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Blog: Physical Therapy & Chiropractic

Forest Hills Physical Therapy Post

Ouch! What To Do When That Shoulder Pops…

The shoulder joint is subject to a great deal of motion, more so than other large joints in the body. This makes the shoulder susceptible to dislocation. Anyone who has experienced a dislocated shoulder knows how painful it can be. In fact, a dislocation can lead to a condition called multidirectional instability of the shoulder (MDI). The joint dislocation can result in an excessive forward, backward or downward motion relative to its normal position. MDI is often seen as a result of a sports-related injury, but it can develop over time with repetitive use of the shoulder joint.

Surrounding soft tissues are also affected. Ligaments and muscles in the arm and shoulder region can become stretched or torn. At times, a genetic abnormality of the joint can be an underlying cause. Repetitive motions, shoulder sprains and sudden muscle contractions can result in MDI. Individuals with below average fitness levels and ‘loose joints’ are also at risk.

Multidirectional instability leads to weakness in the rotator cuff muscles, which become fatigued and overworked. The surrounding bursa (fluid filled protective sacs), tendons and nerves may also get affected.

Pain in the shoulder at rest and with motion is a common symptom. MDI may be associated with numbness, paralysis and weakness in the shoulder. Some patients report a crackling feeling or sound in the shoulder area during motion.

Physical Therapy - the Key to Recovery
Physical therapy plays a crucial role in recovery from any dislocation.

Your therapist will help position the shoulder joint in the right position and immobilize it to promote healing and prevent further damage. A sling may be used for three to eight weeks, depending upon the severity of the injury. Once healing is complete, physical therapy will facilitate recovery. Rehabilitation treatments can include:

Heat and Cold Therapy – Used to manage pain and reduce swelling.

Exercise – A customized program of gentle exercise to build stability, strength and muscle control helps offset muscle weakness after weeks in a sling. Patients will be provided with a strength and mobility program that can be implemented at home and work.

Clinical Pilates – At times, a specialized exercise program can be designed to regain muscle strength, tone, and control. Exercises may be performed with specialized equipment or independently.

Electrical Stimulation – The technique is used to improve muscle and ligament tone. This is a useful method to control pain and inflammation.

Water Therapy – Water relieves stress on joints and encourages patients to relax and move with relative ease. An aqueous environment provides support for weak muscles and joints and supports ‘relearning’ of muscle strength and control.

Meeting the Challenges of MDI
Multi-dimensional instability of the shoulder must be evaluated carefully to determine the best course of treatment. As your physical therapists, we will do everything possible to relieve your pain, prevent further damage, and provide the rehabilitation framework to help you recover quickly.

In fact, physical therapy can help with any pain or discomfort in any joint in the human body. If you or a loved one is experiencing stiffness, tingling or loss of joint function, give us a call. In particular, MDI is a complex condition, and it is often overlooked. The underlying cause for simple 'aches and pains’ can be easy to ignore and lead to further pain and injury. Therefore, we encourage you to reach out to us as quickly as possible.

Once joint healing is complete, we put you through a routine of specialized exercises and therapies to help you regain strength, stability, and functionality. Give us a call to discover how physical therapy can help heal your shoulder and every joint in your body. We look forward to hearing from you!

http://www.ForestHillsRehab.com - Forest Hills Rehabilitation provides physical therapy, chiropractic and sports medicine to the local residents of Forest Hills Queens and the surrounding area. Check out this video on the importance of physical therapy for shoulder pain and shoulder injury.

Physical Therapy & Chiropractic Forest Hills: Shoulder Injuries

Ready To Reach For The Stars?

It is estimated that approximately 3 out of 10 adults are affected by some degree of shoulder pain at some point in their lives. Contrary to popular belief, shoulder pain is not something you have to ‘live with’.

If you have pain in your shoulder, please consult a doctor for a detailed evaluation. Most doctors will conduct a three part evaluation consisting of a medical history, physical exam and tests to isolate the problem.

Medical history involves an analysis of your past and current records to identify underlying factors that may have caused the injury.

The physical exam can be quite extensive and sometimes painful. The doctor may poke, prod and pull your arm in different directions to determine the location and type of pain you are experiencing.

Testing can be quite extensive since the doctor is now trying to get to the root of the problem with some advanced methods to test the function of bones, joints, muscles, ligaments and nerves. Testing can also include referring you to get X-rays or MRI tests to help with diagnosing the problem.
Once you have the diagnosis, it is important to take the next step and ask your doctor if a consultation with a physical therapist is the right choice for you.

Treatment Options For Your Shoulder

There are various treatment options for shoulder pain. Some of the options include:

Medication – Pain killers and anti-inflammatory drugs can help provide some degree of pain relief. However, using medicine will only help mask the pain and doesn’t get to the source of the problem.

Physical therapy – This includes exercise and manual therapy involving various types of joint manipulation, massage and deep tissue massage. Physical therapy plays an important role in the recovery process. Modalities like ultrasound, electrical stimulation and heat / ice may be needed to help with pain and inflammation.

Surgery – In extreme cases, surgery may be required. Talk to your physician, who may refer you to an orthopedic specialist to determine if surgery is the right solution for you.
If you have questions regarding your examination, diagnosis or treatment options, we are here to assist you.

Physical Therapy For Shoulder Pain

If you have shoulder pain, ask your doctor if physical therapy is right for you. A physical therapist is trained to evaluate all the mechanisms that involve bones, joints, and muscles. Since we are specialists in motion and pain relief, chances are that we can get to the root of the problem and identify exactly what’s causing the pain.

We work with your doctor as a team and find the fastest way to relieve your pain and get you back to work. We understand this can be a very frustrating condition because it can affect your daily activities.

We help you by custom designing an exercise program that includes:

Range of motion exercises – these exercises help restore mobility in your shoulder and help you overcome the inevitable joint stiffness.
Resistance exercises – we’ll teach you innovative ways to use weights or rubber tubing to provide light, progressive resistance so you get stronger and recover faster!
Stabilization exercises – these advanced exercises will increase the stability of your shoulder muscles and help minimize the chances of re-injury.
Please contact us to learn what we can do for you. It’s time you stopped worrying about shoulder pain and reached for the stars. We’ll help you get there!

Email : DrB.FHrehab@gmail.com
Phone: 718-520-8480
Web: http://www.ForestHillsRehab.com

Torn Labrum: Causes and Treatment with Physical Therapy

Torn Labrum - Labral Tear

It may be helpful for you to preview the shoulder anatomy section in our website but as a quick overview… the shoulder joint is made up of three bones, the humerus (upper arm bone), the scapula (shoulder blade) and the clavicle (collar bone).  The upper part of the arm bone has a large ball, referred to as the “head” of the humerus, which sits in a shallow cup of the scapula called the glenoid.

The glenoid labrum is a fibrous ring that surround the shallow cup to help stabilize the large humeral head.  It also serves as an attachment site for several ligaments.

The labrum can be torn or injured following acute trauma such as falling on an outstretched arm, or repetitive stress injuries to the shoulder, common in athletes and throwing injuries.

Typical symptoms of glenoid labrum tear include:
    •    deep shoulder when raising your arm overhead
    •    clicking, “clunking”, popping in the shoulder
    •    shoulder weakness
    •    shoulder instability
    •    limited shoulder ranges of motion

Shoulder labral tears at the top of the glenoid are called SLAP lesions (superior labrum, anterior to posterior).

Shoulder labral tears below the glenoid are called Bankart lesions.

Shoulder labral tears can be quite serious and may require surgery.

In many cases however symptoms can be controlled through conservative measures, such as physical therapy in combination with pain management.

Since the labrum is cartilagenous it can not be evaluated by x-ray, and may require alternative diagnostics, such as diagnostic ultrasound, or mri.

In most cases, labral tears can be diagnosed by a trained physical therapist through manual orthopedic testing.

If you are experiencing symptoms of a labral tear, have suffered a shoulder injury, or just have shoulder pain, let one of our trained physical therapists help you on your road to recovery.

We have lots of experience with shoulder injuries and we are on call seven days a week, so call now…

Call now…(718) 571-8142

It is important to emphasize that since it is often difficult for a patient to differentiate the source of an injury, it is imperative that you get examined by one of our trained medical doctors or physical therapists at the first sign of pain.  Don’t delay… We’re on call seven days a week. If any immediate concern, give us a call and talk to one of our trained physical therapists or doctors on the phone right now.

Call now…(718) 571-8142

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