Category: Pain Location

Pain Location Causes

Woman sitting while a doctor is examining her arm in a room

Rotator Cuff Syndrome: Description and Causes

Pain and limited motion can develop if an imbalance or aggravation of the shoulder is not treated. The result can be minor pain or the total inability to use your shoulder. Rotator Cuff Syndrome, or Shoulder Impingement, can happen at any age. It is a muscle condition. The joint between your collarbone and the shoulder blade, the Acromio Clavicular, is central to normal shoulder function.

Three ice cubes

Frozen Shoulder: Description and Causes

Frozen Shoulder is the result of ligaments and tendons becoming irritated, causing adhesions that make the shoulder joint nearly immobile. The pain is severe and the limited movement of the shoulder can make it a struggle to even get dressed. Frozen Shoulder can take several years to heal — and may not heal at all without proper attention from a professional. An irritation of the nerve can also be responsible.

  • Pain when lifting your arm
  • Inability to lift your arm
  • Limited range of motion
  • Shooting pain from shoulder to elbow and beyond
  • Weakness or inability to lift things
  • Stiffness
  • Pain that persists beyond a few days
  • Pain that recurs, even if it goes away on its own
  • Swelling or deformity of the shoulder
  • Pain at night or while resting
General shoulder pain treatment graphic

Neck and Arm Pain Causes

A fairly common cause of arm pain is the irritation of the nerves by a subluxated first rib in the neck. If it also affects the artery that carries blood to the arm, it is Thoracic Outlet Syndrome.

Sometime neck pain is accompanied by upper back and/or lower back pain.

Neck and arm pain is typically associated with injury and accidents, including whiplash. But other disorders include:

  • Osteoarthritis
  • Spinal stenosis
  • Degenerative disc disease
  • Slipped disc

Daily life can also wreak havoc on a neck, including:

  • Poor posture
  • Obesity
  • Weak abdominal muscles
  • Stress


  • Pain when turning or tilting your head
  • Inability to carry items in your arms
  • Pain when raising your arms above your head
  • Pain relief when raising your arms above your head
  • Pain radiating to other parts of your body
  • Pain while chewing
  • Stiff elbows or pain when bending your elbow
  • Dull aching pain
  • Numbness
  • Tingling
  • Tenderness
  • Sharp shooting pain
  • Fullness
  • Difficulty swallowing
  • Dizziness
  • Headache
  • Shoulder pain
  • Arm numbness or tingling

Computers and Daily Life can cause Upper and Middle Pain

We see a lot of upper back pain as a result of working at a computer most of the day.

Other causes can include:

  • Scoliosis or curvature of the spine
  • Muscle strain, injury (to muscles, ligaments and/or discs), overuse
  • Herniated, bulged or degenerated disc (discs separate each vertebrae and are designed to absorb shock)
  • Slip and fall
  • Sports injury
  • Car accident
  • Muscle spasm
  • Poor posture
  • Spinal stenosis (rare in the upper and middle back)


  • Sudden, sharp pain
  • Dull or burning pain
  • Muscle stiffness, tightness

More serious symptoms that need to be treated right away include:

  • Arm or leg weakness
  • Numbness or tingling (arms, legs, chest, belly)
  • Problems with bowel or bladder control

Conditions and Symptoms of Lower Back Pain

The most common spine-related conditions that cause lower back pain are:

  • Herniated disc
  • Degenerative Disc Disease
  • Spondylolisthesis (one vertebra slips over the one below it)
  • Spinal Stenosis (The spinal nerve roots in the lower back are compressed resulting in tingling, weakness or numbness that radiates from the low back and into the buttocks and legs. The symptoms are similar to sciatica.)
  • Osteoarthritis (bone arthritis)


  • Persistent aching
  • Stiffness
  • Sharp pain
  • Localized pain, especially after lifting a heavy object
  • Long-term ache in middle or lower back, especially after sitting or standing for a long time
  • Pain that radiates beginning from the low back
  • Pain down the back of your thigh into your calf and toes
  • Inability to stand straight
  • Muscle spasms in the lower back
  • Increased pain when you cough or bend

Knee Pain Caused By Sports Injuries

Sports injuries are common, yet can be very traumatic because they usually involve the twisting of the knee or stress on the knee joint.

  • The anterior cruciate ligament (ACL) is one of four ligaments connecting the shinbone to the thighbone and is frequently injured during sudden changes of direction.
  • The meniscus is cartilage between your shinbone and thighbone and can be damaged or torn if you twist your knee while putting weight on it.
  • Bursitis is the inflammation of the small sacs (bursae) cushioning your knee.
  • Tendinitis is the irritation of the tendons that attach muscle to bone. Runners, skiers, cyclists and jumpers are more likely to incur inflammation in the patellar tendon (connects the quadriceps to the shinbone)
Knee Injury

Knee pain caused by arthritis

Osteoarthritis (degenerative arthritis) is the most common type of arthritis and is caused by wear and tear on the cartilage from use, age or even a previous injury. Think of it like an automobile tire that’s out of alignment wearing irregularly in places. The wearing down of the cartilage in the knee joint is similar to that. If an injury goes untreated, the worn-out cartilage may make the bones rub against each other, cause painful bone spurs. It’s important to not let this progress!

  • Rheumatoid arthritis is an autoimmune condition that can affect any joint in your body, including knees.
  • Gout is caused by uric-acid buildup. It’s most common in the big toe, but can affect knees as well.
  • Pseudogout is often mistaken for gout. Calcium crystals in the knee joint cause pseudogout.
  • Septic arthritis often occurs with a fever and can lead to swelling, pain and redness, even without an injury.
Emerging man doing fitness exercises with a woman

Other Knee Pain Related Causes

Pain behind the knee is called chondromalacia patellae. You may have a deep ache that worsens after sitting for a long time with your knee bent, or when going up and down stairs. It’s most common in people ages 20-45. It’s also called patellofemoral pain syndrome, which just means pain between your patella and femur.

Knee pain from the foot can be caused by the way you walk or problems with your feet. Your body may be compensating for an injury or malfunction somewhere else in the body. A previous injury can weaken the knee or lead to osteoarthritis and possible low back problems.

Bone spurs also can be the result of a poor gait and are caused when tissues wear down, making the bones rub against each other.

back pain black and white

Arthritis Related Hip Pain

Hip pain may be caused by arthritis, injuries or other problems. These types of arthritis can cause hip pain.

  • Juvenile rheumatoid arthritis
  • Osteoarthritis (degenerative arthritis) is the most common type of arthritis and is caused by wear and tear on the cartilage from use, age or even a previous injury. It can also be the result of an untreated injury; the worn-out cartilage may make the bones rub against each other.
  • Psoriatic arthritis
  • Rheumatoid arthritis
  • Septic arthritis
human radiography scan

Hip pain caused by Pinched Nerves

Pinched Nerves can also cause hip pain. These ailments can create pain that runs through the entire area.

  • Herniated disc
  • Sacroilitiis
  • Sciatica
  • Spinal stenosis ( The spinal nerve roots in the lower back are compressed, resulting in tingling, weakness or numbness that radiates from the low back and into the buttocks and legs. The symptoms are similar to sciatica. )
X-ray of a human break hip coxal joint

Other Causes Of Hip Pain

Aside from injuries, arthritis, and pinched nerves these problems can also cause hip pain.

  • Avascular necrosis
  • Legg-Calve-Perthes disease
  • Osteomyelitis
  • Osteoporosis
  • Rickets
  • Synovitis

Pain Location Treatment

General Treatment of Ankle and Foot Pain

First, a thorough examination will determine the cause of the pain. Common treatments for foot pain and ankle pain include cold laser, ultrasound, manipulation and customized exercises and stretches.

Because pain may originate with pressure on spinal nerves, the lower leg and ankle muscles can weaken. This may change your gait, increase pain or even lead to arthritis.

An ankle sprain typically means the ligaments are stretched or torn. Even if the pain is stopped, the ligaments remain weakened and repeat injuries are common.

Release therapy targets the calf muscles and a splint or bandage may be used to stabilize the ankle joint. We need to get the bones back to their normal position to make sure future injuries don’t occur.

Woman hands over a white background

General Treatment of Hand and Wrist Pain

Chiropractic treatment of repetitive movement disorders is discussed here. Treatment for other wrist and hand pain can include myofascial release, acupuncture, physical conditioning and exercises. We will pay special attention to “trigger points,” including muscles in the forearm and neck.

Dr. Aboudib may try manual manipulation of the joints and soft tissues of the area from the wrist to the spine, including the carpal bones, wrist, elbow, shoulder and articulations of the cervical (neck) and thoracic (upper back) spine. Muscles surrounding the forearm, upper arm, shoulder and upper back will also be tended to, as many patients complain of pain radiating from those areas.

Treatment may also include wrist decompression, cold laser, and/or ultrasound.

Brunette woman lying while a physiotherapist touching her hips in a room

General treatment of hip pain

Hip pain treatment involves therapeutic modalities, along with manipulation of the low back and hip. This will be paired with strengthening exercises designed to help with hip pain. Dr. Aboudib may give you posture advice, stretching exercises. All these are designed to reduce inflammation and relieve spasms. Weakened muscles can be strengthened and joint mobility increased.

Chiropractic adjustments help relieve sciatica, pain from sacroiliac joint dysfunction, osteoarthritis and other conditions that result in hip pain.

Decompression is typically not used with hip pain.

Judgment of progress in recovery

General treatment of knee pain

First we need to find the cause of your knee pain. We will check your knees for swelling and pain, temperature and color changes and range of motion. We may take an X-ray to get images of your knee and order an MRI to check on the soft tissue surrounding it.

Through a thorough exam and diagnostic testing, we’ll find out where the problem is originating. Treatment options range from therapeutic ultrasound, cold laser, light manipulation and light knee decompression.

Knee adjustments and knee decompressions don’t hurt! There’s no twisting or bending as the joint is realigned. Along with the adjustments, there may be exercises, and laser treatments
Dr. Aboudib has treated patients suffering from knee pain for 27 years.


Treatment for lower back and leg pain

Once we determine what is creating the problem, through a comprehensive exam, we can treat the cause of the pain. Spinal decompression and spinal manipulation are common treatments for lower back pain and leg pain. Physical conditioning and cold laser will also help to increase healing and decrease inflammation. Proper alignment of your body’s musculoskeletal structure is key to reducing pain; paying particular attention to the spine allows the body to heal itself.

Many times, lower back pain and leg pain are the result of a mechanical malfunction in the body — misalignment, tightness, movement is wrong. Restoring function to joints and realignment are highly successful for pain relief and a much wiser solution than covering up the pain with drugs.

Manipulation restores mobility, even if the tissue wasn’t damaged by injury. If your lower back is sore simply by sitting without proper support, we can help.

Close-up portrait of a thinking young beauty

Treatment For Head and Brain Related Pain Symptoms

We will perform a special spinal exam to determine the source of your pain. We will look at your ability to turn and bend whether your head pain is caused by misaligned vertebrae in the spine (subluxation). Whether areas of the spine aren’t moving properly or if you have spine curvature of the spine.

Chiropractic adjustments can then normalize spinal function and restore curves, improve circulation and reduce nerve irritation.

The most common cause of head pain is subluxation of the neck joints, which can be relieved with chiropractic adjustments.

Treatments For Upper and Middle Back Pain

Imaging (X-ray, MRI) may be needed to determine if an injury has occurred. Spinal manipulation and decompression are effective treatments. Physical conditioning also is effective to minimize pain recurrence.


Neck and Arm Pain Treatments

We will begin with a thorough examination, including questions about your pain and its source, as well as what you have tried to alleviate it thus far. Dr. Aboudib will observe your posture, your range of motion and your general physical condition. He’ll feel your spine, noting its shape and alignment, and check for muscle spasms. Shoulders and arms are an integral part of a neck exam as well.

A neurological exam will involve your reflexes, muscle strength, nerve changes and the scope of the pain. Other tests, such as X-rays or a CT scan, may be ordered. Imaging can show whether there are disc problems, bone spurs or arthritis.

An adjustment, also called cervical manipulation, may be the next course of action. The joints of the neck are adjusted to increase mobility. Patients quickly notice a wider range of motion and decreased pain.

Treatment also can include spinal decompression of the pinched nerves. To get the pressure off the neck exercises and clinical massage. Muscles of the neck physical conditioning. Sometimes simple traction devices are needed.

General shoulder pain treatment graphic

Treatment for General Shoulder Pain

We begin with a thorough examination, as well as an examination of your neck and midback, which often are the source of shoulder pain.

An orthopedic and neurological exam will involve your motor reflexes, muscle strength, nerve distortion and the scope of the pain. Other tests, such as X-rays or MRI, may be ordered to determine if an injury has occurred or whether there is a disk problem. These can show whether there’s disc problems, bone spurs or soft tissue problem. Physical conditioning also is effective to minimize pain recurrence.

The treatment for many shoulder ailments is similar because muscle imbalances respond so well to chiropractic manipulation. We will work to restore proper mobility and correct any misalignment. Exercise, physical conditioning and clinical massage will speed your recovery (which we also offer).

Recent Articles Related To Pain Location

The Boy With a Thorn in His Joints

There's an article a few years back in the New York Times, well worth your time to read.  It's a very moving story of a three year old boy with arthritis - yes you read that correctly.  It's enough to tug at the heart-strings of any parent, and it's also very revealing about the pharmacological "fixes" that are pushed in our modern world. The article also discusses "leaky gut" as a possible explanation to why this little boy's medications failed, and why a regimen focused on his digestive health seems to be the cause of a happy ending. There's a... Read More