Cianci Chiropractic recorded this webinar of which is one episode. The webinar is produced and recorded for the ear and they were designed to be either watched live on video or listened to via audio. If you are able to, we strongly recommend listening to/watching this episode which will include emotion and emphasis that isn’t obvious when reading a transcript. Our transcripts are generated using a combination of speech recognition software and humans. They may contain errors. Please check the corresponding audio before quoting in print. This is not meant to be chiropractic advice.

Webinar Host  00:04

Welcome to the webinar. Our topic today is how to get relief from neck and shoulder pain. This 25 Minute Webinar followed by q&a session promises to be an enlightening experience for anyone suffering from or interested in learning about neck and shoulder pain. Our expert chiropractors from c&c Chiropractic will delve into the root causes of this discomfort and offer practical advice on managing and alleviating these conditions. Please type your questions in the chat, and we will get to them at the end of the webinar. And at any time during this presentation, you are welcome to call the office for an appointment at 410-210-4562 or visit the site at Dr. cnc.com. And that’s Dr. CIAN ci.com. And book online. With that, I’ll hand it over to the the presentation to Dr. CNC. Please go ahead.

01:01

Thanks, Jen. Couple of things, we feel like we have a lot to cover here, I’ll lay out some of the top three things we’re going to be going over with regard to neck and shoulder issues. What I’ve seen over the years, 33 years in practice coming up here and another month or so, three things we want to go over is you know, number one, why are we talking about this topic? Why are we talking about it? Now? I’ll go over some of the things I’ve learned over the years. Who, who’s at stake? So see who tends to be affected? We’ll cover that. And then lastly, what you can, what can you do about it. So we’ll talk about some of what we do about it clinically. But we’ll also talk about some towards the end, we’ll have some self help tips.

We have some short two to three minute YouTube videos there go over some things you can easily do at home to also combat these things. So again, over the years, I’ve seen more and more things change with regard to patients. Clinically, we hear different things from a history standpoint, we hear different things from patients, neck and shoulder issues, or something we hear from patients every day, really, to some degree. And the thought process came up was you know, why are we Why would we do this webinar, so to speak. And it’s because we’re seeing more and more of it. We’ll talk a little bit about that. And we talked about neck and shoulder issues, we very often talk about some of the myths we sometimes hear, we’ll be at a social event. And if someone finds out, they’re retired, I’m a chiropractor and up to duty as a chiropractor, Dr. Phil ours chiropractor, it isn’t long before very often as you introduce that person, the person will actually grab their arm shot and they don’t say anything, but they just kind of grab their neck and shoulder area. And it’s almost the hidden sign, if you will, that they’re experiencing some issues that they weren’t you had some answers to it. Or they might say things like, well, you know, I have this issue in my neck. Do you mind talking about this? And I, we generally say, well, we love her job, so we don’t mind talking about it. And the last different questions. And one of the things sometimes patients will say, you know, my muscles are really kind of tight right here, you know, I think I need a massage.

And we’re all fans and the size, we recommend massage therapists to patients here in the office. And to have that done, we think it’s beneficial. But very often the cases we’ve seen are things that have lasted maybe more than a day or two, you can have a stiff neck and get a massage. And massage may help you with that. But the things we see generally go further than that. Various massage therapists will send patients to us because again, they realize as a, as a therapist, that there’s something more going on here, which leads to the neck and shoulder issues. Another myth so to speak, we hear from patients as patients will say, you know, these are kind of my stress points right through here. When I get stressed, that’s where I happen to notice it. And if I could just get rid of the stress, you know, if I this, my job gets me stressed out and my kids getting stressed out. And that leads to these areas right here the title, just get rid of the stress. And I might smile under under my mouth, if you will. Because again, oftentimes the problems at least that we see, stress doesn’t really cause the problem. It turns up the volume on a problem. It’s there. It just makes things more prominent, if you will. And the second part of the smirk, if you will, that I might have on my face might be that stress doesn’t really go away. Yes, there’s times when you’re more stress.

But stress isn’t going away.

I see a lot of patients who retired, they felt the stress would go away when they retired. And it did and it’s still there. Maybe it’s a little different now than it was when they were saying business or something but so again, stress alone doesn’t cause a problem. It just makes things worse that happened to already be there. More and more people are have neck and shoulder issues. I’ve seen this trend over the last 30 plus years. So as more and more people have that there’s some things that change that made it more prominent. One other item we’d like to go through a filter of philosophical approach, if you will, with regard to net Can shoulder issues? sure lots of people can have those issues. But that just something that just something that people have nowadays, what we do is we liken that to poor vision. Research tells us that 65% of the population has poor vision, meaning they need glasses, they need contacts, they need some sort of correction, if you will improve their vision. So poor vision isn’t normal. It’s just common. And we look at neck and shoulder issues the same, well, doesn’t everybody have a stiff neck and well, a lot of people can have it, it doesn’t make it normal. We don’t let people drive down the highway without correcting vision.

If we have the ability to help a person’s vision, we work on that. Imagine, if you will, if we did, driving down the highway, people couldn’t read exercise, they may not be able to read their GPS is to know when they’re going to make a turn or exactly where to make a turn. So the idea that we just well, a lot of people have neck and shoulder issues, just leave it there. Common doesn’t mean normal, we tend to fix things that we can. And again, neck and shoulder issues are easily fixable if you diagnose them correctly in the beginning. So that’s something to think about. Another thing we also talked about is the fact that we look, we check the neck on every patient, we check the entire spine and every patient, but we certainly look at the neck a little more closely if a person has an effing shoulder issues. But we always, if we have a neck issue, we check the shoulder. And if we have a shoulder issue, we check the neck, the nerves that go there we go to the rotator cuff, the nerves out of the neck of took rotator cuff. So we’re certainly going to check all those areas, we look at that together. And even if a person doesn’t have symptoms that are they may have sciatica, or a disc problem, it doesn’t matter, we check it, we think it’s that important. I think it’s that important that it gets addressed. So we check all those things no matter what I also look over my career 30 plus years, and I think of some other things that have happened. advancements, if you will, in technology that are great and wonderful we use every day, but they also lead to more problems.

Some of you if you’re younger, might laugh at this, but kind of in the late 80s, early 90s, there was something that was created, it was a laptop computer. So instead of the great big monitor that you had on your desk, this was a laptop, if you will, it was kind of cool. It’s kind of neat, you could fold it up and put it in a briefcase. And so that certainly has changed back then people would be in the airport, and they might be typing something up doing some word processing. But they might do that while they were waiting for a flight. And that’s kind of what a laptop was used for. Nowadays, most people have, most people have a laptop, and we have some people working on them day after day after day, you know, sitting there on the small screen, I’m exaggerating this so it’s easier on camera. But again, getting into a bad posture trying to read a small screen typing on a small keypads, we advise patients to do if you have to work on a laptop in your home, let’s say get a big monitor so you can attach it, attach it to the laptop so that you’re looking at a big monitor your heads more upright than it would be hunched over a screen. We also say hey, why don’t you get A a keyboard, so you don’t have to type on this little keyboard. I see a lot of teachers here.

One thing about teachers is teachers are forever students, they’re always grading papers or bending over talking to students, they have to take work home. And oftentimes they’re working on a laptop, again, hunched over, maybe working at the kitchen table. So that’s changed over time, more and more people working on laptops, and they’re not they’re really designed for short work, they’re not designed for hour after hour after hour. That leads to more stress in the neck and shoulders and leads to some of the problems we see. More and more people working from home now. Again, probably in a desk that really isn’t really set up for them. So again, we see head and neck and shoulder issues, because they’re hunched over a screen, hour after hour after hour, had some head of my truck worked on recently. Mechanic doesn’t pull out a wrench, he pulls out a computer, and he hooks it up to the truck so that that helps diagnose things, they can even make changes to the engine through the computer. So again, just the increased the amount of computer usage, laptop usage, tablet iPad usage, and then of course cell phones too, as well. It’s kind of taken over our society, if you will.

09:24

We’ve been asked to speak at a couple different places recently one kind of a Center for Lifelong Learning. Another support group asked us to come speak to as well and the presentation will be live. But they also have a zoom component where there’ll be people not unlike this. Connecting in and going through will go through our presentation they get to do it on the computer. Again, more computer time. years ago people if you had a meeting, you went to a conference room and you had a meeting together and and met together again. More and more computer usage more and more zoom calls. Cell phones if we think about that some of you are gonna get a laugh about this. But I remember back, we’ll just say 25 years ago, cell phones were getting more and more popular. And I remember hearing parents say, maybe at a sporting event or something, yeah, we’re not going to let our daughter get a cell phone until she’s 16. Then when she’s driving, we’ll know when she gets off on the cross practice, and she can keep us posted by having a cell phone, we’re not going to let her have her will have one earlier than that. And then maybe the age group went down a little lower. And it was, well, when they’re a teenager, they can have one and Well, again, now kids get cell phones sooner and sooner. They’re reading them and looking at them all the time getting in a bad posture, the same one you might have looking at, at a laptop computer, and it’s changing people’s structure. These are things that we see on X ray, where people change their structure.

And not only that the other day, I somewhat have a smirk on, if you will, I had a patient who had a nine month old, and a nine month old was watching the video on a on a cell phone. Fine, it keeps them distracted, if you will. But again, we’re training is even younger and younger and younger, using cell phones, swiping through things watching videos. So again, we’re they’re using them not only more often, but it’s in the younger age groups in the formative years. And that we’re seeing changes which will show an x ray soon, using technology has actually created a syndrome known as technic technology that actually cause neck issues, we see it more and more all the time. So we talked about the younger age group. What I’ve also seen is I remember 25 years ago, we’ll just say if the person talking was mid 50s to mid 60s, I remember these statements, I will never own a cell phone. If anyone wants to get a hold of me, they can just call my home phone. Why would you ever use one you don’t need one. And again, recently, I was at the American Museum for a presentation. The presentation happened to be in the middle of the day, I happen to move my patient hours a little bit, it was a presentation I really wanted to see I was excited to see. So actually move my patients a little bit and maybe a half hour or so. So that could attend the presentation. And then get back to the office and go back to work. Well, on a Wednesday at 2pm. Most anybody in the audience is probably not working. They’re retired people. And I remember sitting in a seat and then in front of me was five or six people, I’m guessing average age, age 70. And someone said, I just overheard? Can you go to dinner on the 17th? Can we all go to dinner on the 17th immediately all people an average age seven years old pulled out their cell phone, went through their calendar and look to see if that date was going to be okay.

So again, people didn’t think they would use one ever needs one using it all the time. So whether it’s a young person who’s getting trained in younger age, changing the shape of their spine, because of head posture leading later to neck and shoulder issues. Or if it’s somebody in their 70s and beyond. The thing about it is the tech isn’t going away, we could say well don’t use a computer, don’t use a cell phone. So little unrealistic. What we’re seeing more and more is that more progressive people are saying this is a real issue. It’s changing structure, which we’ll show you in a minute is changing functioning the way people feel. It’s not going away. So we have to be progressive and find a way to do something that combat the neck and shoulder issues to combat the effects of technological changes that have happened in our society. So those are some of the things that we that we tend to see. We’ve got to do something to combat the way the world has changed from electronic standpoint. So from a clinical standpoint, what are some of the things we see. So I have in front of me here, some X rays, examples, if you will, the one on this side over here, just so you know, here’s the back of the person’s skull, so their shoulders will be here and it’s a side view, it’s as if the the X ray was coming through the side of my neck, if you will, you’ll notice that the nerve curve forward, okay, that helps give your body cushion shock absorption, if you will, it takes some of it spreads out the stress if you will. If you go back to the Romans, they know that an ark is very, very strong, a lot of things are built on an ark, your neck is built on an ark to and a normal functioning mat tends to have that smooth bendable cord curve forward. I do my best to try to show this as well as see this. So we want to try to maintain that curve that would be a good normal curve. On the back the what attaches here from the back of the skull right on down to the shoulders neck is a lot of muscles, tendons, ligaments, they attach to the skull and they attach to the base of the neck in this curved pictured here normal. There’s less stress on the soft tissues, ligaments, tendons muscles on that connection. If you look over here on this side, you can see the neck was flattened out, it’s actually bent the opposite way.

So again, we’re putting a lot more stress on the muscles and ligaments and things that attached to the skull and attach to the shoulder neck. This happens from forward head posture, cell phones, computers, studying schoolwork. Teachers have forever have homework, their working day and working night. So those are the things we tend to see, that puts more stress on the desks. And we end up seeing structural changes with patients, we see the early onset of arthritis, that a patient coming in recently 27 years old, happened to bring their mother with them. And so told them they have some arthritis in their neck. mom couldn’t believe it. How could you have arthritis at age 27? Well, it’s probably been on a computer most of her life, and she’s been to college. And again, these are the things we tend to see. And we’re seeing it more in younger, younger age groups. So again, these are things we would happen to see. off here again, to the side, I mentioned in the beginning, that there’s a ligaments that attach to the base of the skull, we’re actually seeing in some cases where we’re attached to the base of the skull, almost a spur, if you will, grows there, you may have heard of a Healdsburg heel spur happens in the bottom of your heel, if the ligaments tendons and muscles where they attach to the heel will get stressed or pulled on year after year after year, we’ll build actually build a spur, you may have heard that before. Well, they actually the same thing can happen up here in the skull, where we actually can see a formation of a have an actual spur there too, as well, that’s chronic. That’s chronic pulling on the skull. And actually the problems and again, we see this more and more we’re seeing some some of this and younger and younger populations. So that’s that.

16:47

This one here, we’ve had patients come into our office who say, you know, I looked at myself in pictures at a wedding the other day, and I noticed by I had kind of a hump. I didn’t realize that my neck is something over and I feel like I have a lump there. And I know grandma mom or my great aunt has a hump neck. And I don’t want to look like that. Again, long term stress on your neck time and time again uncorrected can lead to things like that. We see that too, as well. I know Dr. Julia did an internship in Washington, DC, and it wasn’t uncommon for people to come in and say, this hump here. I’m 32. Why is it there? Again, it’s part of what we’ve discussed here today. So that’s some of the things we see on X ray. Some of the things we want to talk about is the process. What do we do about it kind of at that stage, what do we do about this thing, a couple of things with regard to neck and shoulder issues. When a person has an issue? There’s there’s a few things we want to find out. Number one, we do a history on them, we find out everything about them medically, whether they have diabetes or not. Are your parents alive? And what sort of back history do they have? Obviously, we find out if it was a neck and shoulder complaint, what’s involved? How long has that been there? Does it affect your work? Are you going to keep the job you work in a computer eight hours a day are you going to keep that job, so you’re continually subjected to that physical stress, but an entire health history would be one of the first things we would do. One of the next things we would do would be some nerve testing, we have instruments in our office to measure nerve function, we can see how the nerves are affected and the nerves make the muscles Tiger. We’ve got a bit of an example here of an of a nerve test, if you will, I’m going to do my best to see this and point some things out what you need to know is any on this particular side over here, we want to see as much white as possible. And as the colors change, that means a different amount of stress, a different amount of muscle contraction. On the on the muscles. Again, you can see lots of ribs and lots of different colors. This person obviously has tight musculature in their neck, too, as well.

And this is something we look at, initially. And then we look at throughout care. So we can tell progress by things we can measure, not just things we discuss about patients who come to us, we can bet they haven’t perhaps had this testing done before locally, because I’m not aware of anyone in the area that has the same technology that we have for doing that. So again, that’s some of the testing that we do, we can get objective evidence on it. Another thing we do and look at with patients I mentioned arthritis earlier, arthritis is really osteoarthritis is really just wear and tear or phrase. It’s you put stress on a bone long enough it will change. I’ve done a little model here that shows some of that very simply, again, to this side over here, the spine should have big thick discs present. You’ll notice on the side, the nerves come out the side here so when the spine is lined up appropriately, we’ve got good fixed spacing when a person gets out of alignment. Keep in mind they may be training themselves day in and day out with computers and cell phones or what What tends to happen over time is that the discs get thinner, eventually maybe leading to this. And we often kind of show the normal versus this one, it’s a little easier to see. But you can see some of the spacing is changed. Here, it’s thinner, we’ve got some spurs starting to form, they’re going to form form in the neck, they’re going to form in responding to the same ones we talked about with regard to the heals that can happen. That same process can happen in the spine. And we look at that we’re seeing this more and more again, in younger populations. So again, these are the things we look at with regard to X ray.

So getting back to the process itself. So consultation, history, examination, neurological testing, we do orthopedic testing, we do the computerized testing, we do as well, that a person has X rays, so we can really assess structure and function. How are those things affected? Later that night, our doctors all sit down and study and analyze the thumbs and the findings. And our goal is to answer four questions for people. Most important question, are you in the right place? Is this something we can help you with? So that’s number one. If we feel like we can help them, there’s three other things we want to answer. Yes, we can help. What’s wrong explained to you? How long will it take? How much will it cost? Those are the four questions most people want to know. And we sit down and lay that out, we may also to the doctors may get together and say, well, we want to do chiropractic adjustments. But we also want to add an exercise program in a rehabilitative exercise program. Because of the structure changes. Care is dictated based on what a person ends up having with regard to the findings that would dictate all of it. With regard to care. We have some patients who absolutely love kind of manual adjustments they love when they get their next move and their whole spine move, they may hear some popular clicking Some people love that and look forward to it. I would say most people do the analysis percentage of patients who don’t really want to hear popping and clicking. Thankfully, we have a lot of different other techniques we can do that get great results on issues. But again, taking into into account that some people don’t want to know and know and feel that I don’t go to my dentist and I don’t really love when dental hygienists scrapes my teeth, they have another technique, they use an ultrasound machine which does phenomenally well. But it’s more comfortable. For me, that’s just one of my things that I like, we obviously have patients that want the same thing with their spine, we’ve got various different techniques, Dr. Julius scaled and a lot of those softer techniques.

So whether a person’s, you know, wants to do the kind of older fashioned manual techniques, we can do that. And there’s a variety of other different software techniques that can be used, most people end up loving being taken care of. So again, that’s kind of how that process works. I will say that, too, as well. We said we would list some self help things. There’ll be some links towards the bottom with regard to YouTube videos that we have. And two to three minute videos, things you can do at home to combat this thing. Because again, it’s coming, it’s more tech isn’t going away, it’s getting more and more. Again, progressive people want to do something to counteract it. And some of those videos will help some of the people that that want to do some things at home to also combat this. So I think you had a few questions for Shannon.

Webinar Host  23:21

We sure did. So thank you, Dr. Cianci. That was a great presentation. We have six questions lined up for you.

Question 1

I have had neck surgery, but I’m still having problems. Would I be a good candidate for care with your clinic?

23:38

I would say yes, the hesitation is, again getting back, we’re going to look at that history, we’re going to find out what it is we’re going to look at the x rays. In the course of a day out, we’ll see six or eight people that have already had surgery. So can you be a candidate? Yes. Does it take a little more detail as far as history and examination, but those things tend to come up in consultation with patients and they happen. Think about one patient 30 plus years that didn’t tell us they had an awkward ship. We did see it on X ray, fortunately, but again, yes, they can be a candidate. And really and truly, people may be sitting there thinking I’ve had surgery, I can’t be a chiropractic patient. I would flip that around and say it’s even more important that they get their spine checked. If you’ve had hip surgery and you talk to people, it’s not uncommon for someone to say I had this segment operated on three years ago, but they had to go work on the one below it. I had to go back in or I had to go and work on the one above it. Like if you’ve had surgery on your spine, you want to take even more care of it from a non surgical approach because if you don’t the bad area for you, it will just spread so again gotta take important careful consideration with us people but we do these things all the time. It’s it’s it’s a daily occurrence that we see people like that and help them quite a bit. Right

Webinar Host  24:58

Question 2

The next question has to do with them someone being nervous about getting their neck adjusted. I know you went through some of the softer techniques that you have in your clinic, what would you say to someone who, who’s kind of scared to even make the appointment? Because they’re really nervous about getting their neck adjusted? And can you? Can you talk them through anything that might make them feel a little more comfortable to come in and get seen?

25:26

I will say with regard to that, we realize it’s a sensitive topic for people. Sometimes, if people are very nervous about the whole process, a person can come and schedule just a consultation. So we wouldn’t plan to do exams, we wouldn’t plan to do X rays, we just hear their history, and then perhaps answer some questions that they have. And sometimes that’s kind of a way to ease into the process. So hey, I have interest, I’m interested, but I have some concerns. So that’s sometimes almost a stepping stone where we get the history and get the information from them find out what their issue is, and just flat out tell them, Yes, it’s worth digging in deeper or No, it’s not. We didn’t have sometimes patients with that same scenario, will say, Hey, listen, why don’t you come in and watch a couple of people get care and see if you’re comfortable with it, you can even talk to some patients, patients are usually they want to talk to people, because they may have been someone like the person we’re talking about who I was really nervous at first, and I wasn’t so sure about it. There’s some things on our reviews talk about that. But if you want to talk to someone, we can while you can have you come in, do your consultation, say hey, why don’t you talk to a few patients, they were kind of nervous when they came into as well. We want to do everything we can to kind of bridge that gap. And those are some of the ways we would approach that.

Webinar Host  26:47

Question 3

Okay, that’s great. That’s great. Next question. I think you’ve answered it. But let’s dive a bit deeper on it. The question is, would you say you’re seeing more neck problems now as opposed to 30 years ago? You talked a lot about that being due to the tech. Is there any other reasons why you think you’re seeing more neck problems now?

27:09

Certainly, tech, is it because you start off with it in the morning, and you’ve probably let one of the last things people do at night is shut off their tech, hopefully they do. So that’s certainly part of it, too, as well. There’s been some things with regard to backpacks, and children have more and more kids, I, at one time, would take my daughter and her friends around lacrosse team and pick them up at school and we’d go practice lacrosse as an indoor facility. And I remember lifting those backpacks up and put them in my truck. And it was incredible. So again, we’re putting physical stress extra weight on a developing spine. So certainly that’s that’s a huge factor too, as well. We think that’s a big factor too. When we think of it, well, a heavy backpack would affect their lower back well, it causes them to lean forward to as well. So it’s a variety of things like that, that are that are affecting people. And again, earlier in earlier life, you know, we’re seeing that. So it was incredible how heavy these backpacks were. And we put those on our kids all the time. And again, the formative years. So I think that certainly has something to do with it. One of the things a little bit, I think the world has changed somewhat. I think we’re less physical. You see less farm kids and more computer kids. And so there’s not as much work done physical work. So I think in some ways, we’re not as fit as we were that way or as strong as we were, that we saw years ago. So that’s probably another factor. We all split firewood and start a fire to heat up our house to turn a dial, we probably do it on our phone, we did turn up the heat before we get there. So I think that’s also another factor too.

Webinar Host  28:54

Question 4

That’s makes sense. Next question here. Why should someone without pain or a current complaint, get evaluated by a chiropractor?

29:06

Again, explain the world and all the reasons why it puts more stress on patients. Also, too, we might have someone who comes in who’s having a sciatica issue and they don’t feel like the neck is affected. And we look we take x rays, and they look like some of the X rays we showed we showed you. Most of these problems, too are there festering and festering and festering for years sometimes decade’s worth before they become symptomatic. So again, the idea of getting on it ahead of time before it’s an issue just basically makes sense. You know, we don’t wait to our teeth hurt to brush them. We tend to do that proactively. The same thing is true with regard to a person’s spine, you know, do something proactively. It’s always easier, easier to take care of. And as I said, we’re none of us are immune to this as part of society. It’s not going away. It’s going to be there whether you have symptoms or not the patients who Come in with symptoms, oh, I’ve had this going on for three months, we look at their X rays and say, well, actually the cause of it’s probably been there, you know, 10 years or more, just based on looking at an x ray. So, again, you don’t have to just have symptoms to not to have a problem. Easier to get to anything when you get it, get at it ahead of time and just wait for it to be symptomatic.

30:20

That makes a lot of sense, somewhat like maintenance. Is that a fair comparison?.

30:25

Yep . And I think maintenance and also just being proactive. That’s so maintenance, almost, probably you’re gonna call it proactive. It’s before you have a problem. It’s not it’s not after you have water just trying to maintain. Notice little bit different terminology.

30:41

Question 5

Okay. All right, that makes sense. Next question is about frozen shoulder. So what is a frozen shoulder? And can chiropractic care help with it? And then could you please also explain what is a frozen shoulder? For those of us that haven’t heard of it yet? Okay.

30:59

So frozen shoulder, it basically means the shoulder is limited in motion. And it can be limited where a person can’t lift it at all. Or it could be I can lift one arm, but I can’t lift the other arm. What oftentimes happens is the muscles of the rotator cuff muscles, which are part of the shoulder area, they can be shortened, they can be restricted, it could come from an injury that wasn’t healed properly. And over time that the mobility goes down. It can also happen from bad nerve supply. We mentioned we look at shoulder neck and we also look at neck shoulder, they both can cause each other. If a person has bad nerve supply, or maybe their X rays look like some of the ones we showed you earlier. That means that the nerves are under constant stress, they put bad nerve signals, if you will to a muscle, and eventually the muscle shrinks up. And because the shoulder could be, quote, unquote, frozen, I’ll probably see, we’ll probably see eight or 10 variations of frozen shoulder in the course of the day, some of them can’t move at all. Some of them are in various stages of restriction on Gee, I can’t comb my hair, I just my arm out, but I can’t comb my hair. Some people didn’t know they had weakness in their in their rotator cuff. Hence the reason why we check it in the beginning no matter what whether the person has a neck issue or not always have shoulder rotator cuff have that connection. But that’s essentially what frozen shoulder is. Some people say I have been told I have a frozen shoulder, I don’t want to have an operation on it. One of the treatments is actually to put the person under anesthesia and not here but medically put the person under anesthesia force their arm up. Again, not a good thing to do with ligaments and tendons. But that can happen too as well. Frozen Shoulder means any restriction in the shoulder motion. If you don’t have proper motion above your head or something you have, you have some sort of a variation of a frozen shoulder. So

Webinar Host  33:01

okay, just on that, is there anything someone can do to avoid even getting frozen shoulder in the first place?

33:11

Think about it in are there some things you can do? Yeah, there are some videos and some of that self help videos towards the end will talk about the shoulder, neck, neck shoulder. So there are some self help things they can do there too, as well. I had that same smirk I had on earlier that usually a frozen shoulder comes on. So slowly, the person is less and less said I lift my arm up here. Well over time they have less than less and less mobility. The thing about it is when’s the last time you tested your shoulder mobility? Probably not. But all of a sudden they realize I can’t lift my arm up. It happens so slow, it’s hard to even know that you should do some things about it. But some of those short video clips that we have would address that someone.

Webinar Host  33:55

Question 6

Okay, great. Thank you. We got to the last question here. And it is I don’t have any shoulder pain. But I feel like the flexibility and mobility in my shoulders aren’t what they used to be. Why does this happen in Canada? Chiropractic health? So I think this is a little different from the frozen shoulder that you’re talking about. But anyways, could you help help this person with their question?

34:18

Sure. Again, the fact my mobility is not as good, my flexibility is not as good is probably the early, early, early, early signs of real frozen shoulder. Hence the reason why we as I’ve said several times, we look at neck, shoulder, shoulder neck. Also too as well. If you have bad nerve supply and you wouldn’t know it because you wouldn’t have to have necessarily a pain. It’s decreased the nerve impulses to the muscle. It’s not as healthy it doesn’t heal as well. Some of the tech stuff we talked about with tech neck and computers and things. It tends to pull the pull the shoulder muscles forward So again, if you spend most of the day on a computer, typing in all the time, you tend to pull things shorter. What happens over time to muscles? Is they short. So you might say, well, guy, shoulders are just stiff, they don’t move like they should they don’t move like they used to. Again, sometimes a personal statement, my flexibility is not as good. When I drive my car, I noticed I could look to the right, but I can’t really look well to the left. These are some signs that the neck and shoulder issues we talked about are starting to happen. It just isn’t real obvious yet and may not be five years symptomatically. But it may not be obvious from a motion standpoint, either as well, that’s kind of more of the earlier signs. There are some things that will be in the short videos, clips that we mentioned that can help. That will help you can be proactive on that so that you can try to get some of that mobility back before you have a major problem.

Webinar Host  35:50

Wonderful. That was great. Those are all the questions we have for today. So I just want to thank everyone for joining us today, the webinar recorder recording will be available to rewatch within a week. Please call our office for an appointment at 410-210-4562 or visit our website book online.  Thank you for joining us for the webinar today and have a great day

YouTube video links referred to in the webinar:

Shoulder Pain Playlist: https://www.youtube.com/playlist?list=PLpFVkuOx7AM61tedWMOLhzbHFhcr81pjX 
Neck Pain Playlist: https://www.youtube.com/playlist?list=PLpFVkuOx7AM58KFd9wVLhWd4Lhcqm7d3o