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Smart Shoulders

Our shoulder joints have the greatest range of motion of any of the musculoskeletal joints in our bodies. The shoulder joint is really two joints, the glenohumeral joint between the arm bone (humerus) and the shoulder blade (scapula) and the acromioclavicular joint between the acromion (a bony projection off the scapula) and the collarbone (clavicle). The glenohumeral joint is a ball-and-socket joint and the acromioclavicular joint is a gliding joint.

Acting together, these joints enable the shoulder to achieve a full 360º of motion in both the frontal (side to side) and sagittal (front and back) three-dimensional planes. The important caveat is that this extensive freedom of motion comes with a price: the shoulder not only has the most mobility, but is also the most unstable joint in the body.

The glenohumeral joint may be easily dislocated, most typically by a fall on an outstretched arm. The ligaments of the acromioclavicular joint are easily sprained and the joint itself is easily dislocated. Acromioclavicular joint injuries may be described as "AC separations". Overall, injuries to the shoulder joint are common, most frequently experienced by people participating in exercise activities and sports and by older people as a result of a fall.

The shoulder joint has built-in protection in the form of the four muscles comprising the rotator cuff, the supraspinatus, infraspinatus, teres minor, and subscapularis.1 The rotator cuff muscles participate in all shoulder joint and upper arm motions and provide stabilization to the shoulder as the joint moves through three-dimensional space. But the rotator cuff muscle group is itself subject to injury (muscle tears) and degeneration as a person ages of the tendons that attach the muscles to the shoulder and arm bones.

Thus, the shoulder joint needs additional protections to maintain its structural integrity and mechanical performance.

In days gone by, people did demanding physical work every day, automatically providing training and resilience to the anatomical components of the shoulder. But in the 21st century, with the decline of the farming and manufacturing sectors and the rise of the service economy, most people no longer engage in actual physical work. As a result, most of us require regular vigorous exercise to maintain physical fitness and good health. With specific respect to the shoulder, upper body strength training exercises will help provide the necessary activity and mobility to ensure ongoing functionality of our shoulder joints. 2,3

As well, obtaining regular chiropractic care helps ensure that our spines are working properly, providing effective mechanical support to our shoulder joints, and that our nerve systems are working at high levels to coordinate all the physiological activities necessary to our long-term health and well-being.

  1. Sangwan S, et al: Stabilizing characteristics of rotator cuff muscles: a systematic review. Disabil Rehabil 37(12):1033-1043, 2015

  2. Heron SR, et al: Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy 103(2):167-173, 2017

  3. Abdulla SY, et al: Is exercise effective for the management of subacromial impingement syndrome and other soft tissue injuries of the shoulder? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Man Ther 20(5):646-656, 2015

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8:00 am-4:00 pm

Tuesday:

8:00 am-4:00 pm

Wednesday:

8:00 am-4:00 pm

Thursday:

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Testimonials

  • "Regular visits with Dr. Roeder have significantly reduced the frequency of migraines I have suffered and the amount of neck and shoulder pain I have lived with for years. Because of Dr. Roeder I am able to focus on my busy life again"
    S.L., San Diego
  • "This was my first encounter with a chiropractor and found the experience to be delightful, gratifying and well worth it! Instead of being given a bunch of pills and told to come back next week, the manipulation for my back and side injuries including carpal tunnel syndrome, responded very well to the treatments. Thank you, Dr. Roeder for a job well done"
    W.B., San Diego
  • "I came in originally for neck pain, but getting adjusted helped lower my blood pressure & my insulin levels too.Dr. Roeder is so thorough in her care-I never knew how much better I could feel.I no longer have to take blood pressure medicine now."
    A.W., San Diego
  • "Since meeting Dr. Roeder at a health seminar, she has changed my life, drastically-improving my health 100%. I had a wide range of symptoms, including chronic fatigue, constant and severe headaches, body aches, nausea, difficulty concentrating and I felt extremely tired and weak. She diagnosed me with having Fibromyalgia and Candida. She put me on an anti-inflammatory diet and started me on chiropractic treatment and instructed me on strength exercises. I have lost 40 lbs and feel fantastic! Whenever I eat something that sets off a symptom, I can identify the food source now. I know how to eat well and stay away from foods that cause inflammation. Had it not been for Dr. Roeder's expert care, I believe I would still be suffering from all those symptoms-- instead I feel fantastic!"
    M.O., Spring Valley
  • "My son was diagnosed at a very young age with Hyperkyphosis. The doctor told us that surgery would be his only option but we needed to wait until he got older.My husband and I were heartbroken to think about such a major surgery for our little boy.We wanted to help him anyway we could without doing surgery. We are so thrilled to say that after seeing Dr. Roeder my son's back has made a major improvement.That there is a stronger chance that he may not need surgery after all.My son is three now and he is a very active little boy and you can't even tell that he had ever had a bad back.He is able to do what all little boys do:run, jump and climb!Taking my son to Dr. Roeder was the best decision that me and my husband have made as parents.I am so happy that Dr. Roeder is part of our lives.In fact all of my extended family members are patients of her too!Thank you so much Dr. Roeder for all of your help.You have been such a positive part of our lives.You are part of our family."
    G.C., San Diego
  • "My daughter has been diagnosed with Von Willabrand's and Precocious Puberty at age 7. She had her first period at age 8, and it was for three days. The doctors said that her hormone levels were off and there wasn't any truly safe treatment. After talking to Dr. Roeder, she started chiropractic care to help her body cope better with this disorder and hopefully change her hormones. Now my daughter and I have been told by doctors at Children's Hospital that it looks like she won't be starting her period until two years from now-this will be the normal time when she should start! They told us to keep up the good work of whatever we have been doing because it seems to be working."
    J.H., San Diego
  • "I got treated for a neck and back injury that appeared to be chronic following a major car accident. I had been to chiropractors before but without much success.After seeing Dr. Roeder now though, my mobility and general feeling of well-being has greatly improved."
    C.H., San Diego
  • "Dr. Roeder was recommended by a friend and I am completely satisfied. I was having low back pain also some neck pain. My back feels better than it has in years. I feel Dr. Roeder is complete in recommending exercising and treatment!"
    M.L., San Diego
  • "I just wanted to say thank you for making me 'new' again. Also, for helping us through our tough times. You always have been nice to us and helpful when we were in your office-it was just like a second home! Every time I walked through the door I felt calm and relaxed. You always asked us how we were doing and how we have been. I thought that was very thoughtful and caring of you-especially considering that awful car accident we had been in. None of my doctors before had been as courteous as you. You have really made a bad experience into a great experience in a blink of an eye. I always loved that EVERYONE was always smiling! I wish that when I grow up I can be like you, always making people happy and feel better! Well, I think that you just made another patient happy because of your wonderful 'magic.' Oh and I know I already said this but I think I am speaking for everyone when I say: Thank you Dr. Roeder!"
    J.F., San Diego (pediatric patient)