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7: Managing Shoulder Sprain/Strain Injuries

Summary: Many of the shoulder problems that chiropractors see involve one or more forms of rotator mechanism dysfunction. This chronic biomechanical continuum usually begins with dysfunction of the rotator cuff muscles and progresses to rotator cuff syndrome; supraspinatus tendinitis; impingement syndrome; subdeltoid and subacromial bursitis; calcific shoulder bursitis; and even most cases of frozen shoulder and bicipital tendinitis. In such cases, there is no direct, acute injury. However, as the shoulder is a very mobile joint with little stability in certain positions,1 the soft tissues of the shoulder region can be injured during athletic and recreational activities, at work or in a fall. Every acute sprain and strain injury to the shoulder must be properly treated and fully rehabilitated if future problems are to be avoided. Chronic instability is a real possibility after an injury, since the surrounding muscles and connective tissues are the true source of shoulder joint stability. Full Article: Chiroweb