Shoulder Injury Treatment Keene NH

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Back To Life, Chiropractic & Alternative Services
(603) 525-3335
3 N Elmwood Road
Hancock, NH

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Vaine, Mary Jo, Dc - Cheshire Chiropractic Ctr
(603) 357-0144
423 Winchester St
Keene, NH

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Cheshire Chiropractic Ctr
(603) 357-0144
425 Winchester St
Keene, NH

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Little, Thomas M, Dc - Natural Healing Ctr
(603) 357-0722
26 Aylward Ave
Swanzey, NH

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Concord Street Health Inst
(603) 924-3777
78 Concord St
Peterborough, NH

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Lisa G. Nash, DC
(802) 869-1122
P.O. Box 219
Saxton, VT

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Ridge Chiropractic Ctr
(603) 352-0045
253 Court St
Keene, NH

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European Precision Chiro
(603) 352-3817
11 Bridge Ct
Keene, NH

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Pena Steven Dc
(603) 756-9644
Main St
Walpole, NH

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Ken George
(603) 772-6400
89 Portsmouth Ave
Stratham, NH
Dr. Ken George & Associate's, PA (NH Chiros)
Office Information
Proudly Serving The Seacoast Area for over 20 years
M/W/F 7:30 - 6:30
Thurs: 3:00 - 6:30
Other hours by appointment We accept most insurances and major credit cards
Gentle, powerful, non-force techniques providing rapid pain relief naturally.

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Get the Right Treatment for Shoulder Bursitis and Tendonitis

Written by Jeff Behar, MS, MBA   

Many patients seek medical attention for shoulder pain, and a common diagnosis given is 'shoulder bursitis,' oshoulder_injuryr 'shoulder tendonitis’. Shoulder bursitis and rotator cuff tendonitis are all ways of saying there is inflammation of a particular area within the shoulder joint that is causing a common set of symptoms. The best terminology for these symptoms is 'Impingement Syndrome.' Impingement syndrome occurs when there is inflammation of the rotator cuff tendons and the bursa that surrounds these tendons.

Shoulder Impingement Syndrome (aka shoulder bursitis/ tendonitis)

Impingement Syndrome is a common condition affecting the shoulder. It is most commonly seen in aging adults. Impingement syndrome refers to impingement of the rotator cuff tendons, especially the supraspinatus tendon, under the subacromial arch. The biceps tendon or the subacromial bursa may also be impinged under the subacromial arch. Impingement Syndrome is closely related to shoulder bursitis and rotator cuff tendonitis. It is not uncommon for these conditions to occur in combination.

It is not clear whether rotator cuff muscle/ tendon overload precedes impingement or is caused by it. (References: Souza TA, ed. Sports Injuries of the Shoulder. New York, NY:Churchill Livingstone; 1994., 56.Sharkey NA, Marder RA. The rotator cuff opposes superior translation of the humeral head. Am J Sports Med. 1995; 23(3): 270-275.).

How Impingement Occurs

When an injury (be it directly or through overuse) occurs to the rotator cuff muscles, they respond by swelling. The pressure within the muscles increases, which results in compression because the muscles in the shoulder are surrounded by bone. When this compression occurs there is a loss of blood flow in the small blood vessels. When blood flow decreases to the muscle repetitive motions fray the muscle. Radiographs of the fray muscle show a picture much like a frayed rope.  Once this damage occurs routine motions such as reaching up behind the back and reaching up overhead may cause pain.  Additionally, weakness of shoulder muscles may also occur. If the blood flow to the area continues to be constricted or stress injures the muscle, the muscle can actually tear in two. This is what is referred to as a rotator cuff tear. Symptoms of a rotator cuff tear include significant weakness of the shoulder, and often difficulty in elevating the arm. If the impingement is left untreated, bicep rupture may also occur.

A major factor in shoulder impingement injuries in weight lifters is muscle imbalance. Many bodybuilders tend to train the pectorals and the lats significantly. These exercises tend to produce internal rotation of the shoulders. Exercises that strengthen the external shoulder rotators (the infraspinatus and the teres minor), and stretches to relieve the tightness to the internal rotators are ofte...

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