Shoulder Pain

Shoulder Pain

Our shoulders are complicated, complex structures that can suffer from a wide range of painful conditions. We sleep on them, pull with them, reach and push with them. Over time, these very human activities can cause us pain and discomfort. Fortunately, there are remedies and solutions for the various shoulder issues we encounter.

Adhesive Capsulitis – Frozen Shoulder

Often referred to as “frozen shoulder,” adhesive capsulitis, is a painful and disabling condition in the shoulder capsule, caused by the tightening of the innermost ligaments of the shoulder. The inability to enjoy a free range of motion is often the most obvious symptom. This is due to inflammation of the ligaments which get very tight, and movement of the shoulder HURTS.

What is the Treatment for a Frozen Shoulder?

With the proper treatment one can greatly reduce the time spent with this painful condition. Over 90% of the patients do very well with conservative treatment. Chiropractic methods used in the treatment of frozen shoulder addresses the most practical issue of all: getting the body to move easier and the person back to an active lifestyle. There are several courses of action available including Physical Therapy to improve range of motion, EMS to stimulate the release of pain-inhibiting molecules, and Spinal Adjustment to bring the body into proper alignment.

Bursitis – Impingement Syndrome

Impingement syndrome is a fancy word for “pinching” of the rotator cuff muscles in the shoulder. The muscles get pinched between two bones (the humeral head and the acromion process) and this causes inflammation. Inflammation will lead to more pinching and that is when you get pain. There is a small protective sack in the shoulder that is on top of the rotator cuff tendon. This is the bursa for the shoulder. When one gets inflammation in the tendon, we refer to this as impingement, bursitis of the shoulder or rotator cuff tendonitis. 

The pain is usually felt on the outside of the shoulder or arm area and can radiate to the elbow or into the neck. Anyone can get it – from sedentary patients to athletes. Reaching overhead or use of the arm in certain directions makes the pain worse. Popping or snapping in the shoulder may be felt with movement. As the impingement syndrome progresses the rotator cuff muscles weaken and may subsequently tear. This is one of the ways you can tear the rotator cuff muscles.

 

What are the Causes of Impingement or Bursitis?

There are multiple causes, but the most common is a small bone spur or a tight ligament. These structures are usually the culprits for all of your pain. They are the ones which cause the inflammation in the rotator cuff and/or bursa.

What Can You do About Impingement or Bursitis of the Shoulder?

Since a majority of the patients with impingement get better with conservative management, we recommend physical therapy, massage therapy, and ultrasound therapy. In the early stages of bursitis, ultrasound therapy is an effective method to safely decrease inflammation, along with massage therapy aimed at safely breaking down scar tissue. Once a patient’s bursitis is stabilized, physiotherapy and joint manipulation can then be very effective in loosening up the related soft tissue, restoring flexibility and alleviating pressure and friction over the affected bursa.

About the Team

 

At Arizona Chiropractic and Medical, our team’s primary direction is getting our patient on the journey to recovery by using our highly trained staff using therapies and treatments that have been proven over the years to get patients back to their normal life. Accidents and injuries not only cause physical injuries but mental as well, causing stress, frustration, confusion, and even anxiety making it hard to know what to do.

“What do I do”? is a question that most patients ask themselves after an injury and how do I deal with the unknowns of medical and insurance? We have managed the care of accident injury patients with our Medical, Chiropractic and Physical Therapy for 20 years. We worked as a team to help guide you in your recovery and through the unknowns. That is what we do, we care.

About The Team

At Arizona Chiropractic and Medical, our team’s primary direction is getting our patient on the journey to recovery by using our highly trained staff using therapies and treatments that have been proven over the years to get patients back to their normal life. Accidents and injuries not only cause physical injuries but mental as well, causing stress, frustration, confusion, and even anxiety making it hard to know what to do.

“What do I do”? is a question that most patients ask themselves after an injury and how do I deal with the unknowns of medical and insurance? We have managed the care of accident injury patients with our Medical, Chiropractic and Physical Therapy for 20 years. We worked as a team to help guide you in your recovery and through the unknowns. That is what we do, we care.

Meet Dr. Alejandro Mioni

With a focus on patient care and management, Dr. Alejandro Amador Mioni has treated over 10,000 patients and given over 200,000 treatments during the last 20 years of practice. In 1999, he graduated from Palmer College of Chiropractic West in San Jose, California and has remained committed to Palmer diversified, auto and car injury treatment, case management, and Chiropractic Biophysics since that time.

Dr. Mioni has known his wife since he was eight years old and has been happily married to her for the last 25 years. He speaks Spanish and has three children—a son and two daughters. When they married 25 years ago, Dr. Mioni’s wife began her career at Southwest Airlines in order for Dr. Mioni to have flight benefits to fly home every weekend to see her and the children.

His son went to college on a wrestling scholarship and wrestled for the Olympic Training Center at Northern Michigan University.  He is in the Navy now and currently training to be a Navy Seal (fingers crossed). His oldest daughter graduated from the University of Arizona and is also in the Navy, training to be a Nuclear Engineer. Their youngest daughter is going to ASU on an Academic Scholarship, having been accepted into the Barrett Honors College. She is studying Medicine.

 

Dr. Mioni is the baby in his family and is a first-generation United States Citizen. His parents came to the United States in the late 60s from Mexico City. In the early 70s, Dr. Mioni was born in Phoenix, Arizona.

Dr. Mioni has many hobbies, and his wife says he has all the stuff in their closet and garage to prove it. He earned a bronze medal in the Junior Olympics as a Marksman. He likes to ride ATVs and UTVs. He likes building remote controlled electric trucks and cars, flying kites, swimming, riding bikes, playing board games, corn hole, golf, and pinball machines. He enjoys racing cars, and scuba diving. He also loves movies. And yet, his main priority is—without a doubt—his family.

Meet Dr. Alejandro Mioni

With a focus on patient care and management, Dr. Alejandro Amador Mioni has treated over 10,000 patients and given over 200,000 treatments during the last 20 years of practice. In 1999, he graduated from Palmer College of Chiropractic West in San Jose, California and has remained committed to Palmer diversified, auto and car injury treatment, case management, and Chiropractic Biophysics since that time.

Dr. Mioni has known his wife since he was eight years old and has been happily married to her for the last 25 years. He speaks Spanish and has three children—a son and two daughters. When they married 25 years ago, Dr. Mioni’s wife began her career at Southwest Airlines in order for Dr. Mioni to have flight benefits to fly home every weekend to see her and the children.

His son went to college on a wrestling scholarship and wrestled for the Olympic Training Center at Northern Michigan University.  He is in the Navy now and currently training to be a Navy Seal (fingers crossed). His oldest daughter graduated from the University of Arizona and is also in the Navy, training to be a Nuclear Engineer. Their youngest daughter is going to ASU on an Academic Scholarship, having been accepted into the Barrett Honors College. She is studying Medicine.

Dr. Mioni is the baby in his family and is a first-generation United States Citizen. His parents came to the United States in the late 60s from Mexico City. In the early 70s, Dr. Mioni was born in Phoenix, Arizona.

Dr. Mioni has many hobbies, and his wife says he has all the stuff in their closet and garage to prove it. He earned a bronze medal in the Junior Olympics as a Marksman. He likes to ride ATVs and UTVs. He likes building remote controlled electric trucks and cars, flying kites, swimming, riding bikes, playing board games, corn hole, golf, and pinball machines. He enjoys racing cars, and scuba diving. He also loves movies. And yet, his main priority is—without a doubt—his family.

Our Office

At Arizona Chiropractic and Medical, our team’s primary direction is getting our patient on the journey to recovery by using our highly trained staff using therapies and treatments that have been proven over the years to get patients back to their normal life.