Shoulder Pain

Shoulder pain is often a series of events, each one a little more troublesome than the previous one. It can begin with bursitis or tendinitis, then impingement syndrome, bone spurs, small tears in the rotator cuff tendons, and full-thickness tears. Most shoulder injuries share some common causes and symptoms either overuse or postural fatigue. Most are treatable without surgery and anyone is susceptible, especially athletes who depend on regular and heavy use of the shoulder joint.


Rotator cuff tendinitis is the mildest form of an overuse injury in the shoulder. Inflammation develops in one or more of the tendons that connect the four rotator cuff muscles to bones. It can happen because of overuse (throwing a baseball, tennis, or computer desk posture for example) or postural strain (computer

Impingement Syndrome

This condition occurs when a shoulder muscle, tendon, and bursa sac rub against the shoulder blade. It often develops simultaneously with shoulder tendinitis. In younger athletes this is usually due to an unstable shoulder blade, which is often a result of poor posture.

Bone spur

A bone spur in the shoulder is extra bone tissue that rubs against a tendon, nerve, or other bone. It is possible to have a bone spur for years without symptoms, but when they do appear, you will know it because of the pain and limited range of motion in your shoulder.

Partial tear

With friction, overuse, or an injury, the tendon that connects one of the four rotator cuff muscles begins to develop small, micro-tears. With rest and treatment, they heal. Without attention, they can develop into full-thickness tears.

Full-thickness tear

The same things that cause rotator cuff tendinitis and overuse, throwing, reaching, blows and falls that can lead to tears. But the more common cause is a gradual weakening of the tendon from years of use. People over 40 are particularly susceptible. The overuse-plus-age combination is a perfect formula for trouble.

Questions to be Answered on Your First Visit
-Is it your biomechanics of the shoulder and neck?
Is it the fascia,muscles, and/or tendons? 

-Is it postural, muscle imbalance, or neurological?

-Are there exercises or things YOU can do to feel better?

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Doctor Plutchok’s Approach is Different
No Drugs, No Surgery, No Night Splints, No Cortizone Shots
Dr. Plutchok uses 3 unique techniques to help relieve you of any pain you may currently be experiencing: Active Release Technique, Quantum Neurology Rehabilitation, and Chiropractic partnered with providing you specific stretches/strengthening/and rehabilitative exercises for long term results.