Shoulder is a shallow ball and socket joint, it provides good flexibility but vulnerable to instability.
SHOULDER REGION BASIC ANATOMY
The shoulder joint is made up by four joints, including Sterno-clavicular joint, acromio-clavicular joint, gleno-humeral joint and scapula-thoracic joint. The first three joint are true synovial joint while scapulo-thoracic joint is the articulation between scapula and thoracic without synovial structure.
Shoulder joint permits six direction of motion, including flexion, extension, abduction, adduction, internal and external rotation. Scapula-thoracic rhythm is important for its role of rolling scapular, in order to maximise space of arm flexion or abduction. In clinical practice, patient need to learn regain scapula-thoracic rhythm by strengthening rotator cuff muscle.
Conditions that cause shoulder pain
- Sub-acromial impingement: sub-acromial space narrowing by tendonitis or bursitis
- Frozen shoulder: known as Adhesive Capsulitis
- Long head biceps tendonitis
Frozen Shoulder is known as adhesive capsulitis, it is characterised by gradually increase of shoulder pain and shoulder stiffness in both active and active range of glenohumeral joint motion.
How Traditional Chinese Medicine and Physiotherapy help?
Change of postural habit, appropriate correcting stretching and strengthening exercises.
Acupuncture and Dry Needling
Pain relief and promote circulation to the affected area.
Release muscle tightness and promote circulation.
Massage and Manual Therapy
Release muscle tightness, correct joint alignment and improve range of motion.
Traditional Chinese Medicine
Improve body energy level, promote balance of health.
Promote injured tissue healing, improve function of the affected area
Generally, treatment is based on the stage of patient's condition. For example, aims of treatment in acute stage include pain and inflammation control. While conditions progress into subacute and chronic stage, target would change to swelling subside, recovery of function, and back to premorbid stages.