Orthopedic exam of the shoulder is necessary to properly diagnose and treat common shoulder conditions such as: SLAP Lesions (labral tears), Impingement Syndrome, Rotator Cuff Syndrome, Rotator Cuff Tear, Shoulder Bursitis, Shoulder Dislocations, and Shoulder Instability.

Looking for a full comprehensive exam for your shoulder pain contact us 714-502-4243 or book an appointment online [ Ссылка ] . We are located in Huntington Beach CA, centrally located in Orange County CA.

Shoulder pain can be treated. Treatment of shoulder pain starts with proper examination by a good doctor. Most shoulder pain cases typically start with physical therapy or rehab of the shoulder rotator cuff and shoulder blade for about 6-8 weeks. If there is no improvement in your condition an image could be required. This could be an MRI of the shoulder or an MSK Ultrasound. Both images can should possible rotator cuff tears or labral tears of the shoulder. 9 of 10 shoulder pain cases can improve without surgery if you implement the correct therapy. Most therapy will be 2-4 days a week for 16 weeks.

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A SLAP Lesion of the shoulder can be a tough condition to manage for most healthcare professionals. The purpose of this article to give patients a general understanding of the aspects of the condition we must manage and the reasons why it can take longer to resolve than some other sports injuries. Here are the reasons why:

1. It is a structural problem in the cartilage of the shoulder
2. Standard active rehabilitation and passive modalities have almost no affect on fixing the damage to the cartilage (it can help with shoulder function and pain)
3. Surgery is not always recommended

Let's start with what a SLAP Lesion. A SLAP Lesion is a condition where damage has occurred to a portion of the fibrocartilaginous rim around the glenoid fossa of the scapula/ shoulder blade. This rim allows for normal biomechanics of the humeral head on the glenoid fossa. With disruption of the rim comes pain, instability and altered biomechanics of the shoulder leading to a cascade of soft tissue inflammation through compensatory motion. A SLAP Lesion mean "Superior Labral tear Anterior to Posterior."

What is the cause of a SLAP Lesion?

There are a few different mechanisms of injury for a SLAP Lesion, but in sports it is most commonly found in overhead throwing athletes. Poor mechanics in throwing can be a major risk factor. Knowing what attaches to the portion of the labrum in the vicinity of a SLAP Lesion gives us insight to what happens. The tendon of the biceps brachii long head attaches to the labrum and when repetitive stress of "pulling" on the superior labrum occurs compromise and tearing will follow. Sound reasoning says we should just reattach the labrum but with any surgical intervention you must understand risk vs. reward.

What about physical or "physio" therapy? (Sorry I could not resist the semantics)

Some studies state therapy can help return players to their respective sports. But sadly depending upon the severity each athlete will respond differently. In 2010 a study indicated a 71% success rate in allowing athletes to return to participation levels after rehabilitation however only 66% where able to perform at the level prior to injury or higher. It is important to note in this study 51% of the "success group" opted for surgery after a "successful rehab." (Edwards, 2010)


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Dr. Gonzales is a Huntington Beach chiropractor serving Huntington Beach and the surrounding community. Regardless if you are suffering from back pain, neck pain, headaches, shoulder pain, or sports injuries, our chiropractor can help you heal your conditions with chiropractic treatments and massage, such as Active Release. If you have been in a car accident, there is a chance you need a Chiropractor in Huntington Beach to help you overcome conditions, which occur in car accidents, such as whiplash. Dr. Gonzales, who has been a Huntington Beach Chiropractor for runners, triathletes and golfers can help you with chronic conditions as well as acute sports injuries. Visit our website and book a free consultation to see our chiropractor for chiropractic care today.

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