Shoulder Injury Treatment Prineville OR

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Hanes Chiropractic Wellness Center
(541) 447-7230
446 NW 3rd Street, Suite 200
Prineville, OR
Specialties
Chiropractors

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Bemis Chiropractic Health
(541) 447-6627
240 Northwest Claypool Street
Prineville, OR
Specialties
Chiropractors

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Wanamaker Lauren Lmt
(541) 548-5089
716 Southwest Highland Avenue
Redmond, OR
Specialties
Chiropractors

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Freeman Trent DC
(541) 923-2019
1655 Southwest Highland Avenue Suite 3
Redmond, OR
Specialties
Chiropractors

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Hayden Eric B Chiropractor
(541) 548-4086
605 Northwest 6th Street
Redmond, OR
Specialties
Chiropractors

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Slater Chiropractic
(541) 447-6627
240 Northwest Claypool Street
Prineville, OR
Specialties
Chiropractors

Data Provided By:
Cook, Mrs. Linda, LCSW
(541) 350-0117
13433 Southeast Southwood Drive
Prineville, OR
Specialties
Chiropractors

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Ludwig, Karen
(541) 548-4709
1655 Southwest Highland Avenue Suite 4
Redmond, OR
Specialties
Chiropractors

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Thille Michael DC
(541) 548-4014
117 Northwest Larch Avenue
Redmond, OR
Specialties
Chiropractors

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Holtby Chiropractic Center
(541) 923-0444
725 Southwest 13th Street
Redmond, OR
Specialties
Chiropractors

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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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