DIAGNOSING AND TREATING PEOPLE WITH SLAP TEARS OF THE GLENOID LABRUM
"Instead of the roof of the subacromial space (the AC joint) coming down and pressing on the structures, I really think that most of it is that the floor (the glenoid ball of the shoulder) is coming up." This means that inferior glide of the humeral head is a must!
Watch as these same two physical therapists demonstrate four different orthopedic tests used to determine the likelihood that your shoulder problem is an impingement or something else (HERE).
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CHRONIC SHOULDER PAIN LIMITS A RETIRED FARMER / RANCHER
Glenn was about 75% better after his first treatment and decided to return for one more about a month later. Yesterday Glenn came in with the other shoulder messed up to the point he could not raise it high enough to saddle his horse. After fixing it in about 10 minutes, I asked if he would be willing to talk about his experiences on camera. This is the result.
PIRIFORMIS SYNDROME / CHRONIC HIP FLEXOR PROBLEMS
RELIEF IN A SINGLE VISIT!
Due to a CAR CRASH that she was involved in something like 12 years ago, Angela had gotten to the point she could barely function. At first, she could not get off my table without extreme effort and she could not flex more than a few inches when trying to perform an air squat (she shook). When I finished with her, she could put her rear end almost on the floor in a very deep squat and hold it there without shaking! What were her problems? I realized almost immediately that although she believed her issue to be PIRIFORMIS SYNDROME (she did have a touch of this or SOMETHING THAT CAUSES SIMILAR SYMPTOMS), her main problem was an absolutely brutal unilateral HIP FLEXOR PROBLEM (I also solved a chronic SHOULDER PROBLEM for her as well).
This video was shot almost two weeks ago, immediately after treatment. I told Angela I would wait to post it to make sure her results held up. I got her email this morning. Angela, I am in awe of what you have done with your life. The good people of Columbus, Reynoldsburg, and the surrounding areas are blessed to have you in their corner, helping them fight the good fight in every way ("every way" means the five points of her program; physical, mental, emotional, spiritual, and financial)! You're awesome Angela, and meeting you was both a pleasure and a privilege! May God bless you and your endeavors.
Below is an update from 1/4/2018 --- not quite two months after a second treatment. It seems that Angela may have got a bit rambunctious in the gym after feeling so good when she got back home after her first visit. She did things a bit different after her second treatment.
Hello Dr. Schierling,
I hope you and your family are doing well. I wanted to update you on my health since I last saw you (it'll be 60 days on January 7). I am happy (very happy) to report that I am feeling much better. I'd say I'm about 90% better than before my last visit and the only reason I'm not saying 100% is because I still have some stiffness and an occasional shooting pain in my tailbone area.
However, I am finally walking with no limp at all and the numbness and tingling that was throbbing from my tailbone to my foot is gone. I am also still able to squat low and my knee flexion has greatly improved. I found that while training clients I no longer have to constantly keep moving around. Before, if I stood in place any more than a few minutes I'd get terrible, sharp pains and eventually go numb. This hasn't happened although I do still move around just to make sure I don't get stiff.
This time, what I did differently is took two weeks and completely rested. I didn't train clients, I didn't lift anything over 5 lbs and I kept my legs elevated. I did my stretching daily and sat in the sauna at the gym. No exercise at all. I don't know if this combination of things is what did the trick but this is the first time I've been nearly pain free in four years.
Your scar tissue remodeling technique works! It's the right amount of applied pressure, going deep enough to make a change. A significant change. And the temporary discomfort, for me, was beyond worth living with daily chronic pain.
Thank you so much for your help. I'll update you again at my 6 month mark.
CHRONIC SEVERE SHOULDER PAIN
SOLVED IN A SINGLE VISIT
Lisa had been to her doctor, been to the specialist, gotten an MRI, been given the usual MEDS (and SHOTS), and was ready to start THERAPY. With deductibles so blasted high these days, she had already spent a fortune and didn't really want to have to spend a lot more. She wanted a better solution. That's when she came to see us. I suppose I could hide a tiny little disclaimer at the bottom of this video warning you that Lisa's results are not typical of most of the patients we see, but that would be untrue. The proof? Take a look at some of our hundreds of other TESTIMONIALS.
If you want to see what makes a visit to my clinic a radically different experience than almost anywhere else you'll go, take a look at THIS, THIS, THIS, THIS, or THIS. BTW, our phone number is (417) 934-6337.
CHRONIC SHOULDER PAIN SOLVED IN ONE VISIT
CHRONIC SHOULDER PAIN SOLVED!
SHOULDER INJURY DUE TO FULL-CONTACT KARATE
"I am a 50 year old pharmacist who has been practicing karate for the past 4 years. In addition to traditional exercises, such as push ups, and stretching, I regularly participate in full contact sparing. Over time I developed an issue with my right shoulder, which gave me constant pain. It was particularly annoying when trying to sleep on my right side as the pain would wake me up. I tried various stretches, ibuprofen, muscle rubs, and time off from working out, but the pain did not go away. I explained this to Dr. Schierling who suspected I had an issue in my rotator cuff caused by a tangling of the soft tissues. He proceeded to perform one of his "scar tissue remodeling" procedures on me, then instructed me to do specific stretches over the next week, with no impact exercises during that time. Almost immediately after the procedure I felt relief. That first night I had NO pain while sleeping. And since the procedure I have gone back to regular activities (including sparing) with ZERO pain."
SCAR TISSUE otherwise known in the medical community as "FIBROSIS" is nasty stuff. It's easy to understand why, once you realize that the most potentially pain-sensitive tissue in the body (FASCIA) is also the most abundant; and it does not image with standard medical testing such as MRI (HERE). If you are interested in seeing more testimonials concerning the work done here in Mountain View, MO, THIS IS THE LINK to follow. BTW Scott, I thoroughly enjoyed getting to spend some time catching up with you. You and your family have a blessed 2016!
OSGOOD SCHLATTER SYNDROME & CHRONIC SHOULDER PAIN
A COUPLE OF TESTIMONIALS
Ben had been referred to me my a buddy of his (a buddy who would love for me to use his name, but due to HIPPA Laws shall remain anonymous) who referred him in to see me about a year ago for Chronic Low Back Pain and Sciatica. Ben had been dealing with this problem for a long time, but no matter what he did, he could not find lasting relief (adjustments would help, but the results never lasted). I quickly discovered that he had FIBROSIS (microscopic "SCAR TISSUE") forming on his THORACOLUMBAR FASCIA. One treatment was all it took took to solve the problem. And after seeing him this past Wednesday for a MESSED UP SHOULDER, I received this email from him on Thursday.
I just wanted to thank you so much for fixing my shoulder. I had a full night's sleep for the first time in two months. I can't believe how well that tissue remodeling works, but it does.
As many of you know, I see lots and lots of patients from ALL OVER THE U.S. --- and even a few from the other side of the globe (HERE and HERE). Kana only had to travel 6 hours to get here. And like I suggest to those who are physically capable; while she, her mom, and a good friend were here, they made a VACATION OF IT.
Kana is an elite gymnast with muscles on top of her muscles. She had been suffering with bilateral OSGOOD SCHLATTER SYNDROME to the point that she could no longer practice, let alone compete. Honestly, it was a simple fix. In fact, to the best of my knowledge, we have never had one fail to get radically better, if not completely well. After treating her one time a couple of wees ago, I received this email yesterday morning from Kana's mother, Samyoung Gaither, of Manhattan, Kansas (home of my alma mater --- Kansas State University).
Thank you for your thoughtfulness. Kana is doing so well. She does not complain about her knee pain since she had soft tissue remodeling. I am so glad we made the decision to go see you. Thank you so much!
Honestly, it's my pleasure. Like I said, it's what I do ---- my life's purpose. And guess what? Tomorrow is Monday!
SOLUTIONS FOR THOSE STRUGGLING
WITH CHRONIC SHOULDER PAIN
"Rotator cuff repair surgery and postoperative rehabilitation continue to be some of the most debated topics on the shoulder at orthopedic and physical therapy conferences. Numerous studies have been published showing the failure rate of rotator cuff repair surgery ranges anywhere from 25-90%." Dr. Michael Reinold, DPT, athletic trainer, certified strength and conditioning specialist, and consultant to MLB teams, from his November 2013 article, Can Physical Therapy for Rotator Cuff Tears Prevent Surgery?
"In fact, tests like MRI will often times throw us off the trail. Case in point is an informal study that was done a few years ago by the most famous orthopedic surgeon in the history of modern sports, Dr. James Andrews. Dr. Andrews had a hunch that MRI's were not telling the whole story as far as his shoulder patients were concerned. How did he test this hypothesis? He did MRI scans on the pitching shoulders of 31 professional baseball pitchers that were visiting him for other reasons. In other words, these guys had no known throwing problems or pain in their throwing shoulders. Amazingly, he found that 90% of these "healthy" big league pitchers had cartilage problems and Rotator Cuff tendon issues. He concluded the study by making a shocking observation ----- the only excuse a doctor really needs to operate on a shoulder is an MRI. And interestingly enough, the scientific medical literature bears out what he is saying." From my September 30, 2012 article called, Common Shoulder Problems.....
Let me start out by saying that there are so many different types of Shoulder Pain / Shoulder Pathologies that I could never cover them all in this space. And unfortunately, not all of them respond favorably to conservative care. For instance, I have written about Shoulder Separations -vs- Shoulder Dislocations (HERE) --- neither of which I treat when acute (although COLD LASER THERAPY and taping techniques can help with the former). However, there are several types of common shoulder problems that I can typically help people with. Some of them include........
- ROTATOR CUFF PROBLEMS: Whether or not I can help people with ROTATOR CUFF PROBLEMS completely depends on the severity of the problem (i.e. the extent of the tearing). Because there is no specific threshold, my best suggestion would be that as long as the tendon is not completely torn --- to try a TISSUE REMODELING treatment with the Cold Laser and see how you do. You will know in one treatment whether or not this approach is going to help. Be aware that exercises / stretches / strengthening can often help these sorts of problems as well. Always remember that trying conservative methods prior to surgery is highly recommended. This is because even when Rotator Cuff Surgery does work, the rehab is long and difficult. Oh; one more thing. When it comes to Rotator Cuff Problems, people will always swear that their problem is deep inside the joint (HERE). On occasion they are correct, but remember that I can get to 3 of the 4 muscles that make up the Rotator Cuff group.
- SUPRASPINATUS PROBLEMS: I included the Supraspinatus Muscle as a distinct entity from the Rotator Cuff. However, it is actually one of the four muscles that make up the Rotator Cuff, and happens to be the one that is by far the most commonly injured --- some studies say it's the problem 95% of the time that the Rotator Cuff is involved (HERE). It is also about the easiest one to get to for treatment.
- BICEP TENDINOSIS: Although BICEP TENDINOSIS is commonly mistaken for a Rotator Cuff problem, it is not. This is likely because the Biceps Tendon attaches near (just below) the "point" of the shoulder (HERE). Our conservative approach works for most biceps problems, short of total avulsion / rupture.
- FASCIAL ADHESIONS: This is probably the single most common cause for Shoulder Pain that I see. The medical community will refer to these injuries as "sprains and strains" or pulled muscles. In most cases, these will respond like gangbusters to Tissue Remodeling. Although they are typically a much more "chronic" problem, I will throw TRIGGER POINTS or "Myofascial Syndrome" into the mix as well because they are most commonly seen in the shoulder / trapezius area. To better understand the FASCIA, just click the link and start reading.
- RADICULOPATHY: Although this can sometimes be due to Disc Herniation, far more often it is the result of something called "RADICULOPATHY". Radiculopathy is analogous to SCIATICA that occurs in the leg --- only it occurs in the shoulder, arm, and hand. People get numbness, tingling, pain, weakness, etc, as the result of nerve interference from SUBLUXATION that occurs in the lower neck / upper back. Bear in mind that while Radiculopathy can cause pain and other symptoms in the shoulder, it can in no ways be considered a true "Shoulder Problem".
- SHOULDER ARTHRITIS: Degenerative Arthritis (also called Osteoarthritis or DEGENERATIVE JOINT DISEASE) is a bummer. However, if you can make the appropriate lifestyle changes needed (HERE) to curb INFLAMMATION ("itis" is the Latin word for Inflammation), you can do amazing things for this all too common problem. Unfortunately, if you let the joint proceed to a totally degenerative state, you will likely need surgery.
- ADHESIVE CAPSULITIS (FROZEN SHOULDER SYNDROME): This is where the ligamentous "capsule" that surrounds the shoulder joint, "freezes" and adheses. This capsule is there for both strength and keeping the lubricating joint fluid inside the joint where it needs to be. Unfortunately, my Tissue Remodeling Treatment cannot reach an adhesed shoulder capsule as it is too deep. But all is not lost. This is another problem that a Cold Laser can do wonders for, and will likely require some hardcore therapy and stretching as well (most of which you can do at home). Because this is another one of those problems with "itis" in the name, getting Inflammation out of your life (like in the previous bullet point) is critical for full resolution. Interestingly enough, this same protocol is essentially what one would use for the RHEUMATOID ARTHRITIS that frequently causes Adhesive Capsulitis.
- SHOULDER BURSITIS: Yet another entry from the "itis" family. To learn more about BURSITIS, just follow the link.
Although there are any number of other things that can go wrong with a shoulder, this list covers what the average person might face in their lifetime. For the record, having a SHOULDER CT / MRI is not always what it's cracked up to be, and might be worse than not having one. I could probably say the same thing about NSAIDS and / or CORTICOSTEROIDS. Although you may end up needing surgery for your particular shoulder problem, I would suggest you get multiple opinions and try everything in your power to avoid it.
Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic. He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since. He and his wife Amy have four children (three daughters and a son).
Brain Based Therapy
Can You Help
Cardio Or Strength
Cold Laser Therapy
Death By Medicine
Degenerative Joint Disease
D's Of Chronic Pain
Evidence Based Medicine
Gluten Cross Reactivity
Ice Or Heat
Jacks Fork River
Leaky Gut Syndrome
Number One Health Problem
Platelet Rich Therapy
Post Surgical Scarring
Re Invent Yourself
Rib And Chest Pain
Scar Tissue Removal
Sleeping Pills Kill
Stay Or Go
Stretching Post Treatment
Tensegrity And Fascia
The Big Four
Thoracic Outlet Syndrome
Whole Body Vibration