When people think of chiropractic care, they usually imagine back pain, neck pain, and headaches. Research STRONGLY supports chiropractic treatment for these complaints. But what about chiropractic care for shoulder pain?
In 2010 and again in 2014, the United Kingdom government published landmark studies that reviewed previously published research on various forms of treatment for MANY conditions, both musculoskeletal and non-musculoskeletal (like asthma). These reviews noted there is favorable scientific evidence for the use of chiropractic treatment for shoulder-related conditions. This includes shoulder girdle pain/dysfunction, rotator cuff pain, and adhesive capsulitis (frozen shoulder).
Chiropractic Approach for Shoulder Injuries
Chiropractic treatment focuses on restoring shoulder range of motion. Manipulative and mobilization techniques are directed at the glenohumeral (the ball & socket joint), the acromioclavicular (AC) joint (clavicle & scapula), and the scapulothoracic joint (shoulder blade & rib cage). Chiropractic care also includes exercises focused on restoring strength and stability to the muscles surrounding the shoulder region. Physical therapy modalities are utilized following a shoulder injury to reduce pain and swelling. The goal of care is to return patients to their normal level of everyday function.
Chiropractic Care After Surgery
But what about shoulder pain AFTER surgery? Can chiropractic still help? A 2018 study found that post-surgical patients who received mid-back (thoracic spine) manipulation experienced significant increases in shoulder movement (flexion and abduction) and increased subacromial space measurements (in neutral and external rotation). The authors cited other studies that reported similar improvements in shoulder mobility as well as shoulder blade (scapular) kinematics (movement & stability).
Another study looked at changes in shoulder pain, disability, and perceived recovery after two sessions of upper thoracic and upper rib manipulation in patients with shoulder pain. Here too, participants reported significant improvement in all parameters tested that persisted for up to three months.
Conclusion
Given the solid research support of manual therapies directed at not only the shoulder but also to the neck, upper, and mid-back spinal regions, chiropractic care for patients with shoulder pain is simply a must!
