Relieve shoulder pain by the chiropractor

Shoulder pain: anatomy, conditions and solutions

Chiropractors are aware of the challenges that shoulder pain can pose to patients’ daily lives. We will attempt to demystify the complex anatomy of the shoulder, exploring the most common conditions such as rotator cuff tendinitis, subacromial bursitis, adhesive capsulitis (frozen shoulder), and impingement syndrome (swimmer’s shoulder).

We will also discuss the associated risk factors. Our goal is to provide a resource to help patients and sufferers of shoulder pain fully understand their condition and find effective solutions to relieve their pain, thereby improving their quality of life and overall well-being.

Shoulder anatomy

To fully understand shoulder pain, it’s essential to begin with a detailed exploration of the shoulder’s complex anatomy. The shoulder is a highly mobile joint, composed of several key anatomical structures.

Shoulder pain and chiro

Shoulder bones

The shoulder is made up of three main bones: the humerus, the scapula and the clavicle (collarbone). These bones articulate to form the shoulder joint, which allows a wide range of motion.

Muscles and tendons

The muscles and tendons of the shoulder are essential for mobility and stability. The main muscles are known as the rotator cuff muscles, and consist of four muscles: the supraspinatus, infraspinatus, teres minor and subscapularis. These muscles originate from the scapula and attach to the head of the humerus, facilitating shoulder rotation, elevation and stabilization. The tendons of these muscles join around the head of the humerus and play a crucial role in holding the joint in place during arm movements.

In addition to the rotator cuff, the deltoid, a thick, triangular-shaped muscle located on the outside of the shoulder, is important for raising the arm. The biceps brachii muscle, with its long tendon running from the shoulder to the forearm, also helps to stabilize the front of the shoulder while allowing flexion and rotation of the arm. These muscles and tendons work together to allow a wide range of movement while protecting the joint from injury.

Ligaments and capsule

The shoulder ligaments and capsule play a crucial role in the stabilization and function of the shoulder joint, which is one of the most mobile joints in the human body.

The shoulder joint capsule is a soft connective tissue envelope that surrounds the glenohumeral joint, where the head of the humerus fits into the glenoid cavity of the scapula.

This capsule is reinforced by several ligaments, including the glenohumeral ligaments (superior, middle and inferior), which limit excessive movement and prevent dislocation.

Added to this is the coracohumeral ligament, which reinforces the upper portion of the joint capsule of the glenohumeral joint. Together, the capsule and ligaments give the shoulder its wide range of motion, while maintaining the stability required for a variety of physical activities.

To get an appointment online at Tonika Clinique Chiropractique, you can do so online or call the center directly, either in Montreal at (514) 307.0188 or in St-Lambert at (450) 259-1022

Common shoulder conditions often treated by your chiro

Rotator cuff tendonitis or rotator cuff tendinitis

Shoulder - Rotator cuff tendonitis
Shoulder tendonitis is an inflammation of the rotator cuff tendons or biceps tendon, often caused by repetitive activities that stress the shoulder joint.

The most common symptoms include a sharp or dull pain around the shoulder that worsens with certain movements or at night, sometimes limiting movement and making simple tasks such as lifting the arm or reaching behind the back difficult. Other symptoms may include swelling, sensitivity to touch in the shoulder area, and loss of strength or rapid fatigue of the arm during use.

Shoulder tendonitis is often the result of overuse of the tendons, particularly common in athletes (such as swimmers or throwers) and in people whose work involves repetitive arm movements. Age is also a predisposing factor, as tendons become less elastic and more susceptible to injury over time.

To diagnose this condition, a healthcare professional, such as a chiropractor, will perform a thorough physical examination and may order imaging tests such as ultrasound or magnetic resonance imaging (MRI) to confirm the extent of tendon inflammation and rule out other conditions.

Subacromial bursitis

Shoulder - Subacromial Bursitis
Subacromial bursitis is a common shoulder condition involving inflammation of the subacromial bursa, a small fluid-filled sac between the acromion and the rotator cuff tendons.

People with this condition typically experience pain that can be either acute or persistent and that worsens with movements such as raising the arm or extending it backward. This pain can be particularly severe at night and interfere with sleep. Reduced mobility due to discomfort is also common.

Subacromial bursitis is often caused by repeated irritation or pinching of the bursa by excessive or improper shoulder movements. It can also result from direct trauma, other shoulder pathology such as tendinitis, or tissue degeneration with age. People who engage in activities that require repetitive arm movements or who have physical jobs are particularly at risk.

To diagnose this condition, your chiropractor will perform a physical examination and check for pain caused by specific movements. Imaging tests such as x-rays, ultrasound, or MRI may be used to confirm bursitis and rule out other shoulder problems such as rotator cuff tendinitis (tendonitis) or tear.

Adhesive capsulitis

Shoulder - Adhesive Capsulitis
Adhesive capsulitis, often referred to as “frozen shoulder”, is a painful condition characterized by stiffness and loss of mobility in the shoulder. Typical symptoms of adhesive capsulitis include progressive pain and stiffness of the shoulder that develops slowly over time. Patients may have difficulty performing simple gestures with the shoulder, such as lifting the arm or grasping objects behind the back.

This stiffness can affect daily activities and lead to a deterioration in quality of life. People with adhesive capsulitis may find it difficult to perform activities as simple as brushing their hair or putting on a coat. Adhesive capsulitis can be divided into several stages, ranging from mild discomfort to extreme, incapacitating stiffness.

The exact causes of adhesive capsulitis are not fully understood, but it is thought to result from inflammation of the shoulder capsule, followed by excessive scarring that causes the capsule to tighten and stiffen.

Certain risk factors may increase the likelihood of developing adhesive capsulitis, including shoulder injuries, shoulder surgery, endocrine disorders such as diabetes, and prolonged periods of immobilization or inactivity.

Diagnosis of adhesive capsulitis is often based on the patient’s medical history, a physical examination of the shoulder to assess range of motion, and imaging studies such as x-rays or MRI to rule out other conditions and confirm the diagnosis. 

Shoulder impingement syndrome or subacromial impingement

Shoulder impingement syndrome, also known as swimmer’s shoulder syndrome, is mainly characterized by acute pain when raising the arm above the head. This pain is often felt in front of or to the side of the shoulder, and can worsen at night, disrupting sleep.

The syndrome can also manifest itself as muscle weakness and reduced shoulder range of motion, making daily activities that require lifting the arms difficult.

The causes of impingement syndrome usually include inflammation or thickening of the rotator cuff tendons and the bursa in the subacromial space, the space between the acromion and the head of the humerus.

This narrowing of the space can be caused by overuse, anatomical abnormalities, injury, or age-related wear and tear. To diagnose this condition, your chiropractor will perform a thorough clinical examination to assess shoulder pain and range of motion.

Specific tests, such as the Neer test or Hawkins test, may be used to reproduce the pain and confirm the diagnosis. Imaging tests such as x-rays, ultrasound, or MRI may be needed to observe shoulder structures and rule out other conditions that may mimic the symptoms of shoulder impingement syndrome.

Shoulder impingement syndrome or subacromial impingement

Biceps tendonitis / Biceps tendinitis

Biceps tendonitis is a condition characterized by inflammation of the biceps tendon, which connects the biceps brachii muscle to the shoulder and elbow bones.

Common symptoms include pain in the front of the shoulder, which can radiate down the arm to the elbow. This pain is often exacerbated by specific movements, such as lifting objects, turning the arm, or performing repetitive overhead movements.

Patients may also notice increased tenderness around the upper arm, stiffness in the shoulder, and sometimes a grinding, crackling or snapping sensation when the arm is moved.

The causes of biceps tendonitis can vary but are often associated with chronic wear and tear due to repetitive movements or over-exertion, particularly in athletes playing sports such as baseball, swimming or tennis. Age is also a contributing factor, as tendons lose elasticity and become more susceptible to injury over time.

Diagnosis of biceps tendonitis usually begins with a physical examination, during which the chiropractor assesses shoulder pain and mobility.

Specific tests, such as the Speed test or the Yergason test, can be used to determine the precise source of pain and confirm the involvement of the biceps tendon. Medical imaging techniques are sometimes required to visualize the condition of the tendon and rule out other shoulder pathologies.

Shoulder arthritis / Shoulder osteoarthritis

Shoulder osteoarthritis, a form of arthritis of the shoulder, can affect all shoulder joints, although it is mainly found in the acromioclavicular or glenohumeral joints.

Different types of shoulder arthritis exist. Osteoarthritis of the shoulder is a form of joint degeneration that mainly affects middle-aged and older people, although it can occur in younger individuals following trauma or repeated overload.

Symptoms of osteoarthritis of the shoulder include constant, dull pain that worsens with movement of the joint, particularly during activities involving flexion or rotation of the arms.

This pain may become more acute during periods of intense activity, and may be accompanied by noticeable stiffness, reducing the range of possible movements. Patients may also experience a grinding or cracking sensation when moving the shoulder, a phenomenon known as crepitus.

To identify osteoarthritis of the shoulder, your chiropractor will perform a thorough clinical examination, observing overall shoulder mobility, the presence of pain on palpation and assessment of shoulder range of motion.

Imaging tests such as X-rays are often required to confirm the diagnosis. These images may reveal typical signs of osteoarthritis, such as narrowing of the joint space, the presence of osteophytes (bone spurs) and changes in bone density around the joint.

These observations will help to distinguish osteoarthritis from other causes of shoulder pain, such as bursitis or tendonitis, and to develop a treatment plan tailored to the patient’s specific needs.

Shoulder osteoarthritis

Risk factors for shoulder pain. Your chiropractor explains

Several risk factors can increase the likelihood of developing shoulder pain, including:

1. Poor posture:

oor posture, especially when using computers, cell phones, or tablet computers for long periods of time, can cause tension and pain in the shoulder area.

2. Repetitive movements

Professional or sports activities (tennis, baseball, swimming) that involve repetitive shoulder movements can lead to overuse of muscles and tendons, resulting in injury.

3. Traumatic injuries

Direct injuries, such as falls on an outstretched arm or direct blows to the shoulder, can cause a variety of problems, including fractures, dislocations and rotator cuff tears.

4. Age:

The aging process naturally leads to deterioration of the soft tissues and joints of the shoulder, including the glenohumeral and acromioclavicular joints. With age, there is also a reduction in flexibility, which increases the risk of developing conditions such as osteoarthritis of the shoulder.

4. Lack of fitness or muscular imbalance:

Poor overall fitness or an imbalance between the muscles that support the shoulder can lead to poor posture and increase the risk of shoulder pain.

Shoulder impingement syndrome or subacromial impingement

Chiropractic solutions and treatments: Your Montreal chiropractor can help relieve shoulder pain

At Tonika Chiropractic Clinic chiropractors offer a holistic, non-invasive approach to the treatment of shoulder pain. Chiropractic treatments aim to identify and correct musculoskeletal imbalances that may be contributing to shoulder pain and conditions. Here are some of the chiropractic approaches commonly used in the treatment of shoulder pain:

1. Chiropractic adjustments or manipulations

Chiropractic adjustments, also known as joint manipulation, are manual techniques used to restore normal mobility to the joints of the shoulder and spine. These adjustments help reduce pressure on nerves and soft tissues, relieving pain and improving shoulder mobility. These manipulations are performed gently and painlessly.

2. Joint mobilization, gentle chiropractic techniques

Chiropractic mobilizations are gentle manual techniques used by chiropractors to restore mobility and relieve pain in joints and soft tissues. Mobilizations help reduce pain and increase range of motion.

3. Rehabilitation exercises

Rehabilitation exercises are an essential part of chiropractic treatment for shoulder pain. Specific strengthening and stretching exercises are prescribed to help restore shoulder strength, flexibility, and stability. Specific exercises are also designed to reduce symptoms and prevent recurrence.

4. Soft tissue treatment techniques

Shoulder muscle treatments consist of various soft-tissue techniques (Trigger Point Therapy, Grastion® Technique, Kinesio Taping®). Muscle treatments are used to release tension and adhesions in the muscles and connective tissues around the shoulder. The aim is to relieve pain and improve mobility.

5. Posture and lifestyle advice

In addition to chiropractic treatment, the chiropractor works with patients to provide postural and lifestyle counseling. This may include ergonomic adjustments at work or at home, and recommendations for maintaining an active, healthy lifestyle. This integrated approach enables patients to benefit from lasting relief from tendonitis and shoulder pain and regain a better quality of life.

What to do about shoulder pain? Why consult a chiro in Montreal?

If you’re experiencing shoulder pain and are looking for relief, considering a visit to the best chiropractor could be the appropriate answer. Chiropractors are trained in the identification and treatment of musculoskeletal disorders, including shoulder disorders such as tendonitis and shoulder bursitis, and employ a variety of methods to provide targeted care for these pains.

By seeing a chiropractor, you will benefit from care that it is specifically tailored to your condition and recognized for its natural effectiveness against shoulder pain. The benefits of chiropractic treatment for shoulder pain include fast and lasting relief, making it a preferred alternative to medication.

Dr. Valery Bergeron, chiropractor, offers personalized solutions for shoulder pain. With expertise in manual therapy, mobilization and chiropractic manipulation, she is committed to providing a natural treatment for shoulder pain sufferers.

Why choose Tonika Chiropractic Clinic?

For her personalized approach

Chiropractor Dr. Valery Bergeron’s approach aims to relieve pain and improve overall health, using techniques adapted to each individual to ensure their well-being. Consultations at Tonika Chiropractic Clinic are designed to be a positive and professional experience, ensuring personalized care and practical advice for your rehabilitation.

For your chiropractor’s treatment time (30 minutes)

At our clinic, each consultation lasts 30 minutes, allowing for a thorough examination and effective treatment of shoulder pain and sports injuries through muscle and joint treatments.

At Tonika Chiropractic Clinic, we take the time necessary to identify the underlying causes of pain and explain in detail the best management strategies, including specific exercises that are easy to perform at home.

Our goal is to provide you with a clear understanding of your condition and a tailored treatment plan to improve your overall well-being.

For accessibility to your Montreal chiropractor

Located in the heart of Montreal, Tonika Chiropractic Clinic offers convenient access for residents of Montreal or downtown Montreal, as well as for professionals working in downtown Montreal.

For a consultation with a chiropractor for your shoulder pain in Montreal and Saint-Lambert, please contact us!

Inflammatory back pain + Chiropractor in Montreal
  • 615 Boul. René-Lévesque West, Office 610, Downtown Montreal, H3B 1P5
  • 27 Boulevard Desaulniers, Saint-Lambert, Quebec, J4P 1L7

Dr. Valéry Bergeron, chiropractor, D.C.

Chiropractor in downtown Montreal and Saint-Lambert.

I run the Tonika Clinique Chiropractique clinic.

I have been practicing chiropractic since 2006.

  • Member of the Order of Chiropractors of Quebec (OCQ)
  • Member of the OCQ disciplinary committee (2014 to present)
  • Member of the Professional Liability Insurance Committee of the OCQ Québec (2009-2011)
  • Member of the Association of Chiropractors of Quebec (ACQ)
  • Member of the Chiropractors Association of Canada (ACC)
  • Volunteer chiropractor with the Les Aigles football team at Amitié secondary school (2006-2010)

Tonika Clinique Chiropractique, the solution for your shoulder pain in Montreal and Saint-Lambert!