Posture Could Be the Culprit Behind Your Shoulder Pain

Posture Could Be the Culprit Behind Your Shoulder Pain

Posture Could Be the Culprit Behind Your Shoulder Pain

No one likes dealing with shoulder pain. The discomfort and immobility can prevent you from doing daily activities like grabbing something off a high shelf or reaching up to brush your hair. So, when your shoulder starts hurting, it’s important to figure out why.

Often, shoulder pain stems from an injury. For example, take rotator cuff tears, in which the muscles and tendons that wrap the shoulder become damaged: these injuries are common and can result from a sudden traumatic injury like a fall or develop gradually. 

However, sometimes, shoulder pain might not have such a clear-cut cause. One of our patients learned this for herself–we’ll call her Diana. She was dealing with persistent shoulder pain and couldn’t figure out why. Fortunately, the physical therapists at King Physical Therapy were on the case.

And the culprit? It turned out to be Diana’s posture.

Our Physical Therapists Were on the Case

As always, we started Diana with a comprehensive assessment to help us understand the root cause of her discomfort. We took a health history, talked to her about potential injuries, and conducted several movement screens–including a postural screen.

The postural screen was where we made headway. After reviewing Diana’s posture while she was sitting, standing up, and moving around, we noticed the following:

  • She held her head forward in relation to her shoulders, a stance called “forward head posture.”
  • She tended to round her shoulders, giving her slight kyphosis, or a hunched posture, in her upper back.
  • Her shoulder blades were protracted away from her spine.

The signs were clear: Diana had developed upper cross syndrome.

Upper cross syndrome is a condition marked by postural changes that have a waterfall effect throughout the body. Diana’s postural impairments had impacted the muscles in her upper back and shoulder girdle. As a result, the movement in her upper body became impaired, leading to her pain and mobility restrictions.

A Personalized Solution to Lasting Pain Relief

Now that we understood why Diana was experiencing shoulder pain, we could develop a customized treatment to correct her posture and address the muscular impairments and imbalances that had led to her symptoms in the first place.

The foundation of Diana’s treatment was a comprehensive therapeutic exercise program. We began by improving her shoulder’s range of motion through simple mobility exercises. 

After a few weeks, Diana was ready to begin strengthening the affected muscles. Using equipment like resistance bands and weights, we guided Diana through targeted exercises that addressed muscular weakness and imbalance.

Throughout her program, we also helped Diana improve her overall posture. Like many people, she thought postural improvements were about “sitting up straight.” In reality, she needed to keep her spine aligned as she moved through different postures throughout the day.

Because Diana had a desk job, we emphasized the importance of changing her posture regularly by taking quick breaks. Diana began using a timer to remind herself to get up every 30 minutes or so and walk around the office.

While it took a little effort on Diana’s part, eventually, her pain receded, and her shoulders were more mobile than they’d been in years. To make sure she didn’t relapse, we provided her with exercises to do at home to keep her upper body strong.

Is Your Posture Causing You Pain?

Diana learned just how important posture is. If you’re struggling with persistent shoulder pain, call the team at King Physical Therapy. We’ll dig down to the source–and give you the guidance you need to correct the issue.

Exercise of the Month

Try a New Outdoor Sport

As it begins to warm up, try picking up a new outdoor sport such as biking, rollerblading, hiking, golfing, fishing, or kayaking. These are all fun things you can do to get your blood pumping and introduce more physical activity into your routine after sitting at home for so many months! 

Visit an Outdoor Farmers Market 

If you love fresh and locally grown fruits and vegetables, a farmers market might be right up your alley! Visiting an outdoor farmers market gives you a chance to get some fresh air and hand-select the best produce, jams, preserves, and jellies for you to take home to try.

Go see a Drive-In Movie 

This is a great spring activity, especially because you can roll down your windows and enjoy a nice breeze as you watch on the big screen. You could even invite people outside of your household to park their car near yours so you can watch it together.

Break Out the Gardening Tools

Do you love gardening and growing your vegetables, herbs, and flowers? If so, spring is calling your name! It’s time to roll up your sleeves and get your knees dirty in the backyard. Gardening is a great spring activity that provides some physical activity, and an excuse to get fresh air. Make sure to start with great soil and research the types of flowers and foods that grow the best in your climate.

Take a Scenic Drive

So many parts of nature come back to life in the spring, so why not take a scenic drive now and then to get out of the house? Try getting off the interstate and going the long way around to see some trees, fields, or parks – just make sure you have a GPS or know how to get home safely!

Make the Most of this Spring

We all deserve to enjoy spring for what it is: a new beginning. Try some of these fun activities to add a bit of joy to your daily routine!

April Word Scramble

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Lemony Spring Pasta Salad with Vegetables & Herbs

Lemony Dressing

  • 1 ½ teaspoons finely grated lemon zest
  • ¼ cup fresh lemon juice
  • ½ small shallot, chopped
  • 2 teaspoons agave nectar/maple syrup
  • ¾ teaspoon Dijon mustard
  • sea salt and ground black pepper, to taste
  • ½ cup neutral-flavoured oil, like avocado

Pasta Salad

  • ¾ lb asparagus, woody ends trimmed
  • 1 cup shelled green peas, fresh or frozen
  • 1 lb small pasta (mini penne, orzo, small rotini, baby shells, or orecchiette are all good)
  • 1 ½ cups cooked chickpeas, from approximately 1 can, drained & rinsed
  • 3 green onions, finely sliced
  • 6-7 radishes, finely sliced into half moons
  • ½ cup flat leaf parsley leaves, chopped


Directions:

  1. Make the lemony dressing. In an upright blender, combine the lemon zest, lemon juice, shallot, maple syrup, Dijon mustard, salt, pepper, and oil. Blend the mixture on high until creamy and unified. Set aside.
  2. Place a large bowl of ice water on the counter.
  3. Bring a large pot of salted water to a boil over medium-high heat. Chop the asparagus into 2-inch lengths and add to the boiling water. Boil the asparagus for 2 minutes, or until it’s just starting to become tender. Add the peas to the water and stir for a few seconds, or until they turn bright green. Using a slotted spoon, transfer all of the asparagus and peas to the ice water. Let the vegetables sit and chill down.
  4. Bring the salted water back up to a boil. Add the pasta and another good pinch of salt. Cook the pasta according to package directions. Once cooked, drain the pasta thoroughly and then immediately transfer it to a large bowl. Add the chickpeas to the bowl as well. Quickly toss the pasta and chickpeas with two thirds of the lemony dressing until everything is coated.
  5. Drain the asparagus and peas thoroughly and add them to the bowl with the pasta, along with the green onions, radishes, parsley, the remaining lemony dressing, some salt, and pepper. Toss to combine. Check the pasta for seasoning and adjust if necessary (more salt, pepper, lemon juice, extra herbs etc). Finished spring pasta salad will keep up to 5 days in the refrigerator in a sealed container.

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