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Shoulder Pain
TREATMENT AND RELIEF

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The shoulder is a complicated structure and consists of three bones that are held together by muscles and tendons called the rotator cuff. The tendons which attach muscle to bone can be stretched, weakened or torn leading to more weakness, shoulder pain and instability. Injuries can be from trauma such as falling on the shoulder or landing on an outstretched arm. Sports injuries from overuse are common in swimmers, golfers, tennis players, hockey players, football players and pitchers.

Regenerative therapies including: Prolotherapy, Platelet Rich Plasma Therapy, Ozone Therapy and Stem Cell Therapies are effective injured shoulder treatments to help the body’s own natural healing powers to heal and restore to health.

Common types of shoulder injuries include:

The shoulder is a complicated structure and consists of three bones that are held together by muscles and tendons called the rotator cuff. The tendons which attach muscle to bone can be stretched, weakened or torn leading to more weakness, shoulder pain and instability. Injuries can be from trauma such as falling on the shoulder or landing on an outstretched arm. Sports injuries from overuse are common in swimmers, golfers, tennis players, hockey players, football players and pitchers.

Regenerative therapies including: Prolotherapy, Platelet Rich Plasma Therapy, Ozone Therapy and Stem Cell Therapies are effective injured shoulder treatments to help the body’s own natural healing powers to heal and restore to health.

Common types of shoulder injuries include:

Osteoarthritis of the Shoulder
Osteoarthritis can occur in any joint but when it affects the shoulders it causes pain and reduced mobility. Pain can occur just from rolling over on your shoulder when you sleep and can limit your ability to carry things or even lift your arms. In athletes this is particularly problematic especially in sports involving throwing or swinging motion or moving any type of racquet or club.
Labral Tears
The labrum is a soft, cartilage tissue that surrounds the socket of the joint in the shoulder, which helps to stabilize the joint. The labrum can become injured from repetitive shoulder motions, falling onto an outstretched arm or a direct blow to the shoulder. Symptoms can include weakness or instability of the shoulder, a popping or clicking sensation during movement, pain when the arm is lifted above the head or an aching of the shoulder.
Rotator-Cuff Injuries
The Rotator Cuff is the muscles and tendons that surround the ball-and-socket joint of the shoulder. Its purpose is to provide stability and rotation of the shoulder but it is also the site of injury. Rotator-cuff injuries are quite common and can be caused by repetitive motion or acute trauma to the area. Symptoms include weakness in the shoulder and pain that can make simple activities such as combing your hair incredibly difficult. Patients often cannot even lift their arms above their heads due to the combination of pain and weakness.
Bicep Tendonitis
This condition is an inflammation of the tendon that attaches the bicep muscle to the shoulder. It’s typically the result of overuse from repeated motions or an injury to the tendon itself. In some cases, the tendon is stretched or torn as well. It is a common injury in tennis players and golfers. Symptoms include pain, swelling, and weakness in the arm. It is often hard for patients to raise their arm over their head due to the pain.
Impingement Syndrome
Impingement syndrome of the shoulder is one of the most common causes of shoulder pain. Shoulder impingement syndrome involves tendonitis (inflammation of tendons) of the rotator cuff muscles as they pass through a narrow space at the top of your shoulder, known as the subacromial space. This can result in pain, weakness, and loss of movement at the shoulder.
Frozen Shoulder
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in your shoulder joint. Signs and symptoms typically begin gradually, worsen over time and then resolve, usually within one to three years. Your risk of developing frozen shoulder increases if you’re recovering from a medical condition or procedure that prevents you from moving your arm, such as a stroke or a mastectomy. One of the most common causes of frozen shoulder is immobility that may result from a shoulder injury, such as bursitis or tendonitis. If you’ve had an injury that makes it difficult to move your shoulder this can lead to tightening of the joint capsule and further restricting movement. The earliest sign of this will be the inability or difficulty reaching behind your back (like reaching back to put on a jacket).

THE KRASNICK SOLUTION

How can Dr. Krasnick help you recover and restore naturally to health without drugs or surgery?

Shoulder Ultrasound

EXAM & DIAGNOSIS

Before a patient can be treated for shoulder pain, a correct diagnosis must be made.

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First, Dr. Krasnick will obtain a detailed history and perform a thorough physical examination. Frequently a musculoskeletal ultrasound will be done to understand where your shoulder pain is coming from. If you have any imaging studies such as X-rays, MRI or CT Scans, please bring the actual images to the appointment for Dr. Krasnick to review himself.

Injection Treatment

TREATMENT PROGRAM

Once a diagnosis is made, a comprehensive treatment program will be determined.

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This may include regenerative medical treatments such as: Prolotherapy, Platelet Rich Plasma (PRP), Stem Cell Therapy, Prolozone™, Neural Prolotherapy (Lyftogt Technique®) and Hydrodissection. None of these treatments contain any drugs, steroids, narcotics or NSAIDs, are performed in the office and do not require surgery. Dr. Krasnick performs injections under ultrasound guidance, so he is highly accurate in injecting the treatment to the exact location needed. These treatments allow the body’s own natural healing powers to recover and restore to health.

Balanced Diet

HEALTH & WELLNESS

To optimize treatment, we focus on the whole patient and not just the shoulder pain.

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This means Dr. Krasnick will investigate, discuss and make recommendations about your health and wellness. Important factors in order to optimize outcomes include cellular health. This entails optimizing your nutrition and diet to ensure you are getting the proper macro and micronutrients. Simple changes in diet and addition of vitamins and supplements can go a long way to improving outcomes. Dr. Krasnick will also focus on functional movement, which includes strength and flexibility. We know the body, especially, the musculoskeletal system acts as a whole and therefore pre- and post-treatment exercise or physical therapy will be recommended. Of course treatment and attention to the injured structure (joint or surrounding ligaments and tendons) will be discussed in detail, with specific post-procedure protocols when needed.

A procedure is not always needed and when possible trying to solve the problem with other noninvasive and holistic approaches will be sought.

None of the regenerative treatments contain any drugs, steroids, narcotics or NSAIDs, are performed in the office and do not require surgery. Dr. Krasnick performs injections under ultrasound guidance, so he is highly accurate in injecting the treatment to the exact location needed. These treatments allow the body’s own natural healing powers to recover and restore to health.

If you are looking for a non-surgical, drug-free, natural, alternative pain treatment for your shoulder pain, then contact us at (734) 585-5653 to schedule a consultation with Dr. Krasnick.

OVERVIEW OF SHOULDER PAIN CONDITIONS

Osteoarthritis of the Shoulder

More About This Condition

Osteoarthritis can occur in any joint but when it affects the shoulders it causes pain and reduced mobility. Pain can occur just from rolling over on your shoulder when you sleep and can limit your ability to carry things or even lift your arms. In athletes this is particularly problematic especially in sports involving throwing or swinging motion or moving any type of racquet or club.

Labral Tears

More About This Condition
The labrum is a soft, cartilage tissue that surrounds the socket of the joint in the shoulder, which helps to stabilize the joint. The labrum can become injured from repetitive shoulder motions, falling onto an outstretched arm or a direct blow to the shoulder. Symptoms can include weakness or instability of the shoulder, a popping or clicking sensation during movement, pain when the arm is lifted above the head or an aching of the shoulder.

Rotator-Cuff Injuries

More About This Condition

The Rotator Cuff is the muscles and tendons that surround the ball-and-socket joint of the shoulder. Its purpose is to provide stability and rotation of the shoulder but it is also the site of injury. Rotator-cuff injuries are quite common and can be caused by repetitive motion or acute trauma to the area. Symptoms include weakness in the shoulder and pain that can make simple activities such as combing your hair incredibly difficult. Patients often cannot even lift their arms above their heads due to the combination of pain and weakness.

Bicep Tendonitis

More About This Condition
This condition is an inflammation of the tendon that attaches the bicep muscle to the shoulder. It’s typically the result of overuse from repeated motions or an injury to the tendon itself. In some cases, the tendon is stretched or torn as well. It is a common injury in tennis players and golfers. Symptoms include pain, swelling, and weakness in the arm. It is often hard for patients to raise their arm over their head due to the pain.

Impingement Syndrome

More About This Condition
Impingement syndrome of the shoulder is one of the most common causes of shoulder pain. Shoulder impingement syndrome involves tendonitis (inflammation of tendons) of the rotator cuff muscles as they pass through a narrow space at the top of your shoulder, known as the subacromial space. This can result in pain, weakness, and loss of movement at the shoulder.

Frozen Shoulder

More About This Condition
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in your shoulder joint. Signs and symptoms typically begin gradually, worsen over time and then resolve, usually within one to three years. Your risk of developing frozen shoulder increases if you’re recovering from a medical condition or procedure that prevents you from moving your arm, such as a stroke or a mastectomy. One of the most common causes of frozen shoulder is immobility that may result from a shoulder injury, such as bursitis or tendonitis. If you’ve had an injury that makes it difficult to move your shoulder this can lead to tightening of the joint capsule and further restricting movement. The earliest sign of this will be the inability or difficulty reaching behind your back (like reaching back to put on a jacket).

Traditional treatments. Have you tried them and still have pain?

Traditional treatment for shoulder pain includes use of pain medications, physical therapy, steroid injections and surgery. Steroids can weaken the immune system and reduce your ability to fight infections, raise blood sugar, weaken bones or worsen osteoporosis and cause weight gain. Repeated use of steroids can worsen glaucoma or cause cataracts. Cortisone injections, though may provide temporary relief and can help when there is an inflammatory condition, can be harmful, especially when they are repetitively given. Repeated injections will cause tissue (tendon, ligament, cartilage) breakdown and can lead to further or accelerated degeneration and tearing of these structures.

Non-Steroidal-Anti-Inflammatory-Drugs (NSAIDS) such as Ibuprofen, Advil and Motrin can temporarily relieve pain, but also reduce the cells that are needed to repair damaged tendons and ligaments and this can lead to more instability and pain! NSAIDS can also lead to bleeding in the stomach, ulcers and kidney damage. Narcotics are also used but can lead to side effects of constipation and drug dependency. For some patients, surgery is considered, but has greater risks such as infection or more pain.

Steroids & Ibuprofen

Let us help you make progress toward physical rejuvenation.

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