The shoulder joint itself, or more accurately the shoulder girdle because it is a complex of several joints, is subject to injury because it has to allow for extreme mobility of the arm while maintaining its structure. Because the shoulder is a very complex joint, it is important to distinguish the source of the pain. By identifying which joints in the shoulder girdle are misaligned and not moving properly then restoring those proper mechanics, tremendous pain relief can be achieved. It is also important to address scar tissue and adhesions that have accumulated in the rotator cuff because of the bad biomechanics. Without addressing the soft tissue issues in the shoulder, the healing will often be incomplete.
The CCEP (certified chiropractic extremity practitioner) accreditation is an area of study within chiropractic that specializes in the shoulder joint and other extremities of the body.
Occasionally, the pain is, in fact, coming from outside the shoulder joint. Typically, patients with this condition will complain about pain in the shoulder blade. This is often due to a misalignment of the joints where the ribs connect with the upper back. Although this can be quite painful, for what is a fairly small joint, it usually responds quite well to chiropractic care.