Your shoulder can rotate more extensively than any other joint, but this flexibility also makes it vulnerable to damage and deterioration. If you have shoulder pain, sports medicine physician Irwin Abraham, MD, can help. At his practice on the Upper West Side of Manhattan, Dr. Abraham uses careful exams for specific diagnoses and advanced nonsurgical treatments like prolotherapy and fascial deep tissue massage distortion treatments to relieve shoulder pain. Call the New York City office today for more details or book an appointment online.
A wide variety of conditions can cause shoulder pain. Some are acute injuries to the structures in your shoulder like connective tissues, cartilage, and bones, while others develop as the shoulder joint wears with age.
Likely causes of shoulder pain include:
Your rotator cuff consists of tendons and muscles that help keep your shoulder joint in place and enable you to move your arm in multiple directions. Auto accidents and sports injuries are the most likely ways to tear the tissues in the rotator cuff.
Arthritis comes in many forms, which all cause pain in the joints. Osteoarthritis, an age-related degenerative condition, is the most common form, developing when protective articular cartilage wears down over the years. However, shoulder arthritis is a fairly uncommon cause of significant shoulder pain.
Tendinitis is inflammation of the tendons in your shoulder that’s typically due to overuse. Sports and jobs where you use your arms much of the time are often to blame, for overuse injuries.
Dislocation occurs when something forces the head of your humerus (upper arm bone) out of its socket in your scapula (shoulder blade). It's not uncommon to suffer a rotator cuff tear at the same time.
Frozen shoulder or adhesive capsulitis is stiffness that develops if you can't move your arm for an extended period, for example, if you have to wear a cast or sling.
The treatment you need for your shoulder pain might vary in some respects according to the cause. For example, dislocation requires manual manipulation to get the arm bone back into its socket, followed by physical therapy to build up strength in the muscles and connective tissues.
Dr. Abraham specializes in a treatment called prolotherapy, a safe and effective way of alleviating many of the causes of shoulder pain. Prolotherapy injections stimulate the growth of healthy new tissues by activating natural healing mechanisms.
Another prolotherapy technique — perineural injection therapy— works by deactivating the pain of peripheral nerves nearer the surface of your skin and secondarily, promoting healing of the underlying tissues.
As well as expert prolotherapy for shoulder pain, Dr. Abraham has considerable skills in using manual manipulation and massage therapies such as fascial
He also works closely with leading physical therapists who use specialist techniques to relieve shoulder pain and strengthen the joint.
If your shoulder pain persists, you might benefit from steroid injections into the joint, which can effectively relieve shoulder pain by reducing chronic inflammation.
To get the help you need for shoulder pain, call Irwin Abraham MD today or book an appointment online.