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|Shoulder Rehabilitation and Regular Chiropractic Care|
|Effective shoulder rehabilitation frequently depends on factors other than those related to the shoulder itself. For example, obtaining improved shoulder range of motion and improved shoulder girdle strength may be directly related to the functioning of your neck and the regional neck musculature.
Your seven neck vertebras have a big responsibility. Not only do they support the weight of your head all day long, but they also provide a structural framework for the complex web of muscles that move your head in all directions and interface with chest muscles involved in respiration. Beyond this, regional neck muscles are closely interconnected with shoulder girdle muscles. Rehabbing the shoulder means paying attention to neck muscles as well. Regular chiropractic care helps ensure that the spinal joints and muscles of your neck are functioning at peak efficiency. Therefore, regular chiropractic care is a critical component of any successful shoulder rehabilitation program.
Many adults begin to develop shoulder pain, even though they may not have sustained a specific injury. It's important to pay attention to such shoulder issues, as a healthy shoulder joint is the key to full function of the upper extremities. We all know at least one person whose ability to perform normal activities of daily living has been significantly compromised by chronic shoulder pain. Conservative treatment may be of benefit, but the key, as always, is to prevent these problems before they occur. The primary prophylactic intervention, as is the case for most musculoskeletal conditions, is exercise.
We all agree that the human body's design is magnificent. Every component has a purpose, down to the smallest cell. Every system is deeply interconnected with every other. Miraculously, the whole is much greater than the sum of the parts. And yet, there are a few "gotchas" built-in to this ingenious design. With respect to the shoulder, the "gotcha" relates to the shoulder joint's extraordinary mobility. The shoulder joint has the greatest range of motion of all the joints in your body. But this extreme mobility comes at a price, that is, the shoulder joint is not a particularly stable joint. For example, shoulder dislocations comprise approximately 50% of all such injuries.
Shoulder pain in the absence of a specific injury often represents damage to the rotator cuff. Again, the design of the shoulder joint and surrounding soft tissues is implicated in these rotator cuff problems. The blood supply to the bones, muscles, ligaments, and tendons of the shoulder is consistently compromised during normal motion of the shoulder above 90º, as in placing an object on or taking an object down from the top shelf in a kitchen cabinet. If much of your day is spent with your arm elevated above 90º to the front or to the side, over time you may develop nagging shoulder pain. Worse, with persistent repetitive motion above 90º, nagging shoulder pain may become chronic pain that restricts activities.
The best approach to shoulder problems is to become aware of the rotator cuff's well-known tendency to develop degenerative changes. We can be proactive by doing strength-training exercises for the shoulder and incorporating these exercises in our weekly exercise program as soon as possible.1,2 Beginning such exercises in the teenage years would be ideal. For those of us who are older, the right time to begin shoulder strength training is now. Shoulder exercises stimulate growth of new muscle fibers, increase the size of muscle fibers already in existence, and stimulate growth of nerve fibers bringing information to and from all shoulder girdle structures.
Shoulder exercises should be done once or twice a week as part of your overall fitness program. As with all exercise that's new to you, start slowly and gradually increase the level of difficulty over time.3 The result of all this activity is a dramatically improved blood supply to the shoulder region and a dramatically reduced tendency for rotator cuff degeneration and injury.
1Choi SH, Lee BH: Clinical Usefulness of Shoulder Stability Exercises for Middle-aged Women. J Phys Ther Sci 25(10):1243-1246, 2013
2Saltychev M, et al: Conservative treatment or surgery for shoulder impingement: systematic review and meta-analysis. Disabil Rehabil 37(1):1-8, 2015
Another example of a common issues
3Daenen L, et al: Exercise, not to exercise, or how to exercise in patients with chronic pain? Applying science to practice. Clin J Pain 31(2):108-114, 2015
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Such nice office space. The Front Desk Manager was extremely helpful in scheduling me in for a same day appointment. With years of seeking medical attention for a severe neck/shoulder pain, Dr. Peter was the first Dr to sit with me and listen to my concerns. He was patient, attentive and created a treatment plan that I felt comfortable. His practice is modern, up to date and so comfortable. I highly recommend his practice if you're looking for quality treatment.
~ Emory S.
I saw Dr Peter to help me with some chronic back and neck pain. He did a fantastic job. Took his time to go over everything and explain what he was doing throughout the assessment. After the adjustment I felt so much better. Neck and back felt significantly better. I'll definitely continue seeing him.
~ Rachelle P.
Today, the "teacher" became the student/patient. In desperation and severe pain, I called my former chiropractic student, Dr. Kantzilieris to see if he could "fix" me. After a treatment by his gifted and truly magic hands, I walked out of the office totally upright for the first time today with an 80% reduction in pain. I never had a doubt. In the Paramus and surrounding area, look NO FURTHER than Next Step Chiropractic for your wellness needs!
~ Mary F.
After years of receiving treatment for a chronic pain condition at several other locations without much success, I visited Next Step Chiropractic in April. Dr. Peter is by the far one of the most understanding, respectful, and knowledgeable chiropractors out there. He genuinely cares about his patients and offers a variety of treatments, such as cold laser therapy and ultrasound. He came up with an individualized plan for me and for the first time in years, I have felt long lasting relief! I love that the office has individual treatment rooms for privacy. I highly recommend visiting Next Step Chiropractic and Dr. Peter.
~ Veronica C.
Amazing doctor. Had issues with my legs. After therapy and followed his instructions 3 months later I'm GREAT. Will I go again? 110% yes
~ Robert R.