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<<<Shoulder Pain
Shoulder Dislocations
Sometimes the bones in the shoulder joint slip out of normal alignment or are forced out by injury, a condition known as subluxation—if partial in nature, and dislocation—if completely out of joint. Most shoulder sprains or, more seriously, dislocations happen when a person falls on an outstretched hand or sustains a blow to the shoulder (especially a downward blow). Approximately 95% of shoulder dislocations are anterior dislocations, in which the anterior static shoulder stabilizers are stretched or torn away from the bone.

Until recently it was common in cases of dislocation to immobilize the shoulder for long periods of time. But studies proved that while immobilization helped alleviate the pain of such injuries, it also contributed to a general weakening of the ligaments and predominance of adhesive capsulitis. In one alarming study of close to 250 patients, about half of those treated with immobilization had recurring dislocations within the 10 year period of the study. The problem is greater in younger people. This is one of the few areas where older folks have an advantage; because their connective tissues are less elastic, the risk of dislocation is less likely.

Shoulder Arthritis
There are many types of arthritis, but most often in the shoulder, it is triggered by an initial trauma. It can also involve "wear and tear" of the tissues of the joint, causing inflammation, swelling and pain. Often people will react by instinctively limiting their shoulder movements in order to lessen the pain. This can lead to a tightening or stiffening of the soft tissue parts of the joint, resulting in yet further pain and restriction of motion. In the worst cases, adhesive capsulitis occurs and the arm can not be moved.

Referred Pain
The musculature of the shoulder area is fertile ground for trigger points, as is evidenced by the prevalence of a "stiff neck" and referred pain radiating anteriorly, laterally or posteriorly from all three of the major scalene muscles into the arms, chest or vertebrae. Trigger points from the trapezius muscles can refer pain to the head and down the arms.

Okay, You Know About The Problems and Pain, Now What?
A proper diagnosis of shoulder pain is essential to determine the root cause of the problem and the proper method of treatment. Because many shoulder conditions are caused by specific activities, a detailed medical history is an invaluable tool. A physical examination should also include screening for physical abnormalities—swelling, deformity, muscle weakness, and tender areas—and observing the range of shoulder motion—how far and in which directions the arm can be moved.

Since it's been proven to strengthen the connective tissues, and has the benefit of over fifty years of testing to back it, Prolotherapy is arguably one of the best choices of treatment in cases of dislocation, rotator cuff tendonitis, muscle tissue impingement or recurring instability.

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Prolotherapy

A Multi-Disciplinary Clinic For Professional and Amateur Athletes and Chronic Pain Sufferers
11645 Wilshire Blvd., Suite 120 Los Angeles, CA (310) 231-7000

Patient's stories herein, and the language used, is intended to inform and educate. HOWEVER, it does not imply that you or anyone else will receive the same outcome.

Prolotherapy and other modalities mentioned are medical techniques that may not be considered mainstream. As with any medical procedure, results will vary among individuals, and there could be pain or substantial risks involved. These concerns should be discussed with your health care provider prior to any treatment so that you have proper informed consent and understand that there are no guarantees to healing.

Neither Dr. Darrow, nor any associate of DARROW WELLNESS INSTITUTE offer medical advice on this website. This information is offered for educational purposes only. Do not act or rely upon our information without seeking independent professional medical advice. The transmission of this information does not create a physician-patient relationship between you and Dr. Darrow or any associate of DARROW WELLNESS INSTITUTE. Neither Dr. Darrow, nor any associate of DARROW WELLNESS INSTITUTE guarantees the accuracy, completeness, usefulness, or adequacy of any resources, information, apparatus, product, or process available at or from this transmission. The photos in this Web site feature models for illustrative purposes and do not depict real patients.

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