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Smart Shoulders

Our shoulder joints have the greatest range of motion of any of the musculoskeletal joints in our bodies. The shoulder joint is really two joints, the glenohumeral joint between the arm bone (humerus) and the shoulder blade (scapula) and the acromioclavicular joint between the acromion (a bony projection off the scapula) and the collarbone (clavicle). The glenohumeral joint is a ball-and-socket joint and the acromioclavicular joint is a gliding joint.

Acting together, these joints enable the shoulder to achieve a full 360º of motion in both the frontal (side to side) and sagittal (front and back) three-dimensional planes. The important caveat is that this extensive freedom of motion comes with a price: the shoulder not only has the most mobility, but is also the most unstable joint in the body.

The glenohumeral joint may be easily dislocated, most typically by a fall on an outstretched arm. The ligaments of the acromioclavicular joint are easily sprained and the joint itself is easily dislocated. Acromioclavicular joint injuries may be described as "AC separations". Overall, injuries to the shoulder joint are common, most frequently experienced by people participating in exercise activities and sports and by older people as a result of a fall.

The shoulder joint has built-in protection in the form of the four muscles comprising the rotator cuff, the supraspinatus, infraspinatus, teres minor, and subscapularis.1 The rotator cuff muscles participate in all shoulder joint and upper arm motions and provide stabilization to the shoulder as the joint moves through three-dimensional space. But the rotator cuff muscle group is itself subject to injury (muscle tears) and degeneration as a person ages of the tendons that attach the muscles to the shoulder and arm bones.

Thus, the shoulder joint needs additional protections to maintain its structural integrity and mechanical performance.

In days gone by, people did demanding physical work every day, automatically providing training and resilience to the anatomical components of the shoulder. But in the 21st century, with the decline of the farming and manufacturing sectors and the rise of the service economy, most people no longer engage in actual physical work. As a result, most of us require regular vigorous exercise to maintain physical fitness and good health. With specific respect to the shoulder, upper body strength training exercises will help provide the necessary activity and mobility to ensure ongoing functionality of our shoulder joints. 2,3

As well, obtaining regular chiropractic care helps ensure that our spines are working properly, providing effective mechanical support to our shoulder joints, and that our nerve systems are working at high levels to coordinate all the physiological activities necessary to our long-term health and well-being.

  1. Sangwan S, et al: Stabilizing characteristics of rotator cuff muscles: a systematic review. Disabil Rehabil 37(12):1033-1043, 2015

  2. Heron SR, et al: Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial. Physiotherapy 103(2):167-173, 2017

  3. Abdulla SY, et al: Is exercise effective for the management of subacromial impingement syndrome and other soft tissue injuries of the shoulder? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Man Ther 20(5):646-656, 2015

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Gateway Family Chiropractic

Monday:

8:00 am-12:00 pm

2:00 pm - 6:00 pm

Tuesday:

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Wednesday:

8:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday:

9:00 pm - 12:00 pm

2:00 pm - 6:00 pm

Friday:

Closed

Closed

Saturday:

8:00 am - 11:00 am

By Appointment Only

Sunday:

Closed

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Testimonials

  • "I was in constant pain for years. I started getting adjusted with Gateway Family Chiropractic in Dec. for CRPS (chronic regional pain syndrome). After 4 visits the pain has dramatically reduced and is now at a 2/10 from a 10/10 on a pain scale. Now I come in one a month for maintenance and have no complains!"
    Bruce E - Longmont, CO
  • "Gateway Doctors, with only a few visits under my belt I feel so much better. On a regular basis here recently I encounter a rib problems where they were pushing on a nerve to where it became hard to breath I couldn't deal sith the symptoms. I called Dr. Hughes for much needed immediate relief. I caught them at the office after hours and explained my situation. They worked on my for about 20 minutes and I left with less side pain & was walking up right again. Gateway is the best would recommend 10 x over sincerely"
    Don C. - Loveland, CO
  • "All the staff at Gateway Chiropractic are wonderful. Dr. Mike Hughes has given my pain relief for the first time in over a year. Can't wait to continue my treatment!!!"
    Jennifer H. - Loveland, CO
  • "Drs. David and Michael Hughes are wonderful. My son had been going to another chiropractor with no results. Within just a few visits to Gateway Family Chiropractic, my son was able to return to work. Thank you Drs. David and Mike Hughes."
    Joe A. - Fort Collins, CO
  • "I came to this office a year ago with debilitating hip problems. I was so missed up it took about 6 months to get it to hold. After my first appointment, I no longer was needing pain medication. The most amazing part about this office is that Dr. Dave and Dr. Mike really take the time to know what was happening in my body. They recommend much needed supplements that helped in me get my life back. I could not function before I started coming here and will always be grateful for their knowledge and expertise in their field. THANK YOU GATEWAY. Don't forget how amazing the office staff is as well. Best chiropractic office in Northern Colorado. I definitely recommend you guys every day to others who need you!"
    Marissa S. - Loveland, CO
  • "Our Infant, Merrick, was placed with ear infection, congestion, and cough. Antibiotics were not helping and made things worse. He began vomiting. We were all exhausted & frustrated. We couldn't find anything that worked! We brought him to Gateway Chiropractic in Loveland. With steady treatments his ear infection and other symptoms went away. He is healthy and now growing without ear infection complications. This was a blessing for our baby and our family! We are so grateful!"
    C. Muth - Loveland, CO
  • "After a thorough and thoughtful review of the x-rays of my back and hips, Dr. Hughes adjusted me from my head to my knees. Yep, my knees! I was able to kneel down on the floor with my kids for the first time in years with no stiffness or achy knees. During the adjustment I felt unhurried and relaxed. I left with more range of motion in my neck, shoulders... & knees. Thank you! I recommend Dr. Hughes as a qualified and caring chiropractor!"
    Richard T. - Loveland, CO
  • "The staff is amazing. The practitioners were more than happy to try and treat my severe neck pain and limited range of motion. I could hardly move my head and upper back 2 weeks ago. After a series of x-rays to I.D. the problem, some other quantitative testing, both chiropractors were able to treat my PROBLEM in addition to diminishing my SYMPTOMS. After 2 weeks, I have full range, hardly any pain, slept better and more energy. I would HIGHLY recommend beginning ANY un-wellness at this clinic prior to MD approach to medication. THANKS FOR MAKING ME BETTER!"
    Rose W. - Loveland, CO
  • "My whole family LOVES Gateway Chiropractic. Dr. Mike and Dave are excellent! They are knowledgeable and take the time to explain how the body works & what they're doing to help the body heal. All the members of the team are friendly and helpful. I always enjoy my visits and love that they keep my healthy!"
    Stacey R. - Loveland, CO
  • "I was in constant pain for years. I started getting adjusted with Gateway Family Chiropractic in Dec. for CRPS (chronic regional pain syndrome). After 4 visits the pain has dramatically reduced and is now at a 2/10 from a 10/10 on a pain scale. Now I come in one a month for maintenance and have no complains!"
    Bruce E - Longmont, CO
  • "Drs' Mike and David are competent, concerned, and caring chiropractors. I am impressed with the tables they use to administer adjustments. The dropping mechanism makes the adjustment so focused and exact. I feel less pain and have more flexibility and range of motion now than before I began my treatments."
    Diane L. - Berthoud, CO
  • "I have severe arthritis. The pain getting worse & I thought I might need to have a hip replacement. Even after the first adjustment my hip felt better and I could finally sleep all night without waking in pain. Now I have almost no pain most nights and I am walking without limping. I am now doing yoga and Zumba, two activities I ahd stayed away from because my hip pain just wouldn't allow it! I had never gone to a Chiropractor before, now I don't think I will ever stop!"
    Dixie S. - Loveland, CO