Remedial Massage And Shoulder Pain

Shoulder pain is the third most common musculoskeletal problem that people go to see medical doctors. The reason why shoulder pain is so common is due to its anatomical structure. The shoulder joint is the most complicated joint in the body. Frozen shoulder (also called adhesive capsulitis), shoulder impingement, subacromial bursitis, sprain, strain and tears in rotator cuff muscles are the common causes that occur at different ages.

Shoulder Joint Anatomy

As mentioned above, the shoulder joint (also known as glenohumeral joint) is a very complex structure compared to other joints of the body. The ball and socket structure allows the range of motion (or the range of movement) of the shoulder to move almost 360 degrees across different plants. It is the most mobile joint in the human body.

The rotator cuff muscles comprise four muscles that are on both sides of the scapula. They are supraspinatus, infraspinatus, teres minor and subscapularis.

The movement of shoulder abduction and external rotation are performed by supraspinatus, infraspinatus and teres. The deltoid muscle assists the movement of abduction. The subscapularis muscle mainly performs internal rotation and adduction of the shoulder joint.

The stability of the shoulder joint relies on the active and passive supporting structures. All four rotator cuff muscles that are the active support contribute the stability of the shoulder joint. The shoulder joint capsule and ligaments including glenohumeral, coracohumeral, transverse humeral and coraco- clavicular ligaments around the shoulder joint are the passive supporting structure. Due to the lack of muscles in the front of the shoulder, shoulder dislocation is prone to occur anteriorly.

A bursa is a sac filled synovial fluid which works as a cushion to reduce friction between tendons and other structures. Subdeltoid bursa and subacromial bursa are located under the deltoid muscle and in the subacromial space. Subdetoid and/or subacromial bursitis due to the shoulder joint overuse and poor posture can cause shoulder restriction especially abduction, external rotation and internal rotation) and shoulder impingement.

The Common Causes Of Shoulder Pain

Due to the high mobility of the glenohumeral joint, the shoulder joint is more vulnerable than other joints. People with the poor posture that have anterior head carriage, rounded shoulders and hunchback are more likely to have shoulder pain.

The repetitive motion such as overhead movements that overuses the rotator cuff muscles can cause the inflammation of tendon (tendinitis) and bursa (bursitis). Inflamed rotator cuff tendons are more vulnerable to tear. Age over 45 year old is also more prone to rotator cuff muscle tear rather than muscle strain.

Shoulder pain is common on volleyball, baseball and tennis players. Repeated stress on the glenohumeral joint capsule during serve leads to shoulder pain. In order to increase the power and speed of serve, athletes will try to maximise the shoulder external rotation. These athletes are more susceptible to shoulder bursitis and other types of shoulder injuries.

How Remedial Massage Treatment Releases Shoulder Pain

Apart from dry needling, trigger point therapy and chiropractic care, people who are suffering from chronic shoulder pain always use remedial massage therapy to reduce chronic pain. Highly-trained remedial massage therapists will palpate the shoulder muscles and the adjacent regions including neck, upper and middle back because shoulder pain may be probably radiated from these regions.

Once the damage tissues such as immature scar tissues and myofascial trigger points are found, remedial massage therapists will focus on that area to apply different massage techniques. Kneading, rhythmic pressure, tapping and rolling are the basic massage techniques. Myofascial trigger points can be deactivated by applying certain pressure on hyperirritable spots to reach myofascial release. Remedial massage also increase blood circulation and lymphatic drainage to enhance the healing process.

Service Areas Of Massage Services:

Kings Park NSW 2148

Kings Langley NSW 2147

Quakers Hill NSW 2763

Blacktown NSW 2148

Dural NSW 2158

Kellyville NSW 2155

Castle Hill NSW 2154

Bella Vista NSW 2153

Rouse Hill NSW 2155

Baulkham Hills NSW 2153

Glenhaven NSW 2156