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Smart Shoulders

Our shoulder joints have the greatest range of motion of any of the musculoskeletal joints in our bodies. The shoulder joint is really two joints, the glenohumeral joint between the arm bone (humerus) and the shoulder blade (scapula) and the acromioclavicular joint between the acromion (a bony projection off the scapula) and the collarbone (clavicle). The glenohumeral joint is a ball-and-socket joint and the acromioclavicular joint is a gliding joint.

Acting together, these joints enable the shoulder to achieve a full 360º of motion in both the frontal (side to side) and sagittal (front and back) three-dimensional planes. The important caveat is that this extensive freedom of motion comes with a price: the shoulder not only has the most mobility, but is also the most unstable joint in the body.

The glenohumeral joint may be easily dislocated, most typically by a fall on an outstretched arm. The ligaments of the acromioclavicular joint are easily sprained and the joint itself is easily dislocated. Acromioclavicular joint injuries may be described as "AC separations". Overall, injuries to the shoulder joint are common, most frequently experienced by people participating in exercise activities and sports and by older people as a result of a fall.

The shoulder joint has built-in protection in the form of the four muscles comprising the rotator cuff, the supraspinatus, infraspinatus, teres minor, and subscapularis.1 The rotator cuff muscles participate in all shoulder joint and upper arm motions and provide stabilization to the shoulder as the joint moves through three-dimensional space. But the rotator cuff muscle group is itself subject to injury (muscle tears) and degeneration as a person ages of the tendons that attach the muscles to the shoulder and arm bones.

Thus, the shoulder joint needs additional protections to maintain its structural integrity and mechanical performance.

In days gone by, people did demanding physical work every day, automatically providing training and resilience to the anatomical components of the shoulder. But in the 21st century, with the decline of the farming and manufacturing sectors and the rise of the service economy, most people no longer engage in actual physical work. As a result, most of us require regular vigorous exercise to maintain physical fitness and good health. With specific respect to the shoulder, upper body strength training exercises will help provide the necessary activity and mobility to ensure ongoing functionality of our shoulder joints. 2,3

As well, obtaining regular chiropractic care helps ensure that our spines are working properly, providing effective mechanical support to our shoulder joints, and that our nerve systems are working at high levels to coordinate all the physiological activities necessary to our long-term health and well-being.

  1. Sangwan S, et al: Stabilizing characteristics of rotator cuff muscles: a systematic review. Disabil Rehabil 37(12):1033-1043, 2015

  2. Heron SR, et al: Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy 103(2):167-173, 2017

  3. Abdulla SY, et al: Is exercise effective for the management of subacromial impingement syndrome and other soft tissue injuries of the shoulder? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Man Ther 20(5):646-656, 2015

Locations

Office Hours

Rosemount

Monday:

8:00 am-5:30 pm

Tuesday:

8:00 am-6:30 pm

Wednesday:

8:00 am-5:30 pm

Thursday:

8:00 am-6:30 pm

Friday:

8:00 am-5:30 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed

West Concord

Monday:

8:00 am-5:30 pm

Tuesday:

Closed

Wednesday:

Closed

Thursday:

8:00 am-5:30 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

  • "This is an amazing clinic! Dr. Curt helped me with my low back and hip pain brought on by pregnancy, and made me feel completely comfortable the minute I met him. Very nice, knowledgeable, and truly interested in any issues I have going on. Best of all, there was NEVER any pressure to set up future appointments or sales pressure from anyone there. This is the only clinic I will ever go to from now on!
    Amazing doctors!"
    - Jolene / Rosemount, MN
  • "AMAZING DOCTORS! I had terrible pain in my knee for weeks. It hurt to go up and down the stairs, it hurt and ached driving to work and even just sitting. I was in constant pain. I went in to see Dr. Nick and he knew exactly what I needed and put me back in place. Dr. Nick does a wonderful and thorough job.
    Loved going to these guys"
    - DRT, Rosemount, MN
  • "I have loved going to these guys for years but failed to consult them on a big problem from last summer. I went to my physician who had me go through many tests and had no answers or relief! At my last appointment I mentioned it to Dr. Nick who asked me why I hadn't come in earlier. Good question! After one appointment I felt great relief, not to mention finally getting an answer!

    My problem: Pain in the muscle under my left breast. It was constantly bothering me. I made changes in my clothing, had a mammogram, an ultra sound and numerous consultations. Never once did they recommend a chiropractor. Dr. Nick traced the rib to my back and located the problem area in one appointment!

    Recommendation-Don't wait to get a second opinion! These guys are amazing and I highly recommend them!
    Great people and great doctors"
    - Brenda H., Rosemount, MN
  • "Great people and great doctors, I have seen Dr. Nicholas for two different problems, this last one was giving me so much pain! He is great after one visit there has been alot of improvement with my arm and alot less pain. He and his dad have taken great care in finding the correct way to take care of me. If you have never been to a chiropractor or have had a bad experience please give them a try you will never go anywhere else!

    WORTH YOUR TIME, MONEY AND THE RELIEF YOU CAME FOR!"
    - Rose, Rosemount, MN