may not have to live with shoulder pain...
surprising number of chronic shoulder patients come in to this office
misdiagnosed and that is why they continued to suffer for years. With
proper diagnosis and treatment protocol, desired results may finally
ago, if you went to a doctor with pain in your shoulder, you were likely
to be diagnosed with a condition called bursitis. “Bursitis”
is a fine diagnosis if that was what you actually had wrong with you.
But there was often no differential diagnosis and examination to separate
the cause of your pain with identifying a different reason such as a
rotator cuff tear, tendonitis, subluxation of the shoulder joint, etc.
Some time later, a common diagnosis would have been frozen shoulder.
Nowadays, you are more than likely to be diagnosed with a rotator cuff
injury just for walking in the door and pointing at your shoulder. Shoulder
pain can only be resolved with the right diagnosis. For example, if
you walk in pointing at your shoulder and you get a diagnosis of a rotator
cuff tear and the examination did not rule out bicipital tendonitis
or an acronio-clavicular separation which hurt in approximately the
same area of your shoulder, you will be treated for the wrong thing
and won't be getting the result you were looking for.
rotator cuff tears are a “fairly” common injury, an MRI
will show “tears” in the rotator cuff of the average person.
This can be true of just about anyone who has used their arms throughout
their life, especially athletically, by the time they are twenty-five
years old. Taking the time to orthopedically examine and differentiate
the true cause of the shoulder pain and injury for a conservative solution
will increase the chances of a more successful result with your very
own shoulder. Although surgical procedures on the shoulder these days
can be very beneficial under the right conditions, depending
on the tear, if it is not completely torn, patients may be successfully
treated without surgery. Health insurance protocols
are making it increasingly difficult for doctors to specialize or refer
to specialists. Consequently, the true nature of your chronic shoulder
pain or shoulder injury may not be diagnosed accurately or treated with
current or enough background knowledge. Too many doctors are being forced
into treating many problems they may not have sufficient training in.
In a one-and-a-half
inch space, there can be as many as twelve different things that could
be wrong with your shoulder. They range from rotator cuff tears and
bursitis to bicipital tendonitis to acromio-clavicular separation, to
entrapment and thoracic outlet syndromes and so forth. It is very important
for your doctor to avoid tunnel vision and look above and below the
shoulder as well as at the site of pain! Conditions may exist that refer
pain to the shoulder and give no outward sign of their source. For example,
as many as twenty percent of my patients become symptom-free in their
shoulder when I stabilize the elbow! In other cases, shoulder pain can
come as a result of an elbow instability that refers pain into the shoulder
and that is the only place you feel it and so the cause is missed again.
Elbow pain can be caused from an unstable shoulder as well! Kinetic
relationships surrounding the shoulder can interfere with healing as
well as cause repetitive stress syndromes and need to be addressed.
Whether a patient needs to heal fast and get back in the game from a
new injury or is just sick and tired of the pain and is looking for
other options besides surgery, my patients know they are in the right
place on the first visit.
By: Dr. Nancy North
11001 Spain NE, Ste C
Albuquerque, NM 87111
Spain and Juan Tabo
Dr. Nancy North
is a National
the Care, Diagnosis and Treatment of Spinal and Extremity Injuries
throughout the United States, Europe and Asia.