The shoulder joint (the glenohumeral joint) is a ball and socket joint between the scapula (shoulder blade) and the humerus (upper arm bone). It is the most mobile joint in the body, and therefore most prone to overuse injuries. Shoulder injuries can result in joint pain, stiffness, instability, and weakness.
The upper extremity or limb includes the joints from the shoulder to the hand. Injury to or dysfunction of the arm can cause many debilitating symptoms and cause everyday activities to be a struggle. One or more of the muscles, nerves, joints, ligaments, and lymph vessels can be implicated.
The upper extremity is innervated by the nerves of the lower cervical spine and first thoracic spinal nerve from C5-T1. Dysfunction originating from the neck can also be referred down into the arm causing involvement of one or more of the joints. Typically symptoms reported include pain, numbness, tingling, weakness, and/or loss of sensation.
Common Pathologies
Frozen shoulder / adhesive capsulitis
Impingements
Rotator cuff tendinopathy
Shoulder bursitis
Shoulder dislocation, fracture
General tears (muscular)
Factors that may increase shoulder pain:
Sprains and strains
Repetitive movements
Poor posture
How can Physical Therapy Help?
Decrease pain and swelling
Patient Education
Posture
Positioning
Ergonomics
Manual therapy to improve range of motion
Neuromuscular & motor control training
Strengthening exercises
Sport specific rehabilitation
Tips for Home
Apply ice (acute) or heat (chronic)
Improve ergonomic setup at work or home
Postural changes to allow neutral spine
Limit aggravating and repetitive motions
Use pillow(s) that supports the shoulder and trunk properly for sleep