Upper Back and Shoulder Pain and Our Evolving Bodies

About a month ago I attended an acupuncture symposium, at which the keynote speaker talked about treating musculoskeletal injuries and pain. Early on in his presentation he made the remark that the bodies he treated thirty years ago are very different from those he treats today.

It took a minute for me to understand how profound a statement this was, because my first thought was, sure…we’re all getting older, so of course our bodies are different. But what he meant was that collectively our bodies are changing. We are evolving right before our very eyes.

So what’s happening, and why are we changing? A few things:

-For starters, we didn’t use computers thirty years ago in the way we do today. The vast majority of people Minneapolis Acupuncture Clinicaround the world are sitting at a keyboard typing away at work, on social media, and even watching TV. Thirty years ago, typing was delegated to the office assistant or secretary. Today, both your boss and your eight-year-old type.

-In addition, we text today…hunched over a phone firing off witty messages with our opposable digits.

-Have you watched kids heading off to the school bus lately? They are wearing backpacks loaded down with books, folders, and school supplies. The weight of those packs cause most kids to lean forward to stabilize that weight.

-Even more than thirty years ago, women carried handbags. These were purses, or where I grew up, pocketbooks, with a short handle. The idea was that they were to be carried in your hand. Today, most bags come with a shoulder strap and are meant to be worn over one shoulder. And if you’re like me, worn over the same shoulder all the time, causing one shoulder to be perpetually higher than the other.

So why are these changes a big deal? The answer is that the biomechanics of our daily lives have changed. Today our backs are hunched, shoulders are rolled forward, and one side is frequently elevated above the other. It becomes a big deal in that I see a lot of patients with rotator cuff muscle injuries, neck pain, shoulder pain, and headaches caused from this forward roll of our collective shoulders.

Here’s where acupuncture comes in. Though the use of some strategically placed needles, we can get those tight muscles to release, those painful shoulders to relax, and relieve the pain from chronic overuse and plain bad posture. In addition, your practitioner can give you some specific stretches and exercises to strengthen and stretch the muscles involved. There are also things that you can do to help relieve the tightness, pain, and forward roll. Among them:

-Change your biomechanics. Can you work some of the time standing up? Our devices are now small enough that we can move them to just about anywhere. When I have the chance, I work standing with my iPad at chest height, which helps my posture dramatically.

-Open up your chest through stretching. One of the easiest is to stand in a doorway with your forearms in the frame and stretch your chest open. Do this with your upper arms in a “T” position, and then raise them and stretch in a “Y” position.

-Put a note on your computer to check your posture. It will take repeated reminders to change how you sit.

-Check your stress. Like the hackles on an alarmed dog, we tend to carry our stress in our shoulders and at the base of our neck. Whether it’s meditation, yoga, fishing, or taking a long vacation, do what it takes to get your stress under some kind of control.

-Shrug it off, really. Bring your shoulders up to your ears in a classic shrug and hold it there for a few seconds. Then very consciously let go of the shrug–it works wonders in loosening up a tight neck and shoulders.

-Deal with your shoulder bag. Either get a handbag with a short handle or wear your shoulder bag around your neck and across your chest. Either solution will help any imbalance you’ve developed from a handbag perpetually perched on one shoulder.

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Acupuncture for Rotator Cuff Pain

Briana’s* case was a typical one for someone with shoulder pain. She came to us complaining of achy pain in the front and side of her shoulder. The pain began slowly, but kept getting worse. While Briana’s pain was dull and achy most of the time, as soon as she tried to raise her arm, she would feel a sharp stabbing pain in her shoulder and down her arm. During those times, the pain almost took her breath away.

One of the most frequent conditions that we see at Acupuncture in the Park is shoulder pain. Shoulder pain responds well to acupuncture in most cases, but it is a complicated joint to treat in general. One of the reasons for it’s difficulty is that while your shoulder is a ball and socket joint (like your hip), it’s a shallow one, and as such depends on the surrounding muscles, tendons, and ligaments to hold the joint in place.

A common source of shoulder pain is a group of muscles that make up something called your rotator cuff. The rotator cuff muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) are actually found on the back side of your shoulder, but act to stabilize the shoulder through a wide range of movements.

Acupuncture for shoulder painOver the years, I have found that much of the grief caused by rotator cuff problems comes from the supraspinatus muscle. This muscle runs horizontally across the top of your scapula (chicken wing), passes under the acromium (the bone at the top of your shoulder), and attaches at the top of your humerus (arm bone). Your supraspinatus muscle helps you lift your arm to the side and is used in overhead motions such as combing your hair, throwing, and swimming. When this muscle is injured or inflamed, the pain may come and go, but frequently it will feel achy—until you lift your arm. Typically you’ll be able to raise your arm to the side only so far before you experience a “catch” that sends a lightening bolt of pain through your shoulder and into your upper arm.

The supraspinatus muscle can become injured from overuse, such as too much keyboarding, lifting, or other repetitive motions. It can also become injured from trauma, such as a fall on the shoulder, having your arm yanked, or a direct hit. It may act up from bad biomechanics, such as poor posture or sitting all day in a bad office chair. Whatever the cause, the pain arises from the muscle and surrounding tendons, which can become torn, inflamed, or impinged (pinched) where it travels under the acromium. Unfortunately, this kind of injury has the potential to become chronic which can greatly limit your range of motion and activity.

If you’re suffering from shoulder pain, there are a number of things you can do to be heal your shoulder and become fully functional again. First, I recommend checking with your acupuncturist for an assessment and treatment. Your practitioner is likely to incorporate acupuncture with something called electric stimulation and a kind of bodywork called Tui Na. You are also likely to be sent home with some instructions for care (such as heat, stretches, etc.) in between visits. If you’re trying acupuncture for this kind of injury, plan to give it four to six weeks minimum to see improvements, as shoulder injuries tend to heal slowly.

Other suggestions to help your shoulder heal include:

-Rest. Yes, I’m sure you’ve heard this a million times before, but quit raising your arm if it hurts to do so. Let the flight attendant lift your bag into the overhead bin and learn to comb your hair with the other hand.

-If your arm was injured due to some kind of trauma, use ice during the first couple of days after the injury to keep the inflammation to a minimum. After that time, I like heat because it loosens up the muscles and increases circulation to the area.

-Check your posture. Pull your heart area upward, your shoulders back slightly, and quit slouching. It’s not helping your shoulder.

-Ladies—get that handbag off your shoulder. It doesn’t matter which shoulder you wear it on, using a shoulder strap causes you to dramatically raise one shoulder higher than the other and pulls your back and shoulders out of alignment, which can aggravate and even cause rotator cuff pain.

-Beyond acupuncture, try working with a physical therapist for a couple of sessions. They can give you some exercises to strengthen your rotator cuff muscles and stabilize your shoulder.

 

*Names and identifying details have been changed.

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