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The Top Shelf

The Top Shelf Shoulder Injury
Shoulder Rehabilitation and Regular Chiropractic Care
Effective shoulder rehabilitation frequently depends on factors other than those related to the shoulder itself. For example, obtaining improved shoulder range of motion and improved shoulder girdle strength may be directly related to the functioning of your neck and the regional neck musculature.

Your seven neck vertebras have a big responsibility. Not only do they support the weight of your head all day long, but they also provide a structural framework for the complex web of muscles that move your head in all directions and interface with chest muscles involved in respiration. Beyond this, regional neck muscles are closely interconnected with shoulder girdle muscles. Rehabbing the shoulder means paying attention to neck muscles as well. Regular chiropractic care helps ensure that the spinal joints and muscles of your neck are functioning at peak efficiency. Therefore, regular chiropractic care is a critical component of any successful shoulder rehabilitation program.

Many adults begin to develop shoulder pain, even though they may not have sustained a specific injury. It's important to pay attention to such shoulder issues, as a healthy shoulder joint is the key to full function of the upper extremities. We all know at least one person whose ability to perform normal activities of daily living has been significantly compromised by chronic shoulder pain. Conservative treatment may be of benefit, but the key, as always, is to prevent these problems before they occur. The primary prophylactic intervention, as is the case for most musculoskeletal conditions, is exercise.

We all agree that the human body's design is magnificent. Every component has a purpose, down to the smallest cell. Every system is deeply interconnected with every other. Miraculously, the whole is much greater than the sum of the parts. And yet, there are a few "gotchas" built-in to this ingenious design. With respect to the shoulder, the "gotcha" relates to the shoulder joint's extraordinary mobility. The shoulder joint has the greatest range of motion of all the joints in your body. But this extreme mobility comes at a price, that is, the shoulder joint is not a particularly stable joint. For example, shoulder dislocations comprise approximately 50% of all such injuries.

Shoulder pain in the absence of a specific injury often represents damage to the rotator cuff. Again, the design of the shoulder joint and surrounding soft tissues is implicated in these rotator cuff problems. The blood supply to the bones, muscles, ligaments, and tendons of the shoulder is consistently compromised during normal motion of the shoulder above 90º, as in placing an object on or taking an object down from the top shelf in a kitchen cabinet. If much of your day is spent with your arm elevated above 90º to the front or to the side, over time you may develop nagging shoulder pain. Worse, with persistent repetitive motion above 90º, nagging shoulder pain may become chronic pain that restricts activities.

The best approach to shoulder problems is to become aware of the rotator cuff's well-known tendency to develop degenerative changes. We can be proactive by doing strength-training exercises for the shoulder and incorporating these exercises in our weekly exercise program as soon as possible.1,2 Beginning such exercises in the teenage years would be ideal. For those of us who are older, the right time to begin shoulder strength training is now. Shoulder exercises stimulate growth of new muscle fibers, increase the size of muscle fibers already in existence, and stimulate growth of nerve fibers bringing information to and from all shoulder girdle structures.

Shoulder exercises should be done once or twice a week as part of your overall fitness program. As with all exercise that's new to you, start slowly and gradually increase the level of difficulty over time.3 The result of all this activity is a dramatically improved blood supply to the shoulder region and a dramatically reduced tendency for rotator cuff degeneration and injury.

1Choi SH, Lee BH: Clinical Usefulness of Shoulder Stability Exercises for Middle-aged Women. J Phys Ther Sci 25(10):1243-1246, 2013
2Saltychev M, et al: Conservative treatment or surgery for shoulder impingement: systematic review and meta-analysis. Disabil Rehabil 37(1):1-8, 2015
Another example of a common issues 
3Daenen L, et al: Exercise, not to exercise, or how to exercise in patients with chronic pain? Applying science to practice. Clin J Pain 31(2):108-114, 2015

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We have two locations:

  • STAMFORD

Conveniently located in Downtown Stamford

1 Atlantic Street
2nd Floor
Stamford, CT 06901

Located on the corner of Atlantic and Bedford Streets across from the Ferguson Library and McDonalds on the second floor of the Bank of America building

  • NORWALK

Conveniently located on Rt. 7 between the DMV and Merritt Parkway

488 Main Avenue
2nd Floor
Norwalk, CT 06851

Located on the corner of Main Avenue and Valley View Road across the street from Merritt Building 301

We value our patients' experience at Stamford Sports & Spine. If you are currently a patient, please feel free to complete the following Client Experience Questionnaire. The Questionnaire is in Adobe Acrobat format, and requires the free Acrobat Reader to view.

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Dr. Andrew Zomick & Dr. David Avallon

I have been coming to Stamford Sports and Spine for almost 10 years. I am active and have unfortunately been in a few car accidents. The care and treatment offered at Stamford Sports and Spine is world class and without them I would be living with an inordinate amount of pain and discomfort. Going to Stamford Sports and Spine has made my injuries manageable.

--James


Very good team of therapists. Flexible and available schedule. They helped get my teenage athletes back on the field in half the time.

--Shawn


I was experiencing some pain in my right shoulder and numbness down my arm to my hand. The range of motion in my shoulder was limited and I could not participate in volleyball. Dr. Z came to our office offering a free chair massage and a chance to come in for an evaluation. I did this and we worked out a treatment plan that included therapy and adjustments. I noticed in the first few weeks the pain subsided greatly in my shoulder. The numbness in the arm and hand were present but noticeably better. After three weeks, the range of motion in my shoulder was back to normal and the pain was gone. Now after one month of therapy the numbness in the arm is extremely better and I do not notice the symptoms as often as I used to. Coming into the office has helped tremendously. I can now play volleyball pain-free.

--Mary


After moving from London to the USA, two weeks into living in Stamford and having carried and unpacked a lot of heavy boxes my shoulder froze and I was in a great deal of constant pain. After finding Stamford Sports & Spine on the internet I made an appointment and the corrective programme S.S.S. put together for me meant that I immediately had some pain relief, and over the next few weeks the pain left completely. The programme is also ensuring that I am not only pain free but fully corrected so as this problem should not occur again. Very friendly staff and very detailed assessment programme that has ensured my full recovery.

--Laura


From my first visit to Stamford Sports & Spine I was extremely impressed and pleased with their service. Everyone including staff and doctors were very knowledgeable with their chiropractic services. I learned a great deal about my symptoms and overall care more than I expected. I have visited a few other chiropractors but none were as thorough as Stamford Sports & Spine. I was experiencing severe pain in my shoulder and arm and after a few visits my pain decreased substantially. I really appreciate all the services from the adjustments, rollers and even exercise room. I would highly recommend this facility to everyone. The entire staff are friendly, professional and just simply great!

--Sherri


Everyone was incredibly professional and helpful.  The staff is friendly and goes beyond what was expected to meet my needs and education me about my condition.

--Jon


Came in with severe and constant numbness and tingling in my legs and feet. The treatment worked quickly and resolved all of my symptoms. Thanks!

--Erik


My arms were falling asleep every night and had numbness and tingling during the day. I no longer have any of those symptoms during the day and have very rare episodes of pain at night due to my treatment here at Stamford Sports & Spine

--Eric


I came in for hip pain and stiff neck that also affected my right arm and hand. Using the relaxing rolling / traction bed and electrical muscle stimulation along with stretching and the adjustments my hip pain is gone. I can walk without sharp pains running up and down my legs. My neck range of motion has improved and my muscles are more flexible and less spastic.

--Karen


I had severe neck pain which was aggravated by a recent move. I have been coming to be adjusted for a few weeks now and not only has it helped with the neck pain I had been experiencing, but it has also made me feel better overall. I feel like I am able to sit up straighter, and my muscles are looser and less tense. I no longer have the intense pain I had once been experiencing

--Kim


When I came in my pain was a 10 out of 10. After just one week of care my pain went down to a 4 and has been improving ever since. The staff are very friendly and great educators. I learned a lot about my body and how to take better care of myself.

--Heidi


After a car accident,  I had to seek help for my upper back and neck pain. Slowly but surely I started to feel better, not immediately, but by keeping up with my visits with Dr. Q & Dr. Z. Now I can tell you that I feel leaps and bounds better, and am now looking forward to a pain-free summer.

--Rudy


I have been with Stamford Sports & Spine for more than a year now. I still remember how much pain I was in during my first session. I can now walk in and out without any aches or pains.

--Rick


When I first started going to Stamford Sports & Spine, my back had been seizing up with alarming regularity. After just a few months of working with Dr. Z and Dr. Q, I feel much more confident in my daily activities and have even been able to return to the gym.

--Dan


Thank you to Dr. Z, Dr. Q and the whole Stamford Sports & Spine team! For many years, I have been suffering from severe back pain that would sometimes keep me from going to work. The recurring pain would come and go and I couldn't figure out what I was doing to cause it. When I came to the office, Dr. Z took x-rays, did a complete examination and educated me as to what was happening and why. I began treatment and was given exercises to prevent these injuries from happening in the future. Since starting the treatment, I have seen a great improvement in my back. The pain is gone and I have an increased range of motion. Thanks again to the entire staff who are very friendly and always willing to accommodate my hectic schedule when I make appointments.

--Ron


The strabismus in my eyes caused a vertical deviation in my eye placement.  This resulted in my head naturally tilting to the right and throwing my muscular structure in my neck and shoulders off.  I had accepted the tilt and tightness as a way of life and a natural dis-figuration of my spine.  I almost didn't sign on for initial treatment.  After 3 visits I have already noticed a difference in the position of my head, my posture and regular comfort levels.  There is still a ways to go to rid that area of  a lifetime of dysfunction, but what a relief to know it's treatable and already improving.

-Jenn


I found Dr. Z and Dr. Q earlier in the week after experiencing some back pain and sciatica. After the consultation and x-rays I began therapy. After just 2 treatments I felt much better and had a significant reduction in discomfort in the area of concern. I am looking forward to continuing my treatment in an effort for long term recovery and a return to my heavy exercise routine.

--Tom


FANTASTIC. When I leave I feel like a whole new woman. I have been going there for my neck pain and headaches for about 1 year now; off and on and ever since I started treatment there my headaches have been reduced to one every few months instead of a few every month. The intensity of of my pain has also been reduced to almost nothing. The doctors seem to have a very friendly relationship with all of the patients and I feel very welcomed by the staff as well. Not to mention I love how they incorporate therapeutic massages into my treatment. I have since sent over many of my colleagues and family, who also share the same feelings. Thank you.

--Bri


I had a great experience. My low back pain is completely gone. I found the staff extremely knowledgeable, accommodating and friendly. I would highly recommend them.

--Jay F.

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