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Wednesday, June 19, 2013
My high school daughter recently had a sore shoulder (tendon). She is a swimmer. She saw a sports chiropractor at the suggestion of a trainer friend. His initial manipulation was very helpful. She then started treatments that electrically stimulate the area as she regains strength - there are 10 of these treatments prescribed, then an analysis and exercise recommendations. It is not covered by insurance and is frankly expensive. I am wiling to continue but I know nothing about the subject and did not find much but advertisment on the internet. It appears to come from the Netherlands originally. Do you have any knowledge of this treament? Is it viable? Any info will be greatly appreciated. Thank you
I was a swimmer in college. From an experiential and medical standpoint, we would advise the following:
- There is no medical evidence supporting many of the commonly used chiropractic interventions. Consistent with this, a manipulation may “feel good” but there is little reason to believe that a specific manipulation will actually address the tendonitis/”swimmer’s shoulder” that has occurred from years of repetitive movement. These conditions typically occur from overuse and are best addressed with time and ice.
- Electrical stimulation is a great modality for some things. We have much success with this treatment in certain cases. Swimmer’s shoulder is not one of them, nor is there a good evidence base supporting its application in this diagnosis.
- We suggest that you see an orthopedist or physiatrist (MD specializing in rehabilitation); they can prescribe physical therapy and other appropriate treatments as medically necessary.
Stephen J Page, PhD
Director of Research, Associate Professor
University of Cincinnati