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Shoulder Pain

Balance in Motion, Santa Barbara Pain Therapy - Shoulder Pain

Shoulder pain is a common problem with a number of different causes. It's often a symptom of another problem. There are a number of reasons why you might be experiencing shoulder pain, which include:

  • Poor posture

  • Frozen shoulder – a painful condition that reduces normal movement in the joint and can sometimes prevent movement in the shoulder altogether. Often occurs after shoulder surgery.

  • Rotator cuff disorders – the rotator cuff is a group of muscles and tendons that surround the shoulder joint and help to keep it stable.

  • Shoulder instability – where the shoulder is unstable and may have an unusually large range of movement (hypermobility) 

  • Acromioclavicular joint disorders – conditions, including arthritis that affect the acromioclavicular joint, which is the joint at the top of the shoulder.

  • Osteoarthritis in the shoulder joints.

  • A broken (fractured) bone, such as a fracture of the humerus (upper arm bone) or broken collarbone.

In some cases, pain in the shoulder isn't caused by a problem in the shoulder joint, but by a problem in another area, such as the neck, that is felt in the shoulder and upper back. This is called referred pain.

Who is affected?


Shoulder disorders are fairly common: about three in 10 adults are affected by them at any one time. Frozen shoulder and rotator cuff disorders are most common in middle-aged and older people. Shoulder instability and acromioclavicular joint disorders tend to affect younger people, particularly men who play contact sports.



PDTR is one of the most successful treatments for shoulder pain that may have resulted in muscle guarding and referred pain, because it turns off the pain signals that lead to dysfunction.  In addition, I use Trigger Point Therapy, Myofascial Release, and Orthopedic Massage.

Frozen Shoulder (Adhesive Capsulitis)
Balance in Motion, Santa Barbara Pain Therapy - Frozen Shoulder

Frozen Shoulder / Adhesive Capsulitis

Frozen Shoulder Syndrome, also called adhesive capsulitis, occurs when the inside of the shoulder joint capsule adheres to the bone. The adhesion drastically reduces arm motion and shoulder mobility and is quite painful. The causes of a frozen shoulder can range from family history of adhesive capsulitis to medical issues, such as high blood pressure, diabetes and smoking. Women over 40, and especially those who are recovering from shoulder surgery, are statistically the most prone to frozen shoulder.  Regardless of the cause, having a frozen shoulder is painful, debilitating and will lead down a long road to recovery. On average, a frozen shoulder can take anywhere from six months to two years to resolve.  P-DTR is one of the most powrful treatments for this condition, as  it takes out the shoulder out of the "frozen stage" that occurs as the client does not move the shoulder because of pain.  In addition to P-DTR, I use Trigger Point Therapy and Myofascial Release.

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