Treatment protocol with chiropractic care is very beneficial and responds very well. The treatment protocol should be focused first by decreasing pain and restoring proper mechanics to the joint in questioned. A contrast therapy of cryotherapy and heat can work well to make the tissues pliable for manual therapy and chiropractic adjusting. After cold/heat therapy the use of electric muscle stimulation (EMS) could also be of benefit to help gate pain and fatigue some muscles that have gotten contracted during the process. EMS should be arranged where the pads can be concentrated into the shoulder joint for maximum effect.
Chiropractic adjusting works well, although sore at the beginning it really loosen up the tissues surrounding the shoulder. The chiropractic adjusting should be directed in the position where the shoulder is restricted the most. For example if the patient is having trouble with lateral elevation the adjustment should have a contact on the superior portion of the shoulder joint and the thrust should be in a superior to inferior vector. The superior to inferior vector is essential to increase superior to inferior glide which is the motion that makes lateral elevation of the shoulder possible. Once treatment is rendered on a regular protocol there will be some improvements in overall global range of motion. Exercises can also be prescribed which are extremely beneficial to continue the process of recovery at home to get to the wellness phase.