Shoulder Pain

Conditions We Treat

What Are Downtown’s Healthcare Procedures for Shoulders?

Downtown’s Healthcare uses sophisticated image-guided injections to place high-dose platelet-rich plasma or HCTP. These are breakthrough, non-surgical procedures for people suffering from shoulder pain due to common injuries and conditions pertaining to the shoulders. So, if you’re looking for alternative to shoulder surgery in Colorado, what you really need is what we offer at Downtown’s Healthcare.

Traditional options for patients suffering from these conditions include arthroscopic shoulder surgery to repair tears, or shoulder joint replacement. With both surgeries, months of rehab are required, and the patient must be aware of and prepared to take on the risks. As an alternative, Downtown’s Healthcare has a multidisciplinary approach which may help alleviate shoulder pain and the conditions that cause it.

Am I a Candidate?

Shoulder pain Q/A

What is shoulder pain?
Shoulder pain symptoms can vary in type and severity. Some of the symptoms that benefit from an evaluation at Downtown’s Healthcare include:
  • Sore joints after inactivity or overuse
  • Pain while moving the shoulder
  • Shoulder stiffness in the morning or after resting
  • Pain during and after activities
  • pain deep in the shoulder joint, in the back or the front of the shoulder and the upper part of the arm. Sometimes the pain in the shoulder can be described as a ‘catching pain’. The location and type of pain is likely to relate to the structure causing the pain
  • reduced movement, and pain when moving your shoulder.
  • weakness of the shoulder/upper arm. Depending on the condition, there may be a sensation of the joint slipping out and back in to the joint socket, or the shoulder can become completely dislodged (dislocated)
  • sensations of pins and needles (tingling) and burning pain. This is more likely to be associated with nerves from the neck than the shoulder joint itself.
  • lack of movement after a shoulder dislocation. This is usually due to pain. Complete rotator cuff tears and injury to the axillary nerve both cause weakness in moving the arm away from the body. These problems require close clinical examination.
  • Joint pain during or after exercise
  • Chronic pain

The interdisciplinary health care team at Downtown’s Healthcare works together to develop a plan that helps you get relief from these symptoms so you can avoid surgery or long-term use of pain medication.

What causes shoulder pain?

There are many causes of shoulder pain and not all of them are due to problems of the shoulder joints or associated structures.
Osteoarthritis: cartilage is a smooth, cushiony tissue that covers the ends of your bones where they meet in a joint. Healthy cartilage helps your joints move smoothly. Over time cartilage can become worn, or it may become damaged due to injury or an accident, leading to the development of osteoarthritis.
Inflammation of the shoulder capsule

  • Synovitis is when your synovial membrane becomes inflamed. It can occur as a result of another condition (e.g. rheumatoid arthritis) or it may happen as a result of an injury. Or the cause may be unknown.
  • Frozen shoulder (adhesive capsulitis) is a condition that occurs when your shoulder capsule thickens and becomes inflamed and tight. There may also be less synovial fluid to lubricate the joint. As a result your shoulder becomes difficult to move. Frozen shoulder may occur as a result of another condition (e.g. diabetes), if the shoulder has been immobilized (e.g. due to surgery or injury), or the cause may not be known.

Inflamed bursa: pain associated with an inflamed bursa is also common in the shoulder. A bursa is a small fluid-filled sac that reduces friction between two structures, such as bone, muscle and tendons. In your shoulder the bursa that sits between the rotator cuff tendon and the bony tip of the shoulder (acromion) can become inflamed, most commonly with repetitive movements.
Injuries and sprains

  • Ligaments are soft tissues that connect bones to bones. They provide stability to your shoulder by keeping the bones where they’re meant to be. If the ligaments are injured or sprained, they can cause short-term pain. This may be the result of the humerus coming partially out of the joint socket (subluxation) or if the humerus comes completely out (dislocation).
  • The flexible tissue that helps keep your shoulder joint in place (the labrum) can become torn. This is called a labral tear. This can occur as a result of an injury (e.g. falling onto your outstretched arm) or repetitive actions (e.g. throwing sports such as cricket).
  • A direct blow to your shoulder can result in the acromioclavicular joint being sprained. This type of injury often occurs in people participating in contact sports such as football who take a blow to the shoulder. It can also occur as a result of a fall.
  • Rotator cuff: this group of tendons and muscles keep your shoulder stable and positioned correctly for your shoulder and arm to move. Tears to rotator cuff tendons may occur as a result of an injury (e.g. a fall, broken collarbone) or happen over a period of time as you age.

Neck and upper back: problems with the joints and associated nerves of your neck and upper back can also be a source of shoulder pain. The pain from your neck and upper back is often felt at the back of the shoulder joint and/or through to the outside of your upper arm.
Injury to the axillary nerve: this nerve can be injured if you dislocate your shoulder or break your humerus. This can cause weakness when moving your arm outwardly away from the body.
Referred pain: shoulder pain may also be caused by problems affecting your abdomen (e.g. gallstones), heart (e.g. angina, heart attack) and lungs (e.g. pneumonia).
Note: if you feel shoulder pain that is radiating down your arm or you’re experiencing a tight feeling across the chest and shortness of breath, dial 000 immediately.

What are the available Shoulder pain treatments?

At Downtown’s Healthcare we take a multi-disciplinary approach (Team, Medical providers, Chiropractors, Rehab Specialists) to treating shoulder pain. Below are just a few approaches we take. Whether you have arthritis, a sport injury a torn muscle, tendon, labrum or ligament schedule your appointment today to find out if you are a candidate for our cutting edge treatment options.

  • Physical Medicine
  • Physical therapy
  • Chiropractic care
  • Nutrition therapy
  • Cooperative Injectables for Healing and Support including PRP, HCTP, Ozone
  • mHCTT – micro Human Cell Tissue Transplant
  • Joint injection tissue transplant
  • Supplements and nutraceuticals