Shoulder joint is considered the most unstable joint in the body and is frequently described as a golf ball perched precariously on a T. Shoulder pain can come from trauma and over use due to poor posture. It is commonly affected by osteoarthritis.
A thorough examination is conducted on every patient. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art Ultrasound technology are used for diagnosis of structural shoulder problems. Advanced imaging techniques such as MRI can be used for further assessment. Ultrasound guided injection techniques can relieve shoulder joint related pain. The injections can consist of steroids or Viscosupplementation products such as Synvisc and Euflexxa. PRP (platelet rich plasma) through an ultrasound-guided injection is a new, promising technique that seeks to promote joint cartilage regeneration. PRP Prolotherapy technique is used in advanced cases for rejuvenating and strengthening of the shoulder joint supporting ligaments. Prolotherapy injections are used for rejuvenating and strengthening of the hip joint supporting ligaments.
Osteopathic Manual Therapy( OMT) is utilized during every physician encounter as needed for correction of shoulder region restrictions. State of the art personalized one-on-one physical therapy is conducted to address restrictions, correct imbalances, and promote strength of the supporting shoulder joint muscles. SpineForce is a revolutionary tool that is used to facilitate rehabilitation and allow for independent exercise during and after the corrective treatment phase. Private and small exclusive therapeutic Yoga classes are prescribed for further gentle strengthening of the shoulder region muscles.
NOTE: Yoga program is typically instituted after completion of the physical therapy and rehabilitation program, but can be used as a first line treatment in cases of poor balance and advanced osteoarthritis. It is used in conjunction with SpineForce for continued improvement of postural balance, conditioning, and strength.