Medical science calls the shoulder joint a synovial ball and socket mechanism. Simply put, a ball on the end of the arm bone, called the humerus, rests inside a cavity on the shoulder blade. The loose connection allows for fluid arm movement – that's what's behind that perfect tennis serve, for example. Around the ball is a capsule of tissue made of tendon that improves movement by reducing the friction between the two bony components of the joint. Combined with the connective tissue and bursa, the capsule gives the arm a 360-degree range of motion.
Pain is the body's warning system that something isn't working right. The infrastructure of the shoulder joint is somewhat complex and anything that breaks down within it can cause pain. Dr. Gruen and the movement specialists at Move Well MD work together to translate that warning sign and figure out what it means based on the type pain and location of it.
Sometimes, it's not the actual joint causing the pain, either. Referred pain in the shoulder comes from another structure in the chest such as the heart or gallbladder. Generally speaking, pain coming directly from injury to the joint tends to get worse with movement while referred pain persists whether you are moving or not.
Some common sources of true joint pain include:
Any of these problems can cause inflammation and pain.
Frozen shoulder is a consequence of not moving the joint for a long period of time, for example, due to a stroke. This is why many stroke patients undergo rehab to treat or prevent frozen shoulder.
Frozen shoulder occurs in three stages:
The freezing stage is the onset, so there is the pain in the joint and limited range of motion. During the frozen stage, the pain decreases but the shoulder is still and the arm barely moves. Thawing starts during rehab as the range of motion increases.
Frozen shoulder is just one of a number of problems that respond well to physical therapy, stem cell therapy and other treatment options available at Move Well MD.
At Move Well MD in Manhattan located in the downtown financial district of lower Manhattan, NY, NY 10038, we use an integrated system of care to relieve pain, improve range of motion and help you to move well again! We are just a few short path train stops away from Hoboken, NJ and Jersey City, NJ.
Here is a list of just some of the plans we accept. Please contact our office if you do not see your insurance provider listed.
"Dr. Ben knows his stuff. I've had appointments with him for the past several months and I can honestly say I am MUCH better than I was before. I heartily recommend!"
"I rarely give anybody or any place 5 stars, but Dr. Gruen is definitely deserving of the honor. Friendly, professional, and extremely thorough."
"Besides being a good chiropractor, Dr. Ben is also a great listener and adviser. He pays attention to what I say and feel."
"I had a wonderful experience with Dr. Gruen. He not only treated my pain each visit but gave me the tools and knowledge to continue treating my pain at home."
"Dr. Gruen is professional, attentive and very patient oriented. He truly wants to help his patients and is committed to this!"