Health And Nutrition
Shoulder and Arm Pain
What causes shoulder and arm pain?
The cause of many instances of shoulder or arm pain is obvious. You do
something to injure the arm or shoulder and immediately feel pain. Or you begin
feeling the pain a day or so later. You may have broken a bone or dislocated
your shoulder. Perhaps you strained tendons or ligaments by carrying too much
weight for too long, by lifting something that was too heavy, overreaching or
overexerting your arm--as when playing sports when you're out of shape--or by
keeping your arm in an awkward position, or even by sleeping on the shoulder.
The resulting pain may range from an annoying ache to acute pain that makes it
hard for you to use the injured arm. Fortunately, the majority of such injuries
are seldom critical.
But there are other, less-obvious causes of shoulder or arm pain. Each is
distinguished by where it is felt, whether it comes on suddenly or over time,
when it is at its worst, if the pain extends to other joints in your body, and
if other symptoms--such as swelling, numbness, tingling, fever, fatigue, and
insomnia--accompany the pain. The causes of shoulder and arm pain include
tendonitis, bursitis, arthritis, and gout. Such pain may also result from a
reaction to medications such as penicillin, anti-anxiety drugs, and oral
contraceptives. Whiplash injuries, common in auto accidents, can also cause
shoulder and arm pain.
Shoulder and arm pain may be referred from some other region of the body, as
when someone suffering a heart attack feels pain in the left shoulder and down
the left arm. The pain may also be referred from nerves associated with the
joints in the upper spine or "trigger points" in the back, which are
particularly responsive to chiropractic spinal adjustments designed to treat
such problems.
What can chiropractic do?
Dr. Jill Dawrs will examine you and conduct diagnostic tests to
determine exactly what is causing your shoulder or arm pain. Because the causes
and the seriousness of different conditions are so varied, it is important to
pinpoint the cause and begin the most appropriate treatment. She will discover
if your problem is mild and transitory or serious and likely to trouble you for
a long time. A broken bone cannot be treated in the same manner as bursitis or
tendonitis. Arthritis and gout call for different care than pain originating in
nerves supplying the shoulder and arm. Your chiropractor will decide which
treatment will be best for you and if referral to a specialist will be
necessary.
Chiropractic can be successfully employed to deal with so-called frozen
shoulder, a severe inflammation technically known as adhesive capsulitis.
Chiropractors are accustomed to relieving painful trigger points between the
spine and shoulder. Many chiropractors, especially those with additional
training in sports medicine, are experienced in the care and rehabilitation of
professional and amateur athletes who have injured their shoulders or arms. And
all chiropractors can help you modify your habits and lifestyle to protect
yourself from arm and shoulder injuries and ailments.
Maintain Strong Bones with Exercise
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Women
begin to lose bone mass around the age of 30, putting them at risk for
osteoporosis (thin, brittle bones) and associated fractures and back pain.
Nutritional adjustments, such as increasing daily calcium intake, have
been shown to increase bone density, but can exercise adjustments benefit
as well?
An article published in the journal Sports Medicine investigated the
potential role of exercise in helping women maintain bone mass. The
researchers analyzed 21 different studies and presented their conclusions:
€ Regular exercise can delay or halt bone loss in women.
€ Weightbearing exercises are considerably more effective than
exercises that do not involve any loading.
€ Premenopausal and postmenopausal women can benefit from a
consistent exercise routine.
So what constitutes "weightbearing exercise"? Basically, it's
any activity that stresses your bones against your full body weight, such
as walking, running, tennis, step aerobics, or stair climbing (actual
stair climbing, not on a machine). All those rowers, bicycles, gliders and
ski machines at the gym will provide a good cardiovascular workout, but
they wonąt help you build or maintain bone mass.
Talk to Doctor Dawrs about your particular exercise and nutritional
needs as a woman. A consistent fitness program that includes weightbearing
and non-weightbearing exercises can help keep you healthy inside and out.
Reference:
Ernst E. Exercise for female osteoporosis. A systematic review of
randomized clinical trials Sports Medicine 1998: Vol. 25, No. 6,
pp359-68.
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