- Common causes
- Rotator cuff tendinitis, impingement, calcium deposits
- How we treat it
- Focused shockwave + corrective exercise
- Typical plan
- Usually 3 to 6 sessions
- Referral
- Not needed
Common causes of shoulder pain
The rotator cuff is a group of four small muscles and tendons that hold your shoulder in place as you move. When those tendons are overloaded, they become irritated and painful, which is called rotator cuff tendinitis. Sometimes calcium deposits form inside the tendon, called calcific tendinitis, which can cause sharp pain.
Shoulder impingement happens when the rotator cuff tendons get pinched under the top of the shoulder blade as you lift your arm. Over time this often leads to tendinitis.
Frozen shoulder (adhesive capsulitis) is different. The capsule around the joint tightens and thickens, and the shoulder slowly becomes stiff and painful. It often improves over many months, and hands-on care and exercise can help you keep and regain motion along the way.
Stiffness in the upper back and neck, and weak muscles around the shoulder blade, can add to the strain on the shoulder.
Common symptoms
- Pain on the outside or front of the shoulder
- Pain when reaching overhead or behind your back
- Pain when sleeping on the affected side
- Weakness or a catching feeling when lifting the arm
What causes it
- Repeated overhead work, lifting, or throwing
- Sports like swimming, tennis, and weight training
- Rounded, forward shoulder posture
- Wear and tear over time
How we treat it
We check your shoulder, upper back, and neck to find what's driving the pain. Then we build a plan around three steps:
- Focused shockwave therapy to restart healing in the tendon, including calcium deposits
- Soft tissue work and adjustments to the upper back and shoulder to restore motion
- Corrective exercises that strengthen the rotator cuff and shoulder blade muscles
Where we see you
We have two offices, both inside Parkway Athletic Club and open to everyone, no gym membership needed. South Reno is on Double Diamond Parkway, close to Damonte Ranch and South Meadows. Sparks is on East Lincoln Way, near The Outlets at Legends.
What patients say
“I can't say enough good things about Dr. Covert at Atlas Chiropractic. He's not only incredibly knowledgeable but also one of the most genuine and personable doctors I've met. He's been working with me on a shoulder issue, and I really appreciate how thorough and patient he's been in helping me get it resolved. He's also one of the only chiropractors in town offering Shockwave Therapy, which has helped me tremendously with gaining strength and mobility in my arthritis-ridden thumb. If you're looking for a chiropractor who truly cares and takes the time to get things right, go see Dr. Jake! Nate”
Nate R.Google review
Shown word for word from Google. Individual results vary. More reviews
Questions
Does shockwave therapy hurt?
Richard Wolf, the maker of our PiezoWave2T, describes the treatment as gentle and for the most part pain-free. Most people feel a firm tapping, and we adjust the intensity to your comfort. No needles or anesthesia.
How many sessions will I need?
Usually 3 to 6 sessions, each about 10 to 20 minutes. Dr. Covert will map out your plan at your first visit based on your exam.
When should I see a medical doctor instead?
If you can't lift your arm after a fall or injury, the shoulder looks deformed, or it's hot, red and swollen with a fever, see a medical doctor first. Shoulder or arm pain with chest pain or shortness of breath can be a heart problem. Call 911.
Is shockwave covered by insurance?
Shockwave therapy isn't covered by insurance. Call us for current pricing, and we'll go over the cost before you start.
Paying yourself? You have the right to a Good Faith Estimate
Do I need a referral?
No referral needed. You can book directly with Dr. Covert online or by phone.