The shoulder, a free moving joint allow us to move and reach in many directions. In fact, it is the most mobile joint of the body. Many of us take moving our shoulder for granted – we just do it, easily and without thought, until one day… pain! In fact, according to a recent report (CDC), over 1.2 million people in the US visit the emergency room a year due to severe shoulder pain.
There are some common symptoms to be aware of:
• Shoulder pain that continues past a few days
• An ache or pain between the shoulder blades
• A sharp pain at the “point” of the shoulder
• Clicking or popping sound
• Stiffness or weakness
• Numbness or tingling down the arm
• Inability to carry objects or use the arm without pain
• Restriction of movement: Trouble raising your arm to brush your hair and slip on a sweater
• Difficulty sleeping or lying on the shoulder
• Signs of an infection (swelling, redness, warmth or fever)

What Causes Severe Shoulder Pain?

• Muscle imbalance and weakness
• Postural and ergonomic concerns: Incorrectly lifting, carrying, pushing, standing, walking, sleeping, using electronic devices, etc.
• Trauma: slip-and-fall, sports injury or auto accident
• Neck stiffness and/or instability
• Thoracic spine stiffness
• Poor breathing habits
• Overuse or repetitive overhead movements or activities: Swimming, dancing or throwing a baseball.
• Health conditions: Arthritis

The Result…

• Muscle Strain
• Rotator Cuff Tendonitis
• Rotator Cuff Tear
• Bicep Tendonitis
• Pinched Nerve
• Fracture
• Frozen Shoulder
• Bursitis
• Degeneration
• Arthritis
• Joint Instability
• Dislocated Shoulder

Treatment for Shoulder Injuries and Severe Pain in the Shoulder

Here at The AIMS Clinic, we have helped thousands of patients with shoulder pain. Our Team specializes in the treatment of hard-to-diagnose and difficult-to-resolve health conditions. Once an initial consultation is completed, testing and evaluations are conducted. During this process, we will review previous shoulder injuries, recreation and work related physical activities and anything that, as many patients say… run in my family.
It is vital to determine which of the components or structures of the shoulder joint are causing symptoms. The humerus (arm bone), scapula (shoulder bone), clavicle (collar bone), along with soft tissue – ligaments, tendons and muscles for support and strength, must be evaluated. Further testing may reveal that the cause is coming from another area – such as the back or neck (referred pain). Our Medical Doctors and/or Alternative Physicians may conduct laboratory blood studies or order additional testing (MRI, Nerve Conduction Studies, Electromyography) to rule out any underlying disorders.
Our Team – Medical Doctors, Physical Therapists, Chiropractors, Podiatrist, Acupuncturist and Nutritionist, will then decide the direction to pursue. Options for severe shoulder pain or shoulder injuries include:

Physical Therapy: Here at The AIMS Clinic, we spend a great deal of time listening to each patient. We want to understand all factors of the patient’s shoulder pain. Our Physical Therapists will review the patient’s health history, ask about previous care, what aggravates or relieves pain, how pain affects his/her daily life and what goals are hoped to be attained.

An evaluation often includes various measurements (range of motion and shoulder strength) with the use of a goniometer, along with specialized evaluations and tests – such as Neer’s, Speed’s, Sulcus, Drop Arm and Hawkins Kennedy Tests.

Treatment options include both passive and active physical therapy to decrease pain and rehabilitate the shoulder joint and spine. These may include Cryotherapy, Moist Heat, Heat Lamp, Ultrasound, Electric Stimulation, Soft Tissue Massage, Joint Mobilization and Traction; as well as Exercises (stretching, strengthening and/or low impact exercises), Neuromuscular Reeducation, Balance Training, Fall Prevention and a Home Exercise Program.

During all treatment sessions, patients have an opportunity to ask questions or discuss concerns they may have. Our Physical Therapists motivate and celebrate patients’ accomplishments, as they progress through their customized treatment program.

Chiropractic: Our Team of Experts provides gentle and non-invasive alternative treatments to help avoid medication and surgery. We perform a neurological and orthopaedic evaluation, and utilize advanced imaging techniques (if necessitated). Posture, range-of-motion, muscle strength and nerve function are all analyzed. The spine, shoulder, elbow, wrist and hands all work together. Therefore, we evaluate the various areas to ensure that all parts are working together properly. Once completed, a Report of Findings is completed. During the Report of Findings, we encourage a family member or friend to attend – to help support the patient and answer any questions of concerns.

We believe spinal education is key to recovery. Nerves that control the shoulder originate in the spine. If vertebrae around the neck and upper back become compressed or injured, then the nerves going to the shoulder may become inflamed or irritated and pain may result.

Treatment options for shoulder pain may include spinal decompression (traction), very specific therapeutic manipulation to the affected shoulder, neck and/or upper back; active release, ultrasound, electric stimulation, cryotherapy, heat therapy, topical creams/gels, patient education on proper posture and at home exercises to keep shoulders loose.

AIMS Chiropractic focuses on detecting and correcting the source of pain, rather than masking it with potentially addictive narcotic medications. Most health insurance plans cover treatment. If you do not insurance, payment plans are available.

• Acupuncture: As a non-drug therapy, acupuncture works by releasing chemical compounds in the body that reduce inflammation, relieve stress and tension, decrease pain and improve blood flow and function. Once an assessment is completed, specific points (local or distal) from the area are used for the insertion of pre-sterilized, disposable needles. These remove blockage in the meridian – helping promote the circulation of Qi and blood. Frequency and number of treatments vary from patient to patient, and may be covered under health insurance.

Nutrition: Give your body the water that it needs to flush away acidic waste products from muscles – which can cause irritation and pain. Poor dietary choices can cause chronic inflammation and increase pain sensitivity. Additionally, vitamin D levels should be checked to prevent a deficiency, which have been linked to pain in recent studies. Many patients benefit with a customized anti-inflammatory diet and staying properly hydrated.

Whether you are an athlete… who over does it, or have had an accident – the sooner you seek appropriate care, the quicker the pain will be eliminated, allowing you to
resume normal activities. If you are suffering with shoulder pain, do not wait for it to become severe shoulder pain!

For over 40 years, we have helped athletes, swimmers, dancers, office workers, moms, dads to regain their health. Whether you have a dislocated shoulder, frozen shoulder, tendonitis or a muscle strain, call and schedule a free consultation.

Call New Jersey’s own Alternative Integrated Medical Services today at 732-254-5553 and receive a FREE initial consultation for your shoulder pain. Our goal is to provide the most advanced and compassionate shoulder pain relief. Our team of experts and friendly staff at your local East Brunswick, NJ AIMS Clinic, will help you reduce or eliminate shoulder pain and improve function. As our patient, we will teach you how to regain your health with our revolutionary new treatment program.


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Shoulder Pain – Treatments
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