Shoulder Pain

Shoulder Pain In Owings Mills, MD

Shoulder pain is a common complaint that affects people of all ages. Common causes include: overuse (such as from a repetitive task like washing a car or from an overhead sport such as tennis); sudden onset from a recent or past event/injury such as a fall; and gradual onset over time related to posture or age-related degenerative changes to the shoulder joint.

Certain lifestyle factors can also predispose one to shoulder pain. These include: stress, smoking, being overweight, and overall poor health.

Mechanical shoulder pain treatment diagnoses include:

  • Rotator cuff tendonitis or tear (inflammation or a tear in the tissues connecting muscle to bone around the shoulder joint) -bursitis (inflammation of a fluid filled sac that protects the tendons in the shoulder)
  • Shoulder impingement (a reduction in the space between the rotator cuff tendons and the acromion bone in the shoulder)
  • Frozen shoulder (thickening and tightening of the thick tissue around the shoulder joint)
  • Shoulder instability (the upper arm bone is not held firmly in the shoulder joint)
  • Shoulder osteoarthritis (a gradual wearing of the articular cartilage in the shoulder joint)
  • and post surgical diagnoses such as a rotator cuff repair or total shoulder replacement

At MCPT, individuals with shoulder pain will complete a shoulder specific questionnaire as well a medical history to help the Physical Therapist assess their condition, its severity, and impact on their life, work, or exercise.

A comprehensive Initial Evaluation will be performed that will allow our Physical Therapist to understand the nature of the patient’s specific condition and diagnosis. The pain, movement, or symptom that prompted the individual to seek treatment will be identified. The evaluation will include identifying other medical conditions which may complicate your recovery, medical and neck or back-related problems, movement assessment (active and passive physiological movements as well as passive accessory joint movement), palpation testing, neurological testing, flexibility testing, and performance of special tests.

An individual treatment plan is then created that may include: specific exercises designed to modulate pain (such as strengthening, PNF-based, postural, motor control, and stabilization exercises); manual therapy (such as joint mobilization, soft tissue mobilization, myofascial release, Strain-Counterstrain, etc.); Functional Dry Needling; Modalities as indicated (such as TENS/Electrical Stimulation, Ultrasound, moist heat, ice, etc), and the development of a concise and comprehensive Home Exercise Program.

MCPT provides a full hour with the Physical Therapist during the Initial Evaluation. Future visits consist of a minimum of 30-40 minutes with the Physical Therapist in addition to other supervised treatment


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