Shoulder Pain

Jane is 46-year-old woman dealing with chronic shoulder pain. Happy in her second marriage, Jane has two children, but for more than 30 years suffered severe pain in her right shoulder. The pain had increased so much that she couldn’t even do basic household chores. Her first visit left her feeling peaceful, but the pain persisted and she returned for more treatment. At her second treatment, Jane broke down in tears as she remembered the emotional stresses of her first marriage. During an argument with her first husband, she strained her shoulder while struggling to install a baby seat in her car. She had carried the emotional scar of that troubled marriage for three decades.After her session of OMT, Jane felt her shoulder pain dissipate and return to normal movement. Since that day, Jane’s shoulder has continued to function normally and without pain and no more treatments were needed.


Robert filed a WCOMP claim for a shoulder strain 2 years before visiting my office. The shoulder pain was much better after a course of physical therapy, but did not completely resolve. By the time he came to see me, his primary symptoms were elbow pain, which I diagnosed as epicondylitis or tennis elbow, and some numbness in his fingers, which I diagnosed as carpal tunnel syndrome. His WCOMP insurance denied these new conditions, but Dr. Sacon worked with Robert’s lawyer to fight the issue. She referred them to a few experts to corroborate Robert’s argument with the IME. They additionally required nerve conduction studies. With Dr. Sacon’s assistance, the new conditions were approved and treatment commenced.


We began by discussing Robert’s ergonomics at work, helping him recognize that his work station was too high for him and that his computer mouse was too far away. We corrected these issues and got him some ergonomic gloves and a new lateral mouse. It’s been 10 years since the original injury and although Robert’s symptoms are better for 7-10 days after OMT, they always return after a full week of work. To offset his symptoms, Robert wears a brace on his elbow at work, and braces on his wrists when he sleeps. Markedly increased symptoms occasionally surface after working overtime or doing hard physical labor around the house, but short courses of OMT, physical therapy, and acupuncture alleviate these flare ups. Though he continues to experience symptoms, Robert is able to participate in full recreational activities and sleep soundly without problems.


Ken sought help for an acute shoulder strain. After my examination I ordered an MRI and recommended surgery. OMT is not always the answer, but it is still best to seek a second opinion when considering surgery, as many times it can be avoided.


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