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The Top Shelf

The Top Shelf Shoulder Injury
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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Testimonial

I slipped on ice in December, landing hard on my behind. I was in excruciating pain and could barely move. It was a Saturday night but I called the office and left a message (new patient, too, found them on Google.) I received a call back first thing Monday morning, they got me right in that day, and I just completed my 3- month treatment plan. I feel so much better and am happy to have found Dr. Ide and his staff.

    ~Amy Hawker
     Fenton, MI

Dr. Ide and his staff are awesome. I had all but given up and I saw his ad. I am s happy to be out of partial pain and I have only gone twice, I cannot wait for the end results. Just to be pain free. Dr. Ide, I thank you so much.

    ~Patsy Dimond-Spencer
     Fenton, MI

Dr. Ide and his staff have given me my life back. The day I called to make my first appointment I had been suffering from a migraine and severe neck pain for 6 days. This was also after receiving multiple pain injections from my primary physician with no relief. His staff not only verified my insurance was accepted at this location before even offering me an appointment time (which multiple offices will not do this) over the phone but I was able to make an appointment for the same day. Dr. Ide took the time to obtain pertinent patient history and not only explain but he also showed me on my x-rays why I was experiencing pain. He addressed the root of the problem instead of pushing prescriptions to subside your symptoms. HE discussed my POA in detail and reiterated why finishing therapy and continuing home therapy was important. I was hesitant and nervous about my first adjustment but again, he took the time to walk me through each step. Paired with my weekly adjustments I also receive massage therapy. Monica, the massage therapist is incredible. She takes the time to ask specific questions before the massage to ensure she provides the best care possible. Kasey, Dr. Ide's assistant is extremely personable and continues to make sure you feel comfortable throughout your visit. The front staff also provides a warm and welcoming environment. Within my first month of treatment, I'm able to go das without a headache now and I have reduced the frequency of my pain medication. I highly recommend Dr. Ide and his staff!

    ~Leah Craig
     Fenton, MI

Very friendly staff and knowledgeable doctor! After doing a 3 month program, I no longer have daily headaches, back pain or neck pain. Most doctor's adjust your back and send you on your way - Dr. Ide makes sure to turn it into a lifestyle change by improving your posture and fixing any issues you may have. I would definitely recommend him over any chiropractor.

    ~Lauren Dunigan
     Fenton, MI

I always have good service and leave feeling good! The people are nice and all know my name. I really like how they do business for senior citizens... that's a big plus!

    ~Nancy Matson
     Fenton, MI

Very extensive in the examination. Not like other chiropractors I'd seen who just do a quick adjustment. They diagnosed the problem and are working to correct it with me. They have even went so far as to work out payment arguments for the things my insurance wouldn't cover.

    ~Brandon Ogle
     Fenton, MI

I had neck and shoulder pain since 2010. Ever since I started going to him I have felt better and better!

    ~Andrel Jacobs
     Fenton, MI

I had ankle problems all my life in my left foot. Dr. Ide adjusted my ankle for me and within one adjustment my ankle felt the best ever. Thanks Dr. Ide!

    ~A.H.
     Fenton, MI

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