According to a recent literature review, conservative treatment of shoulder injuries is effective in 75-80% of patients. Incidence of full thickness rotator cuff tears is 25% of population in 60s, increasing to 50% of the population in the 80s.
When opting for conservative physical therapy management for a shoulder, the patient’s responsiveness and understanding of probability of recurrent symptoms will likely determine the potential for a successful outcome.
Evidence regarding operative vs non-operative management of shoulder rotator cuff repairs varies. Age, activity levels, prior injury history, and other comorbid medical issues represent risk factors to be considered when treating shoulder injuries.
What ARE SOME OF THE COMMON SHOULDER ISSUES IN ARIZONA?
At our Surprise location, many of our new patients are referrals from established patients, or from long term referral sources that have pulled their patient from another provider to come see us.
Whether you just had surgery or you were unhappy with a previous shoulder physical therapy experience, here are some of the reasons people visit Mark and Shea at Rise.
Children & YOUTH
Shoulder injuries are rare in young people and are usually trauma induced or sports related. In the absence of fracture or epiphyseal injuries, most can be successfully rehabilitated. There are rarely any congenital issues like EDS, JRA, as well as select other issues caused by shoulder problems. Injuries include but aren’t limited to: overuse injuries in sport: overhead sports like football, baseball, softball, and volleyball.
Traumatic injuries like labral tears: landing on an outstretched arm, fractures secondary to trauma, neuromuscular sequencing issues as in scapular dyskinesis or dead arm phenomenon. In many cases, it is usually an imbalance of strength and mobility, in addition to poor postural and positional awareness that yields the most non-traumatic injury.
Problems: Traumatic falls/accidents, sports related injuries, increased time in “desk posture” in front of the computer or at school.
Injuries: Rotator cuff tears, labral tears, multidirectional instability, scapular dyskinesis, primary and secondary impingement, bursitis/tendinopathy and other compilations of tears or strains.
Causes: Increasing imbalances in strength and mobility with advancing levels of maturity and levels of sports competition.
MIddle Age Adults
Problems: Static postures caused by working at a desk or long periods of time driving, stuck in traffic. Sleep dysfunction, poor nutrition, age specific degenerative changes and other advancing medical comorbidities and play a role into shoulder problems or pain in older adults.
Injuries: Medical terms for these types of shoulder injuries are stage 1-2 cuff degeneration, labral tears, OA/DJD, shoulder instability and traumatic fractures or accidents.
Causes: Trying to do too much or pushing your body too far is one of the primary causes of adult shoulder problems. Things like the infamous “weekend warrior” accidents or lifting too heavy are common in Surprise, Arizona. Aside from this, falls, repetitive trauma from a frequent activity, awkward reaching and frozen shoulder can all be culprits.
Problems: Declining health and posture lead to a number of problems in joints, especially shoulders. Balance dysfunction also leads to a number of falls in the elderly popular.
Injuries: As a result, OA/DJD, humeral fractures, comorbid cervical pain and degeneration, bursitis, tendinopathy, torn rotator cuffs and labrums are common.
Causes: Most all shoulder injries derive from falls, overusage of the joint, age appropriate degenerative changes or stem from frozen shoulder.
About OUR APPROACH
“From personal experience, non-operative management of the myriad shoulder problems across the lifespan tends to be very “cookbook” in approach; most shoulder treatments are the same for everyone. In other words, there is no personalized care or one solution for a potential number of problems..
At Rise OSPT, we focus on providing evidence based, individualized care for all of our patients. Shoulder physical therapy can mean so many different things so it’s important that we develop programs that are specific to each patient’s needs. Building personal relationships helps us ensure self-management will aid all patients once they finish shoulder rehabilitation.”
“The most important thing for me is the integrity and their ability to educate me and my daughter during visits.”
“Mark has great concern for your well being and getting you healthy. Rise and staff provide a friendly, happy environment.“
We embrace these concepts of patient learning in dealing with all orthopedic issues, but with regards to the shoulder and its complexity of movement, these four are very important: unconscious incompetence: you have no idea what you’re doing, but it hurts. Conscious incompetence: you’re aware of what you’re doing and understand there’s a problem, but you need guidance to correct. Conscious competence: you’re aware of your problems and inefficiencies, and you’re actively engaging and using tools to self correct.
Finally, we seek unconscious competence: you’ve reached an awareness of your body and it’s capabilities, but more importantly, you understand it’s limitations and how it may affect your associated activity levels and lifestyle. As PTs, hands on care for joint or soft tissue mobilization or manipulation, cupping or Dry Needling are often an essential component to success, but WE ARE MOVEMENT EXPERTS.
Therapeutic exercise and corrective movement are hallmarks of PT practice, prescribed from simple to complex patterns of movement, moving from proximal to distal, single plane motion to multi-plane…all to address movement inefficiencies and correct them, which in turn allows the body to heal itself and remodel and regenerate healthy tissue.
Since opening up for patients in 2017, Rise OSPT has become one of the fastest growing physical therapy clinics in West Phoenix. Mark Jagodzinski's commitment to treating patients as people and not just a number has played a big role in this growth spurt....
Dry needling is one of many forms of acupuncture therapy. Although many consider both one in the same, Dry Needling wasn’t originally a part of the traditional practice of Chinese acupuncture. It’s considered a modern-day technique that’s specifically used to release...
Rise Orthopedic and Sports finally opened their doors in West Phoenix this past December. It was a long time coming for Mark Jagodzinski and the turn out was amazing. Here are some of the moments from the grand opening celebration.