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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

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Testimonials

Reviews By Our Satisfied Patients

  • "I love it there so polite and right to the point never pushy or rude vet respectful. I wouldn’t go anyplace else. Love them all!!"
    Kandice Desalvo V.
  • "Dr. Ho and Dr. Q are caring and compassionate doctors. Their goal is to make you feel great. They take the time to listen to your concerns and address them. I would definitely recommend these doctors!"
    Sandra E.
  • "I got refer from a Dear good friend Jennifer which ive been having problems with my neck n knees. I would definitely recommend Pinnacle Wellness they have a great friendly staff n Doctors are great! I've learned a lot about our bodies n etc. I will continue seeing them again !!! My adjustments are great!"
    Cynthia T.
  • "We have been going to Pinnacle Wellness for over 3 months now, back pain has stopped 100%. We are still blown away by how amazing Dr. Q and Dr. Ho are. We are blessed they came into our lives and have truly added so much to our knowledge about our bodies and even personal growth and development. Pinnacle Wellness is nothing short of a breath of fresh air. Isabelle at the front desk always makes our day. If you are looking for a chiropractor that truly cares for your well being, my family would definitely recommend you to look no further and make Pinnacle Wellness your destination. I had just learned to live with and accept my daily back pain. Thanks to Pinnacle Wellness our lives have been forever changed and look forward to seeing the happy faces of the staff and will be enjoying a pain free life thanks to our journey with Pinnacle Wellness."
    Cara C.
  • "If you have back and/or neck trouble and have never been to a chiropractor before, then this is the place for you. I was referred here by my wife who has been seeing the doctors for several years. Since starting my adjustments I sleep better and feel better all around, and no it doesn't hurt. Currently I am recovering from tennis elbow and bursitis which the doctors are helping me recover by using a massager on my arm when I visit, even my physical therapist was glad they were helping out."
    Royce S.
  • "I have been a patient of Pinnacle Wellness for many years. They have a great, friendly staff and Doctors who truly care about there patients. I would recommend this place to anyone with back or neck pain."
    James S.
  • "The staff is extremely friendly and personable when you enter the facility. They make you feel like you are a part of the family. Our kiddos get adjusted too and for our infant it helped him to crawl properly when he was having difficulties or crawling abnormally. It is a vital part of our healthiness and we would recommend them to everyone!"
    Jennifer C.