Shoulder pain is quite common. The shoulder joint is a complex ball and socket joint like that of the hip. The main difference is the hip joint is deeper making it more stable. The shoulder joint is a shallow ball and socket joint making it more mobile. The trade-off is it is less stable and requires many complex ligaments, tendons and muscles to assist with stability. This means these supporting structures must do more work making them prone to overuse and inflammation. This may result in tendonitis, bursitis and instability.
At Your Osteopath, we find the most common cause for these conditions today is postural compromise due to poor ergonomics when using computers, tablets and mobile devices. Shoulders and head slump froward putting excess strain on the neck and shoulder structures. The local ligaments and tendons inflame and a subsequent tendonitis and/or bursitis results.
On occasion at Your Osteopath, we see these conditions progress to the point where there is a significant restriction of movement of the shoulder joint. This is commonly associated with an impingement syndrome where the soft tissue structures are so tightly held, they impact the free joint motion as now one bony structure impacts on another during normal range of motion of the shoulder.
Instability of the shoulder is usually associated with previous injury to the shoulder that has been poorly managed. In some cases, partial dislocations may require surgical intervention before treatment may be effective.
At Your Osteopath we treat these conditions with a combination of manual therapy, needling techniques and postural retraining.