In all conditions of the shoulder the surrounding tissues of the neck, upper back and chest must be evaluated to see if they may be to a varying degree responsible for pain and dysfunction. We have much success in dealing with conditions of the neck, shoulder, arm and hand. These include the supraspinatus, infraspinatus, teres minor, teres major or subscapularis muscle. Any one or more of these muscles can be torn in conjunction with chest, neck and arm muscles to give a complex pattern of pain and poor function. Due to the complexity of the area expert diagnosis and treatment is essential for quick healing and minimizing shoulder damage from scaring.
Many therapies are appropriate for reconditioning and rehabilitating such injuries.
Caution must be exercised as some therapies are harmful. Very often a shoulder brace must be worn as well. Strict attention to doctor's orders is a must and biomechanics of the area must be checked. There are many bursas in the body. Depending on the location these can cause pain wherever they are found.