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.
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

Location

Find us on the map

Office Hours

Monday:

Closed

Tuesday:

8:00 am-12:00 pm

2:30 pm-7:00 pm

Wednesday:

Closed

Thursday:

8:00 am-12:00 pm

2:30 pm-7:00 pm

Friday:

Closed

Saturday:

8:00 am-11:00 am

Sunday:

Closed

  • "I have suffered from severe back pain and migraines. The treatment has been very helpful and Dr Waisbrots adjustment are very gentle. He also treats my children. 2 of my children have had chiari decompression surgery and he has helped them tremendously."
    ★★★★★ Kim / Google+
  • "I feel very confident in the care Dr. Paul gives because of his wealth of knowledge related to the body, science and healing! Leah is the office manager and is very organized and quick to answer any questions about appointments and billing. Michelle provides professional therapy. All 3, along with the massage therapists, work together harmoniously providing an overall great experience."
    ★★★★★ Nancy / Facebook
  • "Doctor Paul continues to keep me on my feet. I stand, run, and coach all day, then typically toss a couple more hours in after school. His skills are awesome and his personality is engaging and pleasant. My wife and two kids both get proactive treatment as well and are very healthy."
    ★★★★★ Casey / Google +
  • "From fixing my frozen shoulder to keeping me active, Dr Paul and his wonderful staff have been there for me. I see them every two weeks now to maintain my good health."
    ★★★★★ Barb / Google+
  • "Awesome office. Wonderful doctor and Staff!"
    ★★★★★ Leah / Google +
  • "I have attended the clinic many times since the start of 2014. Doc was thorough in his examination and took lots of time to explaine everything to me. He is an excellent practitioner and is always positive and upbeat. His support staff operate like a fine-tuned machine and are cheerful and competent. I highly recommend this clinic."
    ★★★★★ Michael / Google+
  • "Amazing staff, friendly, clean and extremely knowledgeable. A++"
    ★★★★★ James / Google +
  • "Dr. Paul allows me to stay in great shape because I run, lift, and do so many plyometrics my core takes a beating. He fixes me up every time!"
    ★★★★★ Connor / Yellowpages.com
  • "I cannot praise Dr. Waisbrot and staff at Baker Chiro enough. I have been going to Dr. Waisbrot for five years and have had great success. I am a cyclist and have injured my back several times within that time and without fail, they have helped me get back to riding all without medicine, and in a very short time."
    ★★★★★ Bruce / Google+
  • "After two years of seeing three different doctors, having an MRI and several sets of xrays for my shoulder issue, Dr. Paul immediately diagnosed the root cause of the problem. I felt so much better the day after my very first visit. I have been raving about him to everyone I know. He also help my son with a knee problem. He has a wonderful personality as does his office staff. Highly recommend!"
    ★★★★★ RateMDs.com
  • "Dr. Paul is my guy. We bring the whole family in for superb treatment with a very engaging clinician and talented chiropractor."
    ★★★★★ Janel / Yelp
  • "I suffered for years with chronic lower back pain (L5,S1). Dr. Paul has given me new life! Absolutely, hands down, the most incredible chiropractor I've been to."
    ★★★★★ Bradley / Google+