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Tag: shoulder pain

ChiroMedBlogshoulder pain
By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care , , , , , , , , , , , , , , , , , , , , , ,

Upper Trapezius: Tips for Shoulder Pain Relief


Say goodbye to shoulder pain in the upper trapezius with expert tips and strategies for better posture and health.

Chiropractic Care for Upper Trapezius Shoulder Pain: A Comprehensive Guide to Relief

Individuals from a variety of backgrounds, including office workers, sports, and those coping with everyday stress, are impacted by shoulder discomfort, especially that which originates from the upper trapezius muscle. The general quality of life may be diminished, movement may be restricted, and sleep may be disturbed. In order to treat upper trapezius discomfort and encourage long-term rehabilitation, chiropractic therapy provides a non-invasive, comprehensive approach. This comprehensive book covers myofascial trigger points, the structure and function of the upper trapezius, and evidence-based nonsurgical therapies, such as chiropractic adjustments. Based on the clinical observations of Dr. Alexander Jimenez, DC, APRN, FNP-BC, a family nurse practitioner and dual-licensed chiropractor, we will demonstrate how integrative therapy may change the lives of those with shoulder discomfort.

Understanding the Upper Trapezius Muscle: Anatomy and Function

Anatomy of the Upper Trapezius

The trapezius muscle is a large, triangular muscle spanning the upper back and neck, divided into upper, middle, and lower regions. The upper trapezius originates from the occipital bone at the skull’s base, the ligamentum nuchae (a fibrous neck structure), and the cervical vertebrae’s spinous processes (C1-C7). It inserts into the lateral clavicle, acromion, and scapular spine (Ziaeifar et al., 2019).

Located close to the skin’s surface, the upper trapezius is easily palpable and susceptible to tension or tenderness. It is innervated by the spinal accessory nerve (cranial nerve XI) and receives blood from the occipital artery’s branches, making it a critical structure for shoulder and neck stability.

Biomechanics and Function

The upper trapezius plays a vital role in upper body movement and stability:

  • Scapular Elevation: It lifts the shoulder blade, as seen when shrugging shoulders.
  • Scapular Upward Rotation: It aids in rotating the scapula upward, essential for overhead arm movements like reaching or throwing.
  • Neck Extension and Lateral Flexion: It supports backward head extension and side tilting.
  • Stabilization: It stabilizes the shoulder girdle during arm movements, ensuring proper alignment.

These functions make the upper trapezius essential for tasks like carrying heavy bags, typing, or engaging in sports like swimming or CrossFit. However, repetitive or static activities can strain this muscle, leading to pain and dysfunction (Brandt et al., 2014).

References:

  • Ziaeifar, M., Arab, A. M., Karimi, N., & Nourbakhsh, M. R. (2019). Dry needling versus trigger point compression of the upper trapezius: A randomized clinical trial with two-week and three-month follow-up. Journal of Manual & Manipulative Therapy, 27(3), 152–161. https://doi.org/10.1080/10669817.2018.1530421
  • Brandt, M., Sundstrup, E., Jakobsen, M. D., Jay, K., Colado, J. C., Wang, Y., & Andersen, L. L. (2014). Association between neck/shoulder pain and trapezius muscle tenderness in office workers. Pain Research and Treatment, 2014, 352735. https://doi.org/10.1155/2014/352735

Causes of Shoulder Pain in the Upper Trapezius

Upper trapezius-related shoulder pain can arise from multiple factors, often related to lifestyle, injury, or biomechanics. Identifying these causes is key to effective treatment.

1. Repetitive Strain and Overuse

Prolonged activities like typing or overhead sports can overwork the upper trapezius, leading to muscle fatigue and tightness. Office workers, for instance, often maintain static postures, increasing strain, while athletes may experience overuse from repetitive motions (Aydın et al., 2021; Silva et al., 2022).

2. Poor Posture

Forward head posture, common among those using computers or smartphones for extended periods, places excessive stress on the upper trapezius. This posture forces the muscle to overcompensate to stabilize the neck and shoulders, leading to pain (Brandt et al., 2014).

3. Stress and Muscle Tension

Psychological stress triggers involuntary tightening of the upper trapezius, as the body responds by tensing neck and shoulder muscles. Chronic stress can perpetuate this tension, causing persistent discomfort (Cleveland Clinic, 2025).

4. Trauma or Injury

Acute injuries, such as whiplash from car accidents or falls, can strain or tear the upper trapezius, resulting in pain and limited mobility. Whiplash-associated disorders (WAD) are particularly linked to trapezius dysfunction (Voerman et al., 2007).

5. Myofascial Trigger Points

Myofascial trigger points are hyperirritable spots within the muscle that cause localized or referred pain. These points often develop in the upper trapezius due to overuse, poor posture, or injury, contributing to shoulder and neck pain (Ziaeifar et al., 2019).

6. Occupational and Ergonomic Factors

Sedentary jobs and poor workstation ergonomics increase the risk of trapezius pain. Inadequate chair support, improper monitor height, or repetitive tasks can exacerbate muscle strain, particularly in office workers (Brandt et al., 2014).

References:

  • Aydın, N. S., Çelenay, Ş. T., & Özer Kaya, D. (2021). Muscle activation of the upper trapezius and functional typing performance during computer typing task: A comparison of two different wrist immobilization methods. Journal of Bodywork and Movement Therapies, 27, 472–476. https://doi.org/10.1016/j.jbmt.2021.05.001
  • Silva, E. R., Maffulli, N., & Santos, G. M. (2022). Function, strength, and muscle activation of the shoulder complex in CrossFit practitioners with and without pain: A cross-sectional observational study. Journal of Orthopaedic Surgery and Research, 17(1), 24. https://doi.org/10.1186/s13018-022-02915-x
  • Brandt, M., Sundstrup, E., Jakobsen, M. D., Jay, K., Colado, J. C., Wang, Y., & Andersen, L. L. (2014). Association between neck/shoulder pain and trapezius muscle tenderness in office workers. Pain Research and Treatment, 2014, 352735. https://doi.org/10.1155/2014/352735
  • Voerman, G. E., Vollenbroek-Hutten, M. M. R., & Hermens, H. J. (2007). Upper trapezius muscle activation patterns in neck-shoulder pain patients and healthy controls. European Journal of Applied Physiology, 102(1), 1–9. https://doi.org/10.1007/s00421-006-0215-8
  • Cleveland Clinic. (2025, February 4). For relief, pull the trigger on a trigger point massage. Health Essentials. https://health.clevelandclinic.org/trigger-point-massage
  • Ziaeifar, M., Arab, A. M., Karimi, N., & Nourbakhsh, M. R. (2019). Dry needling versus trigger point compression of the upper trapezius: A randomized clinical trial with two-week and three-month follow-up. Journal of Manual & Manipulative Therapy, 27(3), 152–161. https://doi.org/10.1080/10669817.2018.1530421

Myofascial Trigger Points and Their Impact on Shoulder Pain

What Are Myofascial Trigger Points?

Myofascial trigger points are tight, sensitive areas in skeletal muscle that form palpable nodules within taut muscle bands. These points can cause localized pain or refer pain to other areas, such as the neck, head, or shoulders. In the upper trapezius, trigger points are common due to the muscle’s constant engagement in stabilizing and moving the shoulder girdle (Ziaeifar et al., 2019).

How Trigger Points Cause Shoulder Pain

Trigger points in the upper trapezius contribute to shoulder pain in several ways:

  • Localized Pain: Trigger points feel like tender knots, causing sharp or aching pain when pressed.
  • Referred Pain: Pain can radiate to the neck, head (causing tension headaches), or arm.
  • Restricted Mobility: Muscle tightness limits neck and shoulder movement, making tasks like turning the head or lifting painful.
  • Muscle Weakness: Chronic trigger points may weaken the upper trapezius, leading to compensatory overuse of other muscles and worsening pain (Stieven et al., 2021).

These points often arise from repetitive strain, poor posture, or stress, creating a cycle of pain and dysfunction if untreated (Cleveland Clinic, 2025).

Clinical Impact

Research shows a strong link between neck/shoulder pain intensity and trapezius muscle tenderness, with higher pain levels corresponding to greater tenderness severity (Brandt et al., 2014). This underscores the importance of targeting trigger points to alleviate chronic shoulder pain.

References:

  • Ziaeifar, M., Arab, A. M., Karimi, N., & Nourbakhsh, M. R. (2019). Dry needling versus trigger point compression of the upper trapezius: A randomized clinical trial with two-week and three-month follow-up. Journal of Manual & Manipulative Therapy, 27(3), 152–161. https://doi.org/10.1080/10669817.2018.1530421
  • Stieven, F. F., Ferreira, G. E., de Araújo, F. X., de Medeiros, F. S., da Rosa, L. H. T., de Oliveira, M. X., & da Silva, M. F. (2021). Immediate effects of dry needling and myofascial release on local and widespread pressure pain threshold in individuals with active upper trapezius trigger points: A randomized clinical trial. Journal of Manipulative and Physiological Therapeutics, 44(2), 95–102. https://doi.org/10.1016/j.jmpt.2020.07.003
  • Brandt, M., Sundstrup, E., Jakobsen, M. D., Jay, K., Colado, J. C., Wang, Y., & Andersen, L. L. (2014). Association between neck/shoulder pain and trapezius muscle tenderness in office workers. Pain Research and Treatment, 2014, 352735. https://doi.org/10.1155/2014/352735
  • Cleveland Clinic. (2025, February 4). For relief, pull the trigger on a trigger point massage. Health Essentials. https://health.clevelandclinic.org/trigger-point-massage

Chiropractic Care for Upper Trapezius Pain: Clinical Rationale

Chiropractic care is a non-invasive, patient-centered approach to managing upper trapezius pain by addressing musculoskeletal dysfunction and promoting healing. Experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, leverage advanced diagnostics and integrative therapies to provide effective relief.

Why Chiropractic Care Helps

  1. Spinal and Joint Alignment:
    • Misalignments in the cervical spine or shoulder girdle can exacerbate upper trapezius tension. Chiropractic adjustments restore proper alignment, reducing muscle stress and improving biomechanics (Jimenez, 2025).
    • Adjustments enhance nerve function, minimizing irritation that contributes to trigger points.
  2. Myofascial Release and Soft Tissue Therapy:
    • Chiropractors use myofascial release to target trigger points, relieving tension and improving muscle elasticity (Stieven et al., 2021).
    • These techniques enhance blood flow and reduce stiffness, supporting recovery.
  3. Postural Correction:
    • Poor posture significantly contributes to upper trapezius pain. Chiropractors assess and correct posture through exercises and ergonomic guidance, reducing muscle strain (Brandt et al., 2014).
  4. Pain Reduction and Mobility:
    • Chiropractic interventions reduce pain intensity and restore range of motion by addressing muscle and joint dysfunction, enabling patients to resume daily activities (Crookes et al., 2023).
  5. Holistic Approach:
    • Chiropractors consider lifestyle factors like stress or repetitive activities, offering strategies like stretching or strengthening to prevent pain recurrence (Jimenez, 2025).

Dr. Alexander Jimenez’s Clinical Approach

Dr. Alexander Jimenez, a dual-licensed chiropractor and family nurse practitioner, is renowned for his integrative approach to musculoskeletal health. His practice emphasizes:

  • Advanced Imaging and Diagnostics: Using X-rays, MRIs, and ultrasound to identify structural issues in the spine and shoulder, such as misalignments or soft tissue damage (Jimenez, 2025).
  • Dual-Scope Procedures: Combining chiropractic adjustments with diagnostic tools like electromyography (EMG) to assess muscle activation and pinpoint trapezius dysfunction.
  • Personalized Treatment Plans: Tailoring interventions based on diagnostic findings, incorporating adjustments, myofascial release, and rehabilitative exercises.
  • Patient Education: Empowering patients with ergonomic advice, posture correction, and lifestyle modifications to prevent pain recurrence.

Dr. Jimenez’s approach aligns with research supporting chiropractic care and soft tissue therapies for reducing shoulder pain and improving function (Jimenez, 2025; Crookes et al., 2023).

References:

  • Stieven, F. F., Ferreira, G. E., de Araújo, F. X., de Medeiros, F. S., da Rosa, L. H. T., de Oliveira, M. X., & da Silva, M. F. (2021). Immediate effects of dry needling and myofascial release on local and widespread pressure pain threshold in individuals with active upper trapezius trigger points: A randomized clinical trial. Journal of Manipulative and Physiological Therapeutics, 44(2), 95–102. https://doi.org/10.1016/j.jmpt.2020.07.003
  • Brandt, M., Sundstrup, E., Jakobsen, M. D., Jay, K., Colado, J. C., Wang, Y., & Andersen, L. L. (2014). Association between neck/shoulder pain and trapezius muscle tenderness in office workers. Pain Research and Treatment, 2014, 352735. https://doi.org/10.1155/2014/352735
  • Crookes, T., Ewald, A., & Jennings, M. (2023). Chronic shoulder pain. Australian Journal of General Practice, 52(11), 753–758. https://doi.org/10.31128/AJGP-04-23-6790
  • Jimenez, A. (2025). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

What is Upper Cross Syndrome- Video

Nonsurgical Treatments for Myofascial Trigger Points in the Upper Trapezius

Several nonsurgical treatments effectively reduce myofascial trigger point pain in the upper trapezius, supported by research evidence. These can complement chiropractic care for optimal outcomes.

1. Dry Needling

Dry needling involves inserting a thin needle into a trigger point to elicit a twitch response, which releases muscle tension and reduces pain. It significantly decreases pain intensity and improves neck and arm function, with effects lasting up to three months (Ziaeifar et al., 2019). It also produces local and distant pain relief (Stieven et al., 2021).

2. Trigger Point Compression

Trigger point compression applies sustained pressure to a trigger point until the muscle relaxes. This technique reduces pain and disability in the upper trapezius, with benefits persisting for months (Ziaeifar et al., 2019). It’s a non-invasive option often used by chiropractors.

3. Myofascial Release

Myofascial release uses gentle, sustained pressure to release fascial restrictions. A single session can increase pressure pain thresholds, reducing pain sensitivity in the upper trapezius (Stieven et al., 2021). It’s commonly integrated into chiropractic treatments.

4. Thermal Ultrasound

Thermal ultrasound uses sound waves to heat and soften trigger points, reducing tissue stiffness. It significantly increases tissue depth (indicating less stiffness) compared to sham treatments, offering a comfortable intervention (Draper et al., 2010).

5. Stretching Relaxation

Daily stretching exercises targeting the upper trapezius reduce tension and stiffness while improving elasticity. A two-week regimen showed significant improvements in muscle properties (Li et al., 2024).

6. Mechanical Vibration Massage

Mechanical vibration massage uses oscillatory devices to decrease tension and stiffness. Applied daily for two weeks, it enhances trapezius muscle elasticity and reduces pain (Li et al., 2024).

7. Pulse Massage

Pulse massage, involving rhythmic pressure, similarly reduces tension and stiffness in the upper trapezius, offering benefits when used consistently (Li et al., 2024).

8. Trigger Point Massage

Trigger point massage applies direct pressure to relieve tension and pain, improving circulation, mobility, and sleep quality. It can be performed at home or by a licensed therapist (Cleveland Clinic, 2025).

9. Rigid Taping

Rigid taping limits wrist movement to reduce upper trapezius strain during tasks like typing. It improves typing performance compared to splinting, making it a practical option for office workers (Aydın et al., 2021).

References:

  • Ziaeifar, M., Arab, A. M., Karimi, N., & Nourbakhsh, M. R. (2019). Dry needling versus trigger point compression of the upper trapezius: A randomized clinical trial with two-week and three-month follow-up. Journal of Manual & Manipulative Therapy, 27(3), 152–161. https://doi.org/10.1080/10669817.2018.1530421
  • Stieven, F. F., Ferreira, G. E., de Araújo, F. X., de Medeiros, F. S., da Rosa, L. H. T., de Oliveira, M. X., & da Silva, M. F. (2021). Immediate effects of dry needling and myofascial release on local and widespread pressure pain threshold in individuals with active upper trapezius trigger points: A randomized clinical trial. Journal of Manipulative and Physiological Therapeutics, 44(2), 95–102. https://doi.org/10.1016/j.jmpt.2020.07.003
  • Draper, D. O., Mahaffey, C., Kaiser, D., Eggett, D., & Jarmin, J. (2010). Thermal ultrasound decreases tissue stiffness of trigger points in upper trapezius muscles. Physiotherapy Theory and Practice, 26(3), 167–172. https://doi.org/10.3109/09593980903423079
  • Li, G., Liu, D., Yang, D., & He, L. (2024). The impact of different muscle relaxation techniques on the upper trapezius and its relationship with the middle trapezius. Journal of Physiological Investigation, 67(4), 225–232. https://doi.org/10.4103/ejpi.EJPI-D-24-00041
  • Aydın, N. S., Çelenay, Ş. T., & Özer Kaya, D. (2021). Muscle activation of the upper trapezius and functional typing performance during computer typing task: A comparison of two different wrist immobilization methods. Journal of Bodywork and Movement Therapies, 27, 472–476. https://doi.org/10.1016/j.jbmt.2021.05.001
  • Cleveland Clinic. (2025, February 4). For relief, pull the trigger on a trigger point massage. Health Essentials. https://health.clevelandclinic.org/trigger-point-massage

Integrating Chiropractic Care with Nonsurgical Treatments

Combining chiropractic care with nonsurgical treatments creates a comprehensive approach to managing upper trapezius pain. Examples include:

  • Chiropractic Adjustments + Dry Needling: Adjustments restore spinal alignment, while dry needling targets trigger points for immediate relief.
  • Myofascial Release + Stretching: Chiropractors perform myofascial release in-office and prescribe stretching for home maintenance.
  • Thermal Ultrasound + Postural Correction: Ultrasound softens trigger points, while chiropractic care corrects posture to prevent recurrence.
  • Patient Education: Guidance on ergonomics, stress management, and exercise complements in-office treatments (Jimenez, 2025).

This integrative strategy addresses both symptoms and underlying causes, promoting lasting relief.

References:

Preventing Upper Trapezius Pain

Preventing recurrent shoulder pain involves proactive measures:

  • Ergonomic Adjustments: Use a supportive chair and position monitors at eye level to maintain neutral posture (Brandt et al., 2014).
  • Regular Stretching: Perform daily upper trapezius stretches to enhance flexibility (Li et al., 2024).
  • Stress Management: Practice relaxation techniques like deep breathing or yoga to reduce muscle tension (Cleveland Clinic, 2025).
  • Strengthening Exercises: Strengthen scapular stabilizers, such as the lower trapezius, to reduce upper trapezius strain (Silva et al., 2022).
  • Routine Chiropractic Care: Regular adjustments prevent misalignments and maintain muscle function (Jimenez, 2025).

References:

  • Brandt, M., Sundstrup, E., Jakobsen, M. D., Jay, K., Colado, J. C., Wang, Y., & Andersen, L. L. (2014). Association between neck/shoulder pain and trapezius muscle tenderness in office workers. Pain Research and Treatment, 2014, 352735. https://doi.org/10.1155/2014/352735
  • Li, G., Liu, D., Yang, D., & He, L. (2024). The impact of different muscle relaxation techniques on the upper trapezius and its relationship with the middle trapezius. Journal of Physiological Investigation, 67(4), 225–232. https://doi.org/10.4103/ejpi.EJPI-D-24-00041
  • Silva, E. R., Maffulli, N., & Santos, G. M. (2022). Function, strength, and muscle activation of the shoulder complex in CrossFit practitioners with and without pain: A cross-sectional observational study. Journal of Orthopaedic Surgery and Research, 17(1), 24. https://doi.org/10.1186/s13018-022-02915-x
  • Cleveland Clinic. (2025, February 4). For relief, pull the trigger on a trigger point massage. Health Essentials. https://health.clevelandclinic.org/trigger-point-massage
  • Jimenez, A. (2025). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Conclusion

Upper trapezius shoulder pain, often driven by repetitive strain, poor posture, stress, or myofascial trigger points, can significantly impact daily life. Chiropractic care, combined with nonsurgical treatments like dry needling, myofascial release, and thermal ultrasound, offers a powerful solution to alleviate pain and restore function. Experts like Dr. Alexander Jimenez emphasize integrative, evidence-based approaches to address both symptoms and underlying causes, empowering patients for long-term wellness.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Shoulder pain may have various causes, and persistent or severe symptoms require evaluation by a qualified healthcare provider. Consult a chiropractor, physician, or physical therapist for a proper diagnosis and personalized treatment plan. Seek immediate professional care for chronic or worsening symptoms.

References:

  • Ziaeifar, M., Arab, A. M., Karimi, N., & Nourbakhsh, M. R. (2019). Dry needling versus trigger point compression of the upper trapezius: A randomized clinical trial with two-week and three-month follow-up. Journal of Manual & Manipulative Therapy, 27(3), 152–161. https://doi.org/10.1080/10669817.2018.1530421
  • Stieven, F. F., Ferreira, G. E., de Araújo, F. X., de Medeiros, F. S., da Rosa, L. H. T., de Oliveira, M. X., & da Silva, M. F. (2021). Immediate effects of dry needling and myofascial release on local and widespread pressure pain threshold in individuals with active upper trapezius trigger points: A randomized clinical trial. Journal of Manipulative and Physiological Therapeutics, 44(2), 95–102. https://doi.org/10.1016/j.jmpt.2020.07.003
  • Aydın, N. S., Çelenay, Ş. T., & Özer Kaya, D. (2021). Muscle activation of the upper trapezius and functional typing performance during computer typing task: A comparison of two different wrist immobilization methods. Journal of Bodywork and Movement Therapies, 27, 472–476. https://doi.org/10.1016/j.jbmt.2021.05.001
  • Silva, E. R., Maffulli, N., & Santos, G. M. (2022). Function, strength, and muscle activation of the shoulder complex in CrossFit practitioners with and without pain: A cross-sectional observational study. Journal of Orthopaedic Surgery and Research, 17(1), 24. https://doi.org/10.1186/s13018-022-02915-x
  • Brandt, M., Sundstrup, E., Jakobsen, M. D., Jay, K., Colado, J. C., Wang, Y., & Andersen, L. L. (2014). Association between neck/shoulder pain and trapezius muscle tenderness in office workers. Pain Research and Treatment, 2014, 352735. https://doi.org/10.1155/2014/352735
  • Voerman, G. E., Vollenbroek-Hutten, M. M. R., & Hermens, H. J. (2007). Upper trapezius muscle activation patterns in neck-shoulder pain patients and healthy controls. European Journal of Applied Physiology, 102(1), 1–9. https://doi.org/10.1007/s00421-006-0215-8
  • Crookes, T., Ewald, A., & Jennings, M. (2023). Chronic shoulder pain. Australian Journal of General Practice, 52(11), 753–758. https://doi.org/10.31128/AJGP-04-23-6790
  • Cleveland Clinic. (2025, February 4). For relief, pull the trigger on a trigger point massage. Health Essentials. https://health.clevelandclinic.org/trigger-point-massage
  • Draper, D. O., Mahaffey, C., Kaiser, D., Eggett, D., & Jarmin, J. (2010). Thermal ultrasound decreases tissue stiffness of trigger points in upper trapezius muscles. Physiotherapy Theory and Practice, 26(3), 167–172. https://doi.org/10.3109/09593980903423079
  • Li, G., Liu, D., Yang, D., & He, L. (2024). The impact of different muscle relaxation techniques on the upper trapezius and its relationship with the middle trapezius. Journal of Physiological Investigation, 67(4), 225–232. https://doi.org/10.4103/ejpi.EJPI-D-24-00041
  • Jimenez, A. (2025). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/
By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care , , , , , , , , , , , , , , , , , , ,

Auto Injuries: Understanding the Damage to The Rotator Cuffs

Get informed about auto injuries and rotator cuffs. Explore ways to protect your shoulders after an accident.

Shoulder Pain and Injuries in Motor Vehicle Accidents: A Comprehensive Guide

Introduction

Shoulder injuries are a frequent consequence of motor vehicle accidents (MVAs), often resulting from the sudden and forceful impacts experienced during collisions. These injuries can range from minor sprains to severe conditions like rotator cuff tears, fractures, and nerve damage, significantly impacting daily life. While a sore shoulder might not earn you a starring role in a tragic drama, it can certainly feel like a grim plot twist in your day-to-day routine. Understanding the clinical reasons behind why shoulder pain and injuries are so closely linked to MVAs is essential for effective treatment and recovery. This blog post explores the mechanisms of shoulder injury in MVAs, their role in developing shoulder pain, and their specific impact on the rotator cuff. We also highlight the expertise of Dr. Alexander Jimenez, a distinguished chiropractor and nurse practitioner in El Paso, Texas, who specializes in treating personal injury cases with advanced diagnostic and therapeutic approaches.

Anatomy of the Shoulder

The shoulder is one of the most mobile joints in the human body, allowing for a wide range of movements, such as lifting, rotating, and reaching. This mobility, however, comes at the cost of stability, making the shoulder particularly vulnerable to injury. The shoulder joint comprises three main bones: the humerus (upper arm bone), the scapula (shoulder blade), and the clavicle (collarbone). The rotator cuff, a group of four muscles—supraspinatus, infraspinatus, teres minor, and subscapularis—and their tendons stabilize the shoulder joint and facilitate arm movements. These tendons connect the humerus to the scapula, and any damage to them can lead to significant pain and functional impairment. Ligaments, such as those connecting the clavicle to the scapula, also play a crucial role in maintaining joint stability but are susceptible to stretching or tearing during traumatic events like MVAs.

References

Mechanisms of Shoulder Injury in MVAs

Shoulder injuries in MVAs typically result from the sudden and forceful movements experienced during a collision. Several mechanisms contribute to these injuries:

  1. Bracing Against the Steering Wheel: Drivers often instinctively brace themselves by pushing against the steering wheel during a crash, transmitting significant force to the shoulders. This action can overstretch or tear the rotator cuff tendons, especially in rear-end collisions (El Paso Chiropractor Blog, 2016).
  2. Seatbelt Restraint: While seatbelts are lifesaving, they can cause shoulder injuries if improperly positioned or if the impact force is excessive, leading to bruising, sprains, or fractures.
  3. Direct Impact: In side-impact or rollover accidents, the shoulder may strike the vehicle’s interior, such as the door or window, resulting in fractures or dislocations.
  4. Whiplash Effect: The rapid back-and-forth motion of the neck and upper body, commonly associated with whiplash, can strain shoulder muscles and ligaments, contributing to rotator cuff injuries.

These mechanisms highlight the shoulder’s vulnerability due to its complex structure and the intense forces involved in MVAs.

References

Chiropractic Care After Accidents and Injuries- Video

Common Shoulder Injuries from MVAs

Shoulder injuries from MVAs vary in severity, but the following are among the most common:

Injury TypeDescriptionSymptoms
Rotator Cuff TearsTears in one or more of the rotator cuff tendons, often due to overstretching or direct trauma. Common in rear-end collisions.Radiating pain, restricted mobility, inflammation, swelling, popping/clicking, weakness.
Shoulder Sprains/StrainsStretching or tearing of ligaments (sprains) or muscles (strains) around the shoulder joint.Pain, instability, weakness, swelling.
Fractures/DislocationsBreaks in the clavicle, scapula, or humerus, or dislocation of the shoulder joint due to impact.Severe pain, swelling, bruising, limited movement.
Brachial Plexus InjuriesDamage to the nerve network supplying the shoulder, arm, and hand, often from forceful impact.Numbness, weakness, burning pain, or paralysis in severe cases.

Research suggests that shoulder injuries occur in approximately 27.9% of polytraumatized patients involved in MVAs, with 68.5% of these injuries attributed to traffic accidents, particularly motorbike, bicycle, and pedestrian incidents (TraumaRegister DGU®, n.d.). Additionally, over 2 million Americans experience whiplash injuries annually, many of which involve shoulder pain due to associated muscle and ligament strain (Atlanta Advocate, 2024).

References

Clinical Presentation and Diagnosis

Individuals with shoulder injuries from MVAs may experience a range of symptoms, including:

  • Pain: Often severe, especially with movement, and may radiate to the arm or upper back.
  • Limited Range of Motion: Difficulty lifting or rotating the arm.
  • Swelling or Bruising: Visible signs of trauma around the shoulder.
  • Weakness: Reduced strength in the arm, particularly with rotator cuff tears.
  • Numbness or Tingling: Indicative of nerve involvement, such as brachial plexus injuries.

Diagnosis involves a thorough clinical evaluation, including a detailed medical history and physical examination to assess pain, range of motion, and strength. Advanced imaging techniques, such as X-rays, MRIs, or CT scans, are often used to confirm the extent of damage. Dr. Alexander Jimenez, with his dual expertise as a chiropractor and a board-certified nurse practitioner, utilizes these diagnostic tools to identify shoulder injuries accurately. His approach integrates biomechanical assessments with medical diagnostics, ensuring a comprehensive understanding of the injury’s scope (A4M, n.d.).

References

Treatment and Rehabilitation

Treatment for shoulder injuries from MVAs depends on the injury’s severity and type. Conservative approaches are often the first line of treatment and include:

  • Chiropractic Care: Spinal adjustments and soft tissue manipulations to restore alignment and reduce pain.
  • Physical Therapy: Targeted exercises to strengthen the rotator cuff, improve flexibility, and restore function.
  • Pain Management: Medications, acupuncture, or massage therapy to alleviate pain and inflammation.

For severe injuries, such as complete rotator cuff tears or complex fractures, surgical intervention may be necessary. Rehabilitation is critical, focusing on restoring strength and mobility and preventing chronic pain. Dr. Jimenez’s clinic emphasizes personalized rehabilitation plans, incorporating functional medicine to address underlying factors like inflammation or nutritional deficiencies (El Paso Back Clinic, 2025). Ligament injuries, common in shoulder trauma, heal through phases of inflammation, proliferation, and remodeling, but scar tissue may remain biomechanically inferior, necessitating careful rehabilitation to avoid long-term joint laxity.

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Role of Chiropractic Care in Shoulder Injury Recovery

Chiropractic care is a cornerstone of recovery for MVA-related shoulder injuries. Dr. Jimenez employs hands-on techniques, including spinal and joint manipulations, to address misalignments and alleviate pain. These adjustments improve joint mobility, relieve pressure on nerves, and enhance healing. His integrative approach combines chiropractic care with physical therapy, acupuncture, and nutritional counseling to promote holistic recovery. For instance, chiropractic adjustments can help realign the shoulder joint, while targeted exercises strengthen the rotator cuff, preventing future injuries. Dr. Jimenez’s dual licensure enables him to bridge chiropractic and medical care, providing a comprehensive treatment plan tailored to each patient’s specific needs (A4M, n.d.).

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Personal Injury Cases and Legal Aspects

In El Paso, Texas, personal injury cases related to MVAs are significant, as victims often seek compensation for medical expenses, lost wages, and pain and suffering. Accurate documentation of injuries is crucial for these claims. Dr. Jimenez plays a pivotal role as a liaison between medical and legal services, providing detailed medical reports supported by advanced imaging and diagnostic evaluations. His expertise ensures that injuries are clinically linked to the accident, thereby strengthening legal claims. This dual role enhances patient care while supporting their pursuit of fair compensation (El Paso Back Clinic, 2025).

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Conclusion

Shoulder injuries from motor vehicle accidents, particularly rotator cuff tears, are a significant concern due to the shoulder’s complex anatomy and the intense forces involved in collisions. Research suggests that these injuries are common, with traffic accidents accounting for a substantial portion of shoulder trauma in polytraumatized patients. Dr. Alexander Jimenez’s integrative approach, combining chiropractic care, advanced diagnostics, and personalized rehabilitation, offers a comprehensive recovery solution. His role in personal injury cases in El Paso underscores the importance of expert medical care in both healing and legal documentation. If you or a loved one has suffered a shoulder injury in an MVA, consulting a specialist like Dr. Jimenez can ensure optimal recovery and support for any legal claims.

Disclaimer: This blog post is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional for diagnosis and treatment.

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