think of a straight row of bones that go from the bottom of your brain to the bottom of your back? In reality, the spine is made up of four different curves that provide balance and flexibility to your body and help prevent injury. These curves also allow the spine to support 10 times more weight than it could if the curves were missing! You can more easily see these curves when you view a model of the spine from a side view.
The four types of spinal curves are:

• Cervical Lordosis – A backward “C”-shaped curve located in the upper part of the spine. This curve helps to keep your head from moving too far forward. Neck pain usually results when there is any type of significant loss to this curve.
• Thoracic Kyphosis – The “C”-shaped curve of the upper and mid back, comprised of 12 vertebrae
• Lumbar Lordosis – The five vertebrae of the lower back that are also in the shape of a backward “C.” This area of the spine faces backward when seen from the side.
• Sacral Kyphosis – The sacrum is a triangular-shaped bone at the base of the spine, between both hip bones. It is also a “C”-shaped curve.

As a pre-born baby develops, it has only one type of spinal curve, the kyphotic “C”- shaped curve. As an infant’s motor skills begin to develop, the baby learns to hold its head up, sit, crawl, stand up and walk – all causing significant muscle development and allowing more weight to be shifted to the spine. This also begins the development of the additional spinal curves.

It is important that these curves be properly maintained to balance your body and to avoid pain and injury. Proper lifting requires that you bend at the knees, instead of at the waist, to keep your spine from straightening.

Of course, regular chiropractic check ups and adjustments help to maintain your proper spinal curves. In addition, there are specific products, such as cervical pillows, that also help to keep spinal curves in place and keep you out of pain! Call our office for an appointment today!  (386) 492-4881 or www.atlanticchirofl.com

What Color Should Pee Be?

The normal color of urine is a straw-colored, pale yellow. But what does it mean if you experience urine that’s a different color? There are many reasons for changes in urine color – illness, certain foods, supplements, dehydration –all may cause changes in the urine color.


Some reasons for changes in the color of your urine include:



• Red Urine – May be a sign of blood in the urine (requires further investigation as to the cause which may be one of many), eating certain foods, beets, blackberries, food dyes, medications, or a urinary tract infection.

• Green Urine – May be caused by eating asparagus or other foods and by artificial coloring in medications or food.

• Orange Urine – May be caused by eating rhubarb, laxatives with Senna, bile in urine or dehydration.

• Cloudy Urine – May be caused by a bladder infection, certain kidney conditions, different types of food or drinks, normal vaginal secretions or an abnormal vaginal discharge, kidney stones or prostatitis.

• Blue Urine – Generally results from artificial coloring in foods or medications.

• Purple Urine – Indicates urine from alien or extraterrestrial origin. (Just joking!)

 • Clear Urine – Often the result of proper hydration and good health.

Whenever you experience urine of a different color that gives you cause for concern, and you are certain that it is not related to eating a particular food or taking medication that is artificially colored, you should seek the counsel of a health care professional to rule out any serious condition or illness that may require further treatment.

In the meantime, be sure to drink plenty of water. Water “flushes” impurities out of your system and keeps your “motor” running! Regular visits to our practice also keep your immune system operating at peak capacity to help you fight off many of the causes of disease.

www.AtlanticChiroFL.com

Don't Fear The Fever!

Most people automatically think that a fever is something bad that should be lowered as quickly as possible.
Not so fast!

It's important to remember that by itself a fever isn't an illness. It's usually a symptom of some underlying problem. Often, it's a natural way the body responds to fight viral and bacterial infections. Rushing in to artificially lower the body's temperature can actually serve to lengthen the time it takes the body to do the needed work.

Most fevers are usually not cause for concern until they reach a temperature of 104° F (40° C) and only then if the fever lasts for three days or longer.  That said, it doesn't mean you should ignore a fever and take a cavalier attitude. A fever means the body is in a battle and has "set the thermostat a bit higher," using temperature to help subdue the enemy. Careful you don't throw open the doors and windows and force it to work even harder. More helpful would be a chiropractic adjustment or two!

Call us today, and let us help you feel the best you have ever felt!
(386) 492-4881
www.atlanticchirofl.com