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. 2002 Sep;46(3):192–200.

Chiropractic management of shoulder pain and dysfunction of myofascial origin using ischemic compression techniques

Guy Hains
PMCID: PMC2504982

Abstract

Shoulder pain and dysfunction is a chief complaint commonly presenting to a chiropractor's office. The purpose of this article is to review the most common etiologies of shoulder pain, focusing on those conditions of a myofascial origin. In addition to a review of the literature, the author draws upon his own clinical experience to describe a method to diagnose and manage, patients with shoulder pain of myofascial origin using ischemic compression techniques. This hands-on therapeutic approach conveys several benefits including: positive therapeutic outcomes; a favorable safety profile and; it is minimally strenuous on the doctor and well tolerated by the patient.

Keywords: shoulder pain, dysfunction, myofascial pain syndromes, ischemic compression, chiropractic

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Curtis A. S., Wilson P. Shoulder pain in the work place. Orthop Clin North Am. 1996 Oct;27(4):763–781. [PubMed] [Google Scholar]
  2. Daigneault J., Cooney L. M., Jr Shoulder pain in older people. J Am Geriatr Soc. 1998 Sep;46(9):1144–1151. doi: 10.1111/j.1532-5415.1998.tb06656.x. [DOI] [PubMed] [Google Scholar]
  3. Ginn K. A., Herbert R. D., Khouw W., Lee R. A randomized, controlled clinical trial of a treatment for shoulder pain. Phys Ther. 1997 Aug;77(8):802–811. doi: 10.1093/ptj/77.8.802. [DOI] [PubMed] [Google Scholar]
  4. Goldenberg D. L. Fibromyalgia, chronic fatigue, and myofascial pain syndromes. Curr Opin Rheumatol. 1992 Apr;4(2):247–257. [PubMed] [Google Scholar]
  5. Green S., Buchbinder R., Glazier R., Forbes A. Systematic review of randomised controlled trials of interventions for painful shoulder: selection criteria, outcome assessment, and efficacy. BMJ. 1998 Jan 31;316(7128):354–360. doi: 10.1136/bmj.316.7128.354. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hains G., Hains F. A combined ischemic compression and spinal manipulation in the treatment of fibromyalgia: a preliminary estimate of dose and efficacy. J Manipulative Physiol Ther. 2000 May;23(4):225–230. [PubMed] [Google Scholar]
  7. Hanten W. P., Olson S. L., Butts N. L., Nowicki A. L. Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Phys Ther. 2000 Oct;80(10):997–1003. [PubMed] [Google Scholar]
  8. Hawk C., Byrd L., Jansen R. D., Long C. R. Use of complementary healthcare practices among chiropractors in the United States: a survey. Altern Ther Health Med. 1999 Jan;5(1):56–62. [PubMed] [Google Scholar]
  9. Kozin F. Two unique shoulder disorders. Adhesive capsulitis and reflex sympathetic dystrophy syndrome. Postgrad Med. 1983 May;73(5):207-10, 214-6. doi: 10.1080/00325481.1983.11697839. [DOI] [PubMed] [Google Scholar]
  10. McDermott F. T. Repetition strain injury: a review of current understanding. Med J Aust. 1986 Feb 17;144(4):196–200. doi: 10.5694/j.1326-5377.1986.tb128357.x. [DOI] [PubMed] [Google Scholar]
  11. Neer C. S., 2nd Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972 Jan;54(1):41–50. [PubMed] [Google Scholar]
  12. Nørregaard J., Jacobsen S., Kristensen J. H. A narrative review on classification of pain conditions of the upper extremities. Scand J Rehabil Med. 1999 Sep;31(3):153–164. doi: 10.1080/003655099444498. [DOI] [PubMed] [Google Scholar]
  13. Pearsall A. W., Speer K. P. Frozen shoulder syndrome: diagnostic and treatment strategies in the primary care setting. Med Sci Sports Exerc. 1998 Apr;30(4 Suppl):S33–S39. doi: 10.1097/00005768-199804001-00006. [DOI] [PubMed] [Google Scholar]
  14. Roubal P. J., Dobritt D., Placzek J. D. Glenohumeral gliding manipulation following interscalene brachial plexus block in patients with adhesive capsulitis. J Orthop Sports Phys Ther. 1996 Aug;24(2):66–77. doi: 10.2519/jospt.1996.24.2.66. [DOI] [PubMed] [Google Scholar]
  15. Schneider M. J. Tender points/fibromyalgia vs. trigger points/myofascial pain syndrome: a need for clarity in terminology and differential diagnosis. J Manipulative Physiol Ther. 1995 Jul-Aug;18(6):398–406. [PubMed] [Google Scholar]
  16. Sher J. S., Uribe J. W., Posada A., Murphy B. J., Zlatkin M. B. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am. 1995 Jan;77(1):10–15. doi: 10.2106/00004623-199501000-00002. [DOI] [PubMed] [Google Scholar]
  17. Welfling J., Kahn M. F., Desroy M., Paolaggi J. B., de Sèze S. Les calcifications de l'épaule. II. La maladie des calcifications tendineuses multiples. Rev Rhum Mal Osteoartic. 1965 Jun;32(6):325–334. [PubMed] [Google Scholar]

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