5431 Jonestown Rd

Harrisburg, PA 17112 US

(717) 540-8448

Monday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Tuesday:

8:00 am - 12:00 pm

Wednesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Thursday:

8:00 am - 12:00 pm

Friday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Saturday:

Closed

Sunday:

Closed

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Repairing an Injured Rotator Cuff

As we get older, rotator cuff injuries become more common, a result of the natural aging process. A similar mechanism operates in the discs separating the vertebras in your lower back. These cartilaginous structures lose water over time, becoming less flexible and more brittle as the decades roll by. In the case of the shoulder, the rotator cuff tendon is pulleyed to and fro as the arm swings forward and back and up and down. As the years pass, this constant motion may cause fraying in the rotator cuff tendon and inflammation in the muscles that comprise the rotator cuff. Eventually, partial or full thickness tears may develop in one or more of these musculotendinous units, causing pain and some loss of function. Importantly, conservative care may be all that’s needed to reduce pain and restore needed motion.

The shoulder joint is beautifully designed and a marvel of engineering. Its construction makes possible a full 360-degree arc of motion in both the sagittal and frontal planes. In other words, you can swing your arm in a complete circle from front-to-back and to-the-side-and-up-and-around. In the third, horizontal, plane, 180 degrees of motion is available. The overall combination of movements in three-dimensional space makes the shoulder joint the most freely movable joint in your body. However, as with all freedoms we enjoy in this life, there is a price. The shoulder joint’s great mobility is countered by its very limited stability.

The shoulder’s lack of stability needn’t concern us in our average day-to-day tasks. Protection to the joint is built-in by way of the rotator cuff muscles, which form a strong hood that envelops the intersection of the arm bone and shoulder blade. Falling on an outstretched arm may result in a dislocated shoulder, so we need to have some care in this regard.

If you’re a young athlete and have suffered a rotator cuff tear, surgery may be an appropriate option.1 But for the vast majority of people, especially for those over age 40, most rotator cuff injuries are chronic rather than acute and can be treated with rest and rehabilitative exercise. Again, if you’re a 60-year-old skier who has torn his or her rotator cuff in a downhill accident, surgery could be indicated. For the rest of us, rehabilitative exercise is the key.2,3

Four or five primary strength training exercises are involved in shoulder or rotator cuff rehabilitation. The three basic shoulder exercises are (1) seated overhead press, which trains all the shoulder girdle muscles simultaneously; (2) standing side [lateral] raise; and (3) seated or standing bent-over raise. The lateral raise specifically trains the middle deltoid muscle and the bent-over raise specifically trains the posterior deltoid muscle. Specific rotator cuff strength training exercises include internal rotation and external rotation on a flat bench using very light dumbbells. More painful injuries with greater loss of mobility may require (1) Codman pendulum exercises and (2) finger-walking (up a wall) to the front and to the side.

The goals of rotator cuff rehabilitation, as for any mechanical injury, include decreased inflammation, decreased pain, return to more full active range of motion, return to more full muscular strength, and restoration of function.

1 Plate JF, et al: Rotator cuff injuries in professional and recreational athletes. J Surg Orthop Adv 22(2):134-142, 2013

2 Escalmilla RF, et al: Optimal management of shoulder impingement syndrome. Open Access J Sports Med 5:13-24, 2014

3 McMahon PJ, et al: What Is the Prevalence of Senior-athlete Rotator Cuff Injuries and Are They Associated With Pain and Dysfunction? Clin Orthop Relat Res 2014 Mar 12. [Epub ahead of print]

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** Due to Federal Regulations, This offer does not apply to Medicare/Medicaid. **

Regular Office Hours

By Appointment Only

Monday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

Wednesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

Friday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

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Testimonials

Reviews By Our Satisfied Patients

  • "Absolutely love Dr. Skocik and his staff!!! I treated with this practice for several years after a really bad fall, thanks to the wonderful chiropractic care and massage therapy I am pain free and have my mobility back!! Highly recommend Dr. Skocik!!!"
    Teresa S.
  • "Wonderful staff. Makes you feel like it's home. Dr. Skocik is a wonderful gentleman. Just wants to help you so you can be better. Goes up and beyond."
    Sean F.
  • "This office is extremely friendly and provides excellent service!!!!"
    Rohimah H.
  • "Best doctor and best staff ever the service is perfect thanks you all guys I appreciate it."
    Pagal R.
  • "Always super helpful! I got hit by a car earlier this year and they have been helping me heal ever since!"
    Charlette B.
  • "My experience With Dr. Skocik has been exceptional. The staff provides excellent services and care. I always feel better after my treatment! Looking forward to a full recovery!"
    Linda S.
  • "Great Doctor! Amazing Staff! The first time I went to skocik chiropractor I was in a lot of pain but after just a few months I feel so much better."
    Waslat W.
  • "Very great dr.Skocik, and amazing nurses they definitely know what they doing."
    Alona L.
  • "Helped me with a damaged disk.very knowledgeable and a great way to go to handle pain in a natural way."
    Tommy H
  • "The best Chiropractor in town."
    Bryan D.
  • "Good experience. Explains things patiently. Friendly Staff"
    Amit K.
  • "The staff is all great and Dr. Skocik is one of the best and nicest chiropractors."
    Matthew G.
  • "Dr. Skocik did a wonderful job helping me get back to normal. He explained things in detail. A very pleasant and courteous atmosphere. I found my go to chiropractor!!"
    Diane L.
  • "Dr Sk is thorough in his exams and explanations of recommended treatment and process. The staff are courteous, friendly and professional. I have seen improvement in my range of motion, mobility and reduction of pain in back and spine."
    Arlis V.
  • "I love this place. I have been going through a rough time, injuries, employment, school, death in the family, and stress. Dr. Skocik and his staff are a blessing. They have been there to help me not only with my injuries but with my life in general. No matter how much pain and misery I may be going through, I always leave feeling better and with a smile on my face. I think the entire staff is awsome."
    Melissa J.
  • "Quote from the movie The best exotic marigold hotel- β€œMost things don’t work out as expected, but what happens instead often turns out to be the good stuff.” - reminded me of you all. Thank you for helping me through my rough and frustrating healing process !!"
    Shirly P.
  • "Great office, sure had helped me"
    William G.
  • "Thank you to the entire team, Dr. Skocik, Kourtnay, Shannon, Nicole, and Daphne for taking great care of me. From not being able to walk to using a cane to now...you are a god-send! Highly recommended!!!!!"
    Dwayne D.
  • "Thanks"
    Jody B.
  • "Very nice people."
    Kim D.
  • "Great Doctor! Amazing Staff! The first time I went to skocik chiropractor I was in a lot of pain but after just a few months I feel so much better."
    Waslat W.
  • "In addition to the standard chiropractic services, Skocik also offers massage. The massage therapist is awesome, the prices are fantastic and I have never left anything but totally satisfied. You do give up a tiny bit of ambiance compared to a "spa", but what you get is more than worth it in my opinion. Highly recommended."
    Tiffany I.
  • "I appreciate Dr Skocik calling me at home to inquire about my recovery!
    Try stem cell & PRP therapy. It's worth it if it means having your life back without surgery!"
    Regenerative Medicine Patient O. Olagbemi
  • "I have been coming to this office for years and I would refer anyone to come to this office I never have had a bad experience."
    J. Weldon
  • "I like the combination of services they have.
    Adjustments, Maintenance, Physical Therapy options, massage and laser therapy.
    Not many places have that."
    A. Schultz
  • "The staff was very welcoming & make you feel completely comfortable. I would recommend them to anyone."
    T. Mahone
  • "Great Chiropactor , great staff, they are passionate about what they do and it shines through. I would highly recommend Skocik Chiropractic ! πŸ‘"
    T. Romberger
  • "Dr Skocik treats his patients like family, great rehab equipment, phenomenal staff and amazing massage therapists!!!"
    T. Warner
  • "I go here for massages, best you'll find in the area, and very good prices. The large office that has a wide range of chiropractic treatment equipment, and is a complete back treatment and rehab facility."
  • "This office is highly professional and organized! Great chiro service and I highly recommend!"
    J. LeCadre
  • "Simply the best! Period."
    J. Williams
  • "Dr. Skocik office treats you like family, wonderful staff and I will recommend anyone to his office.πŸ‘ πŸ‘ πŸ‘"
    K. Trollinger
  • "Amazing first impression and excellent, thorough exam for diagnosis. Physical therapy feels great."
    C. Campbell
  • "This office is organized and very professional, great chiro care! Would definitely recommend this office!"
    C. Myers
  • "I've been seeing Dr. Skocik for many years. Very professional office, he and his staff take great care of me. I recommend them often."
    T. Mowatt
  • "Absolutely love Dr. Skocik and his staff!!! I treated with this practice for several years after a really bad fall, thanks to the wonderful chiropractic care and massage therapy I am pain free and have my mobility back!! Highly recommend Dr. Skocik!!!"
    T. Coffman
  • "Coming from Toronto and seized up shoulder. Dr went way out of his way on a Saturday to open the clinic for me to assess. Very professional and kind. Wonderful."
    A.C.
  • "Doctor Skocik is really sincere about helping people"
    J. Peiffer
  • "What I love about my experience. I was able to be seen with in a 24 hours window..For those who suffer from lower back pain will truly understand how important that is. For that alone i give you five stars .. Excellent staff"
    F. Jackson
  • "I love coming here. The staff is very Friendly! I have had all kinds of issues with my back and ever since I started coming here i have made lots of improvement. I highly recommend Skocik Chiropractic!"
    Jessica C.
  • "The level of care, from the chiropractic services, to the massage therapy..to the office staff...EVERYONE treats you like family. I can honestly say that their is a genuine concern for your progress and well being.
    I would highly recommend."
    Craig W.
  • "I have always had a good experience with them and I have been a patient for a number of years. They are very nice about rescheduling appointments. The staff is always very friendly and I have always found them reasonably priced."
    L. Henninger
  • "I had a great experience in Skocik Chiropractic and they are very professional and fixed my lower back pain problem. My whole family goes to this practice and we highly recommend to other people."
    F. Zhang
  • "Skocik Chiropractic was very personable and informative. Dr. Skocik and his staff purposefully takes care of their patients with attentiveness and professionalism. I enjoyed my time there and highly recommend Skocik Chiropractic."
    B. Wanda

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