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Injuries of the Arm and the therapies to heal them.

Rotator cuff tears/tendonitis:

The rotator cuff is a group of 4 muscles that come from the shoulder blade and anchor onto the top of the arm. Their main function is to pull the arm into the shoulder joint to keep it properly positioned in activities overhead and away from the body. When they get weak, overused, with age, and with injury they can start to tear. Tears can be large or small, but often, the size of the tear is almost irrelevant to the prognosis as studies have shown therapy and conservative care to be just as effective as surgery in most cases in non-traumatic tears.

Treatment for the shoulder usually works on reducing inflammation, improving rotator cuff functioning, and properly positioning the surrounding musculature that controls the shoulder blade for optimal shoulder functioning. Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing. Therapeutic exercises through a formal PT program can improve shoulder mechanics. Chiropractic adjustments for the joints surrounding the area can help with joint positioning. In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.

Frozen Shoulder:

Frozen shoulders happen for a variety of reasons. It is a condition where the motion of the shoulder is severely restricted, especially out to the side and behind the back, and is accompanied by severe pain. It usually gradually happens over months and even years. Most people with frozen shoulders often have minor neck issues going on prior as well, that may contribute to the dysfunction as the neck nerves control the shoulder. There are typically several small issues like bursitis, impingement, and tears underlying, but the entire picture is called a frozen shoulder.

Treatment cannot be aggressive as more pain will often reinforce a pain-inhibition cycle. That being said, it is essential to regain motion, regain strength, and regain timing of the shoulder muscles. Treatment usually will incorporate both the neck and the shoulder complex, as often times nerve root disorders in the neck are the cause of the shoulder issues. Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing. Therapeutic exercises to help with range of motion and shoulder strength through a formal PT program can improve shoulder mechanics. Chiropractic adjustments for the joints surrounding the area and proper neck alignment for proper nerve firing can as well. In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.

Sports injuries:

The shoulder complex is just that…complex. The shoulder blade, collar bone, humerus (arm bone) are all held together with muscles, ligaments, and joint capsules. The functioning of the shoulder relies on perfect timing of all of these major muscle groups. So with repetitive strain or sports trauma, even a small issue can make the whole shoulder dysfunctional, and very painful. Common shoulder injuries include separations, dislocations, rotator cuff tears, and labral tears.
Treatment for the shoulder usually works on reducing inflammation, improving rotator cuff functioning, and properly positioning the surrounding musculature that controls the shoulder blade for optimal shoulder functioning. In injuries where there is instability, like a separated shoulder, treatment will include specialized taping to immobilize the area without immobilizing the entire arm. Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing. Therapeutic exercises through a formal PT program can improve shoulder mechanics. Chiropractic adjustments for the joints surrounding the area can help with joint positioning. In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.

Tennis/Golfer’s Elbow:

The wrist and finger extensors all meet at the lateral elbow in a common tendon. On the opposite side of the elbow, the flexors do the same. With one hand tennis backhands and often in golf, these groups and tendons are strained. Repetitive strain causes tearing and inflammation. This can also cause irritation and entrapment to the nerves in the area. This condition can be very painful and is often throbbing and deep pain that stops the sports activity. Even people who don’t golf or play tennis can get these conditions with repetitive hand motions like hammering, carrying heavy items, or even one time events like lifting something very heavy

Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing. Therapeutic exercises to help with range of motion and strength is essential to healing. Chiropractic adjustments for the cervical spine that sends the nerves to the area, can greatly help as well. In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.

Carpal Tunnel:

The finger and wrist flexors run through a small area in the underside of the wrist. In that same area, there is a large blood supply artery and a large median nerve. As those flexor muscles get inflamed and damaged usually in repetitive type tasks, they compress these blood vessels and nerve causing numbness, pins and needles, and even weakness. Many times, these nerve issues can be compounded with the same nerved being compressed further up at the elbow and towards the neck.

Treatment involves immobilizing the area to help it calm down. This is concurrently done during a treatment program consisting of stretching, modalities to reduce pain and inflammation like ClassIV laser, Ultrasound, deep tissue myofascial release, and electro-acupressure. As the inflammation calms down, therapeutic exercises are incorporated to reduce the strain on the muscle groups affected. In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.

Thumb Tendonitis:

The thumb, especially on your dominant hand, is one of the most used joints of the body. In professions and activities where the thumb is used repetitively, and often times in trauma like hand on the steering wheel during an accident, these tendons that support the thumb can be damaged.

Treatment involves immobilizing the area to help it calm down. This is concurrently done during a treatment program consisting of stretching, modalities to reduce pain and inflammation like ClassIV laser, Ultrasound, deep tissue myofascial release, and electro-acupressure. As the inflammation calms down, therapeutic exercises are incorporated to reduce the strain on the muscle groups affected. In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.