The most common causes of shoulder pain that we address in our office:
Rotator Cuff Injury: The rotator cuff muscles, 4 muscles that sit on the shoulder blade, are responsible for stabilizing the shoulder joint. This is a big task, and due to constant use, ranging from low-grade use like typing to high-grade use with activities like overhead weightlifting, these muscles will often become overused and develop adhesion. Adhesion in the rotator cuff muscles will limit their strength and mobility. This can cause pain anywhere in the shoulder.
Shoulder Impingement: This occurs when the rotator cuff tendons become irritated. Often it is thought to be due to the acromion process impinging on the tendons and causing them to be irritated, but this is not usually the entire picture. Most often, the reason the rotator cuff tendons become irritated is that they are overused due to adhesion in the rotator cuff muscles. Adhesion in the rotator cuff muscles makes them weaker and less flexible and the rotator cuff tendons have to pick up the slack and then they become overused and irritated.
Shoulder Bursitis: Inflammation of the bursa, a fluid-filled sac that provides a cushion for the shoulder joint, is a classic indicator of overuse of the muscles that attach to the shoulder. Most often, this is due to adhesion in the rotator cuff muscles.
Labrum/Muscle Tears: With pre-existing tears in the shoulder labrum or rotator cuff muscles, it is imperative that all of the adhesion in the rotator cuff muscles is found and fixed. Finding and fixing adhesion will slow down the degenerative process and if treated early enough can prevent or delay the need for surgery.