💪Shoulder Treatment ProtocolUpdated 4 months ago

Self Diagnosis

• Details about your pain and history can help you (and us) better understand your current situation and provide more effective feedback. 

Location

Front Shoulder Pain Diagnosis Chart

The Shoulder Pain Diagnosis chart is divided into two parts - Front Shoulder Pain Diagnosis(FSPD) and Posterior Shoulder Pain Diagnosis(PSPD). 

The FSPD chart is a guide to understanding the various regions in the shoulder that can be injured in the front part of the individual. Some of the areas marked for front shoulder pain and injury are mentioned below:

• SLAP Tear
  A slap tear occurs when there is an injury to the inner cartilage of the shoulder joints. SLAP is an abbreviation for Superior Labrum, Anterior to Posterior tear, and it deals with tears and injuries to various tears and injuries to muscles and tendons that help keep your shoulder healthy and fully functional.
• Rotator Cuff Tear
  A rotator cuff tear can cause swelling and soreness in the shoulder and arm region, as it involves the incision of the rotator cuff, a tendon that keeps the shoulder and the arms in place. This tear can result in mild to severe pain depending on the intensity and scale of injury to the rotator cuff. 
• Biceps Tendonitis
  Bicep Tendonitis is when the tendons in the bicep that connect the shoulder to the arms are inflamed or have undergone an injury resulting in pain and reduced mobility in the region. It occurs when there is repetitive use. 
• Clavicle Injury
  A clavicle fracture can occur when there has been a high impact on the collarbones in the shoulder. It is commonly injured due to falls, effects, or tears in ligaments and tendons in the region. A fracture can cause severe pain and immobilize shoulder movements. 

Back Shoulder Pain Diagnosis Chart

The Back shoulder pain diagnosis chart helps understand the pain in the back of the individual near the shoulder. This is categorized according to region, which helps understand the condition better.

• Muscle Strain
  Muscle strains due to intense or repetitive engagement on the shoulders can cause back shoulder pain in the region and increase shoulder pain. Injury to the tendon and muscles can increase pain. Lifting heavy objects, backpacks, and stress on the arms can aggravate the condition.
• Poor Posture
  This is a prevalent cause of back shoulder pain. Variations in sleeping patterns can cause shoulder pain as it adds pressure to the joints and muscles. Working in poor and stressful conditions, long hours of activities such as typing, cooking, and driving can also add stress to the joints and cause pain.
• T4 Syndrome
  Also known as Upper Thoracic Syndrome, is a rare condition where a combination of symptoms radiate across the shoulder blade and into the arms and the neck region. It is often difficult to pinpoint the exact region of the pain.
• Scapulothoracic Bursitis
  This is a common cause of back shoulder pain due to the constant grating of various shoulder joints against each other, resulting in the swelling of the bursa. This fluid-filled sac that aids movement and reduces friction can be inflamed, resulting in pain and discomfort.
• Nerve Pain
  It is also common for injuries to nerves, such as tears, pinching, and compression in the back and spinal cord, to hurt the shoulder. This pain and discomfort to the nerve can cause pain in the shoulder. This pain can often be numbing or throbbing and can result in partial loss of sensation in the injured area of the shoulder.
• Shoulder Arthritis
  Arthritis can be a chronic condition that worsens with age. Arthritis is an autoimmune disease and can result in joint pain and increased wear and tear of the joints. This can hurt the shoulder and its ability to be functional. Arthritis can be a painful condition as it progresses.

Treating Primary Tissue

Local Area Treatment(Primary Treatment)

For frozen shoulder and shoulder Osteoarthritis, we are trying to treat the synovial cavity. 

Diagrams showing the synovial cavity for reference:

1. Anterior Placement
   
2. Posterior Placement
   

Underarm Placement

Primary Treatment Time

Treat the local areas indicated in the Local Area Treatment (Primary Treatment) for 10-15 minutes daily

Timer instructions

The MOVE+ Pro can be used in 5/10/15 minute segments

To change the set time hold down the power button for 2 seconds. Timer length will be indicated in white lights and can be changed again by holding down the button for 2 seconds.

The timer will change from 5→10, 10→15, and 15→5 minutes when the power button is held down for 2 seconds.

Primary Treatment Expectations

Inflammation Impacts

• Inflammation reduction, particularly in joints is extremely well documented and is a foundational impact we can assume from the therapy. If you are not seeing a reduction in inflammation or swelling after 1-2 days of treatment please contact us for a review of your usage protocols

Pain Impacts

There are two primary impacts on pain:

1. Inflammation
   • Inflammation is often a cause of pain; when the inflammation is reduced the relevant pain is reduced as well.
2. Pain Transmission
   • Increased activity of acetylcholinesterase in the synapses; acetylcholinesterase degrades the nociceptive neurotransmitter acetylcholine which reduces pain sensitivity.

In treating the primary tissue the main functional outcome of pain and inflammation is driven by inflammation reduction.

If your pain is not inflammation-based

- you will see less pain reduction

- the reduction in inflammation can still help your tissue health long-term

Treating Supplemental/Secondary Tissue 

Secondary Treatment Area

The inflammation associated with joint arthritis, for example, can cause restricted blood flow in the regional microcirculation

Light therapy can increase regional blood flow to this damaged tissue.

• Place 1-2 vertical modules between the shoulder blade and the spine as shown

Secondary Treatment Time

• Treat the local areas indicated in the Local Area Treatment (Primary Treatment) for 10 minutes daily

Secondary Treatment Expectations  

Blood Flow Impacts

Reducing the impacts of the inflammation on the regional blood flow will take 6-8 weeks to show substantial impacts, but is very effective.

Training with Treatment

You may click on the links below to access our blog articles containing the best exercise for your shoulder: 

• Shoulder Recovery Exercises For Rotator Cuff And Shoulder Rehabilitation
• 6 Shoulder Stretches To Relieve Tightness

Note: If you’re having trouble with setting up or would like to give us feedback on how we can improve the guide, please send us an email at [email protected] and we’ll be happy to assist you!