Shoulder Pain
The specific approach to osteopathic treatment is dictated by the diagnosis at presentation, following a thorough examination and detailed history of each individual patient.
Not every pain felt in the shoulder region is actually caused by a problem in the shoulder joint. When the problem is in the shoulder joint the pain is often felt over the front of the shoulder or in the upper part of the arm.
It can appear to spread down the arm to the elbow (known as referred pain). If the pain spreads further, or if there is tingling or pins and needles, the pain probably comes from a problem in the neck.
Each shoulder problem has its own pattern. Most conditions cause pain with use and movement, and it is worth noting which movements give most pain because this will be a good indication of where the problem lies. Most shoulder problems do not give much pain when the shoulder is at rest, other than at night, which can be a particularly difficult time. Some people cannot lie on the affected side and find it better to be propped up in bed.
Osteopathy is also frequently recommended for patients with adhesive capsulitis, (frozen Shoulder). The treatment program for these patients initially focuses on regaining a range of motion and, once this is achieved, improving strength. Multiple controlled clinical trials have documented the effectiveness of conservative physical treatment for patients with adhesive capsulitis in improving range of motion. Vigorous and repetitive exercises are contraindicated for patients’ with shoulder problems, in addition, more aggressive and painful rehabilitation have been associated with poor patient compliance.