Understanding Shoulder Pain
The shoulder is one of the most complex and most movable joints in the entire human body — and that mobility is both its greatest strength and its greatest vulnerability. Unlike the hip, which is a deep, stable ball-and-socket joint, the shoulder sacrifices stability for range of motion, allowing you to reach, throw, lift, and rotate in ways no other joint can match. That remarkable freedom of movement comes at a cost, though — the shoulder relies on an intricate network of muscles, tendons, ligaments, and bursae to maintain its stability and function. There are eight to nine muscle attachments to the shoulder alone, and over twenty-seven total attachments to the shoulder girdle as a whole. With that many moving parts, there are many points of failure, and shoulder pain is one of the most common complaints we see at Kosterman Chiropractic in Cary, NC.
Sometimes shoulder injuries are straightforward — a fall, a collision, a sudden overhead lift that goes wrong. But the majority of shoulder problems we see don’t come from one dramatic event. They develop slowly and silently over time from repetitive use, sustained poor posture, and the accumulated effects of daily life. Think about what happens to someone who spends eight to ten hours a day at a computer with rounded shoulders and a forward head. The upper back creeps into flexion, the shoulder blades drift away from the spine, and the rotator cuff muscles — which depend on proper shoulder blade position to function correctly — are constantly working from a mechanically disadvantaged position. Over time, those muscles become irritated and inflamed. Tendinitis develops. Impingement develops. The bursa gets compressed. And what started as occasional shoulder aching after a long day at the desk becomes a chronic, persistent problem that affects sleep, exercise, and daily activities. Patients from Cary, Apex, Morrisville, Holly Springs, and the greater Raleigh area come to us regularly with exactly this pattern — and most of them are surprised to learn how much of their shoulder problem originated not in the shoulder itself but in the spine and postural habits surrounding it.
Here’s what surprises patients most when they first come into Kosterman Chiropractic with shoulder pain — the realization that their neck and spine could be directly linked to what’s happening in their shoulder. Most people assume shoulder pain means a shoulder problem, and that’s the end of the story. But the nerve roots that power the shoulder — particularly C5, C6, C7, and T1 in the cervical and upper thoracic spine — supply every muscle that moves and stabilizes the shoulder joint. When there is compression, misalignment, or subluxation in the neck or upper back, those nerves can’t deliver their full signal to the muscles of the shoulder. The coordinated movement that the shoulder depends on starts to break down. Muscles that aren’t getting their full nerve supply weaken and fatigue. Other muscles compensate and get overloaded. The whole system gradually deteriorates — and no amount of rotator cuff exercises or anti-inflammatory medication will fully fix it if the neurological source of the problem in the spine is never addressed. Once we show patients their X-rays and posture assessment alongside a picture of what normal looks like, the connection clicks immediately and everything makes sense.
This is exactly why the chiropractic approach to shoulder pain at Kosterman Chiropractic is fundamentally different from what conventional medicine offers. A medical doctor faced with shoulder pain typically reaches for anti-inflammatory medications, cortisone injections, and ultimately a referral to an orthopedic surgeon. Each of those approaches has its place in certain situations — but none of them address the spinal subluxations, postural dysfunction, and neurological compromise that are so frequently driving the shoulder problem in the first place. Medications reduce pain and inflammation temporarily. Injections do the same at higher intensity but with no lasting structural correction. Surgery addresses specific structural damage but leaves the underlying mechanical environment that caused the damage completely unchanged — which is why so many post-surgical patients eventually develop the same problem again. At Kosterman Chiropractic, we look at the whole structure, the whole body, and address everything contributing to the shoulder problem — the spine, the posture, the joint mechanics, the muscle balance, and the neurological function — so that when the shoulder heals, it stays healed.
$49 New Patient Special
Includes consultation, examination, x-Ray (if needed) & 1st chiropractic adjustment. This offer does not apply to federal beneficiaries, auto accident cases, workers’ compensation or if filing health insurance.
How Our Care Plan Works
1. Better
In the first phase of care, our priority is simple: help you feel better fast. We work to reduce pain, improve mobility, and support better sleep so your body can begin healing the right way. This is where we calm the irritation, begin restoring proper motion, and lay the foundation for lasting results — not just temporary relief.
2. Stronger
Once pain has decreased and mobility begins to return, we shift our focus to restoring proper function and stability. This phase is about correcting the underlying issues, rebuilding strength, and improving the way your spine and body move — so progress sticks. We work to help you return to the activities you love with confidence, not caution.
3. Healthier
It doesn’t make sense to get you better, just for it to all go bad again! We want you feeling and functioning your best for years to come. This phase ensures that you maintain all of the amazing progress you have made.
How We Treat Shoulder Pain In Cary, NC
We have a variety of treatments for shoulder pain in our clinic. Our treatment protocols take a holistic approach to address the underlying cause of your shoulder pain.
When a shoulder pain patient comes into Kosterman Chiropractic in Cary, NC, the first thing we do is slow down and get the full picture — because shoulder pain is one of those conditions where the source of the problem and the location of the pain are frequently not the same place. We sit down together in a quiet room, and I want to know everything. Which shoulder, how long has it been going on, did it come on suddenly or gradually, what makes it better and what makes it worse, does it hurt at night, can you sleep on it, what activities are limited, have you had any previous shoulder injuries, what does your workday look like, and what have you already tried. The pattern of symptoms tells me a great deal about what’s driving the problem before I’ve even examined you — and for shoulder patients that context is critical because the treatment approach for a rotator cuff tendinitis looks very different from a frozen shoulder or a cervical radiculopathy referring pain into the shoulder.
From there we move into a comprehensive hands-on examination that assesses both the shoulder joint itself and the cervical and thoracic spine — because both have to be evaluated to get the complete picture. I assess the full range of motion of the shoulder in all planes, identifying where movement is restricted or painful and what that pattern tells us about which structures are involved. A series of specific orthopedic tests allows me to stress different structures of the shoulder in controlled ways — testing the rotator cuff tendons, the biceps tendon, the bursa, the acromioclavicular joint, and the glenohumeral joint specifically to identify exactly what’s injured and how severely. I assess the cervical spine for subluxations and nerve root involvement, because C5 through T1 nerve roots that supply the shoulder must be evaluated in every shoulder pain case. Posture assessment is equally important — shoulder blade position, thoracic curve, forward head posture, and upper crossed syndrome all directly affect shoulder mechanics and must be identified and addressed as part of the treatment plan. For shoulder pain patients throughout Cary, Apex, Morrisville, Holly Springs, and the Raleigh area, this comprehensive evaluation is what separates a care plan that actually fixes the problem from one that just chases the symptoms.
Digital X-rays
Digital X-rays are an important diagnostic tool for shoulder pain patients at Kosterman Chiropractic in Cary, NC — and having that capability right in our office means we get the information we need the same day without delays. For shoulder pain specifically, X-rays give us several critical pieces of information that shape how we approach care. We can assess the glenohumeral joint space — the space between the ball and socket of the shoulder — to identify narrowing that suggests cartilage loss or arthritis. We can see the acromioclavicular joint and identify any separation, arthritis, or bone spur formation in the subacromial space that may be contributing to impingement. We can identify calcific deposits in the rotator cuff tendons — a common and often-overlooked cause of shoulder pain. And we can assess the overall alignment of the shoulder girdle relative to the cervical and thoracic spine, which gives us critical information about the postural and structural factors contributing to the problem.
Just as importantly, for shoulder pain patients, we also take cervical spine X-rays to assess the nerve roots supplying the shoulder. Disc spacing at C5-C6 and C6-C7 — the levels most commonly involved in shoulder referral patterns — tells us whether disc degeneration or compression is contributing to the neurological component of the shoulder problem. Alignment of the cervical spine and the presence of subluxations give us the structural picture of what the nerves powering the shoulder are dealing with. Combined, the shoulder and cervical X-rays give us a complete structural map of everything contributing to the pain — and that allows us to build a treatment plan that addresses all of it. As always, our digital X-ray system is a high-frequency unit with minimal radiation exposure, and we take only the views that are clinically necessary. For shoulder pain patients in Cary, NC, the information we gain from this imaging is invaluable in getting the diagnosis right from day one.
Specific Chiropractic Care for Shoulder Pain in Cary, NC
At Kosterman Chiropractic in Cary, NC, our chiropractic approach to shoulder pain is unique because we treat both the shoulder joint itself and the spine simultaneously — recognizing that you simply cannot get lasting shoulder pain relief without addressing both. A subluxation in the cervical or upper thoracic spine is not just a neck or back problem — it directly affects the shoulder through two distinct mechanisms. First, it compromises the nerve roots at C5, C6, C7, and T1 that power every muscle of the shoulder girdle, reducing the neurological input those muscles receive and causing the weakness, fatigue, and coordination breakdown that leads to injury and pain. Second, it drives the postural changes — forward head position, rounded shoulders, elevated and protracted shoulder blades — that place the rotator cuff in a mechanically disadvantaged position where impingement, tendinitis, and tears are inevitable over time. Address the subluxation, and you address both mechanisms simultaneously.
Chiropractic adjustments at Kosterman Chiropractic for shoulder pain patients target both the spine and the shoulder joint itself. Cervical and thoracic adjustments restore proper alignment and motion to the spinal segments that are compromising nerve supply and driving postural dysfunction. Direct adjustments to the glenohumeral joint, acromioclavicular joint, and shoulder girdle restore proper mechanics to the shoulder itself — taking abnormal stress off the rotator cuff tendons, the bursa, and the joint capsule and allowing those structures to heal. For patients with frozen shoulder specifically, chiropractic adjustments combined with progressive mobilization techniques help restore the lost range of motion that makes this condition so debilitating. What makes chiropractic care superior to the conventional approach for shoulder pain is the same principle that applies across everything we do — we are correcting the structural and neurological causes of the problem rather than managing the symptoms. Medications and injections quiet the pain while the underlying dysfunction continues. At Kosterman Chiropractic in Cary, NC, we fix the problem so the pain goes away because the cause has been corrected — and for shoulder pain patients throughout Cary, Apex, Morrisville, Holly Springs, and the Raleigh area, that distinction produces outcomes that speak for themselves.
Custom Therapeutic Exercise Plan
Exercise is a cornerstone of lasting shoulder pain recovery at Kosterman Chiropractic in Cary, NC — but as with all of our exercise programming, the timing and the specificity of what we prescribe matter enormously. We never load an inflamed or acutely injured shoulder before it’s ready — doing so sets recovery back and risks worsening the injury. Once the acute phase has settled and the joint is responding well to care, we introduce a progressive exercise plan built specifically around each patient’s shoulder condition, their postural deficits, and their functional goals.
The muscles most critical for shoulder health and stability are the rotator cuff — the four muscles that dynamically stabilize the ball in the socket during movement — and the scapular stabilizers — the rhomboids, middle and lower trapezius, and serratus anterior that position the shoulder blade properly as a stable platform for shoulder movement. In most of the shoulder pain patients we see at Kosterman Chiropractic, both of these muscle groups are significantly weakened and imbalanced — the rotator cuff from chronic impingement and neurological compromise from cervical subluxations, and the scapular stabilizers from the forward, rounded posture that has become the norm for desk workers and smartphone users throughout Cary, NC and the surrounding areas. When a subluxation is present, it further inhibits proper muscle activation around the affected segments — compounding the weakness and making exercise alone insufficient without the adjustments to restore proper neurological function first.
Our shoulder exercise programs focus on rotator cuff strengthening through specific resistance exercises — external rotation, internal rotation, and scapular movements that target each of the four rotator cuff muscles specifically. Scapular stabilization exercises, including rows, scapular squeezes, and prone Y-T-W movements, rebuild the foundation that proper shoulder function depends on. Postural correction exercises — chin tucks, wall angels, and chest stretching — address the forward, rounded posture that is so frequently the upstream driver of shoulder problems. We deliver every patient’s customized shoulder exercise plan directly to their email with clear photos and instructional videos, and our YouTube page has additional shoulder-specific exercise content available anytime. The exercises are designed not just to get you better but to keep you better — building the strength and stability that protects the shoulder from re-injury going forward.
Common Shoulder Conditions We Treat in Cary, NC
Bursitis
Bursae are small, fluid-filled sacs located throughout the body at points where tendons, muscles, and bones would otherwise rub against each other — acting as cushions that allow smooth, frictionless movement between these structures. In the shoulder, the most important bursa is the subacromial bursa, which sits between the rotator cuff tendons and the bony arch above the shoulder joint. In a healthy shoulder, that bursa provides the lubrication and cushioning the rotator cuff needs to glide smoothly during overhead movement. When it becomes inflamed — a condition called bursitis — every movement of the shoulder becomes painful, and the inflammation can progress to the point where even resting the arm is uncomfortable.
Shoulder bursitis typically feels like a deep, aching pain in the outer part of the shoulder that worsens with overhead activities, reaching across the body, or lying on the affected side at night. The most common causes are repetitive overhead movements that compress the bursa, forward rounded posture that narrows the subacromial space and pinches the bursa with normal arm movement, direct trauma, and the compensation patterns that develop when rotator cuff muscles are weakened by cervical nerve compromise or poor posture. Prevention centers on maintaining proper shoulder mechanics through good posture, adequate rotator cuff and scapular strength, and regular spinal care to keep the nerves supplying the shoulder functioning properly. At Kosterman Chiropractic in Cary, NC, we treat shoulder bursitis with a combination of specific chiropractic adjustments to restore proper joint mechanics and relieve nerve compression, soft tissue therapy to reduce the muscle tension compressing the bursa, and a progressive exercise plan to rebuild the shoulder stability that takes the abnormal load off the inflamed tissue.
Frozen Shoulder
Frozen shoulder — clinically known as adhesive capsulitis — is one of the most debilitating and most mismanaged shoulder conditions we see at Kosterman Chiropractic in Cary, NC. It develops when the capsule surrounding the shoulder joint — the tough connective tissue envelope that holds the joint together — becomes inflamed, thickened, and scarred, causing the joint to progressively lose its range of motion over time. The condition typically develops in three stages — a freezing phase where pain is severe and range of motion begins to decline, a frozen phase where pain may decrease somewhat but stiffness is profound, and a thawing phase where motion gradually returns. The entire process can take one to three years if left untreated and managed conservatively — and for many patients who don’t get appropriate care, the motion never fully returns.
Frozen shoulder is most commonly seen in people between forty and sixty years of age, affects women more than men, and is significantly more common in patients with diabetes, thyroid conditions, and cardiovascular disease. It can develop following a shoulder injury, a period of immobilization, or apparently spontaneously without a clear triggering event. The hallmark symptom is progressive loss of shoulder range of motion in all directions — particularly external rotation and overhead reaching — accompanied by a deep, achy pain that is typically worst at night. At Kosterman Chiropractic, our approach to frozen shoulder combines specific chiropractic adjustments and progressive joint mobilization to systematically break down the adhesions limiting motion, soft tissue work to address the capsular and muscular tightness, and a carefully progressive home stretching and exercise program to maintain and build on the motion gains achieved in the office. For patients in Cary, Apex, Morrisville, Holly Springs, and the Raleigh area who are dealing with frozen shoulder, our approach consistently produces faster and more complete recovery than the standard wait-and-see approach offered by most conventional providers.
Osteoarthritis
Osteoarthritis of the shoulder is the progressive breakdown of the cartilage that lines the glenohumeral joint — the ball-and-socket joint of the shoulder — leading to bone-on-bone friction, inflammation, and pain. Unlike the hip and knee, where osteoarthritis is extremely common, shoulder osteoarthritis is less frequent but still affects a significant number of patients — particularly those with a history of shoulder injuries, repetitive overhead work, or chronic postural dysfunction that has placed abnormal stress on the joint over many years.
Symptoms of shoulder osteoarthritis include a deep, aching pain in the shoulder that worsens with activity and improves with rest, stiffness particularly in the morning or after periods of inactivity, a grinding or catching sensation with movement, and progressive loss of range of motion. The risk increases with age, prior shoulder injuries, repetitive overhead occupations, and chronic postural dysfunction. While the cartilage loss of osteoarthritis cannot be reversed, chiropractic care at Kosterman Chiropractic in Cary, NC can significantly improve how patients with shoulder arthritis feel and function. Specific adjustments to restore as much proper joint motion as possible, soft tissue work to address the surrounding muscle tension and guarding, cervical adjustments to ensure the nerves supplying the shoulder are functioning optimally, and a targeted exercise plan to maintain strength and range of motion all work together to reduce pain, slow the progression of the condition, and help patients maintain the active lifestyle they want to live — without rushing toward a shoulder replacement.
Rotator Cuff Injuries
The rotator cuff is a group of four muscles — the supraspinatus, infraspinatus, teres minor, and subscapularis — that work together to dynamically stabilize the shoulder joint and power its rotation movements. They are the key to virtually everything the shoulder does — reaching, throwing, lifting, pushing, pulling — and when any of them are injured, the entire shoulder system is compromised. Rotator cuff injuries range from mild tendinitis and inflammation to partial tears and complete tears that disconnect the tendon from the bone entirely.
Rotator cuff injuries feel like a deep, aching pain in the outer shoulder and upper arm that worsens with overhead activity, reaching behind the back, and lying on the affected side at night. Weakness in specific movements — particularly external rotation and overhead reaching — is a hallmark finding that helps distinguish rotator cuff involvement from other shoulder conditions. Injuries occur from acute trauma like a fall or sudden forceful movement, but more commonly from the repetitive strain and chronic impingement that develops when the shoulder is functioning in a mechanically compromised environment — rounded posture, weakened scapular stabilizers, and compromised cervical nerve supply to the rotator cuff muscles all contribute. At Kosterman Chiropractic in Cary, NC, we treat rotator cuff injuries with specific chiropractic adjustments to restore proper shoulder and cervical mechanics, targeted soft tissue therapy to reduce inflammation and break down adhesions in the injured tendon, cervical care to optimize nerve supply to the healing muscles, and a progressive rotator cuff strengthening program introduced at the right time in the healing process. For partial tears and tendinitis, this approach produces excellent results — and for patients who have been told they need surgery, we frequently help them avoid it.
Tendinitis
Tendinitis is inflammation of a tendon — the tough fibrous cord that connects muscle to bone — and in the shoulder, the tendons most commonly affected are those of the rotator cuff, particularly the supraspinatus tendon, and the long head of the biceps tendon. It feels like a localized aching or burning pain directly over the affected tendon that worsens with the specific movements that load that tendon — overhead reaching for supraspinatus tendinitis, forward reaching and lifting for biceps tendinitis — and often becomes more symptomatic after activity rather than during it. Chronic tendinitis can progress to tendinosis — a degenerative condition where the tendon tissue itself breaks down — and ultimately to a tear if the underlying mechanical causes are never addressed.
The causes of shoulder tendinitis are almost always mechanical and postural — repetitive overhead movements, poor posture that narrows the subacromial space and chronically compresses the rotator cuff tendons, muscle imbalances that load some tendons disproportionately, and the compromised nerve supply to the shoulder muscles that comes from cervical subluxations. Prevention centers on maintaining proper shoulder mechanics, posture, and cervical spine health — which is exactly what regular chiropractic care at Kosterman Chiropractic in Cary, NC provides. For patients who already have shoulder tendinitis, our approach combines specific adjustments to correct the mechanical environment causing the tendon overload, soft tissue therapy including cross-fiber friction massage to stimulate proper healing of the tendon tissue, cervical care to optimize neurological function, and a progressive loading exercise program that uses controlled tendon stress to stimulate remodeling and strengthen the healing tissue. Most patients respond very well and are able to avoid the cortisone injections and surgery that are so often presented as the only options.
Sprains and Strains
A sprain involves the stretching or tearing of ligaments — the tough fibrous bands that connect bone to bone and provide joint stability — while a strain involves the stretching or tearing of muscles or tendons. In the shoulder, both are common, and they frequently occur together following a sudden trauma like a fall, a collision, or a sudden forceful movement that takes the joint beyond its normal range of motion. The distinction matters because ligaments and muscles heal differently and at different rates, and the treatment approach needs to account for both.
Shoulder sprains and strains feel like immediate pain at the time of injury, followed by swelling, tenderness to touch, and difficulty moving the shoulder through its full range. Depending on the severity, there may be significant weakness and instability in the joint. The best treatment approach for shoulder sprains and strains at Kosterman Chiropractic in Cary, NC follows a carefully phased protocol — initial care focuses on reducing inflammation and protecting the healing tissue through gentle adjustments, soft tissue work, and activity modification. As the acute phase resolves, we progressively restore range of motion, then introduce strengthening exercises to rebuild the muscle and ligament integrity the injury compromised. Throughout the process, we maintain proper cervical spine alignment to ensure optimal nerve supply to the healing shoulder structures. Most shoulder sprains and strains heal very well with this approach — and getting proper care from the beginning dramatically reduces the risk of chronic instability and recurring injury that so commonly follows inadequately treated shoulder trauma.
Frequently Asked Questions About Shoulder Pain
Can chiropractors help with shoulder pain?
Absolutely — at Kosterman Chiropractic in Cary, NC, we treat shoulder pain every day using a comprehensive approach that addresses both the shoulder joint itself and the cervical spine and postural factors driving the problem. For the majority of shoulder pain conditions, chiropractic care produces excellent results without medication or surgery.
Should I see a doctor or chiropractor for shoulder pain?
For shoulder pain that isn’t the result of a traumatic injury requiring emergency evaluation, a chiropractor at Kosterman Chiropractic in Cary, NC is an excellent first stop — we can thoroughly evaluate the shoulder, identify the source of the problem, and begin addressing it immediately with a comprehensive, non-invasive approach that most medical doctors simply don’t have the tools to provide.
Why is my shoulder pain not going away?
Because the root cause hasn’t been identified and addressed — shoulder pain that persists despite rest, medication, or even physical therapy is almost always the result of an underlying mechanical problem in the shoulder joint, the cervical spine, or the postural environment surrounding both that nobody has corrected. At Kosterman Chiropractic in Cary, NC, we find that root cause and fix it.
What could shoulder pain be a sign of?
Shoulder pain can indicate rotator cuff injury, bursitis, tendinitis, frozen shoulder, osteoarthritis, acromioclavicular (AC) joint problems, cervical nerve root compression, or postural dysfunction — and identifying which one or which combination requires a thorough examination. In rare cases, shoulder pain can also be referred pain from internal organs, which is another reason a proper evaluation is so important.
How do I stop severe shoulder pain?
The most effective immediate measures are ice for acute inflammation, avoiding the movements that aggravate it, and getting into Kosterman Chiropractic in Cary, NC as soon as possible for a proper evaluation, so we can identify what’s driving it and start addressing it directly rather than just managing the pain.
What does a pinched nerve in the shoulder feel like?
A pinched nerve affecting the shoulder typically produces pain, numbness, tingling, or weakness that travels from the neck into the shoulder and down the arm — often following a specific path depending on which nerve root is involved. It frequently feels electric or burning in quality and can be worsened by neck movements or positions that further compress the affected nerve.
How should I sleep with shoulder pain?
Avoid sleeping on the affected shoulder — sleeping on your back with a pillow supporting the arm or on the opposite side with a pillow between your arms and body to prevent the shoulder from rolling forward are the most shoulder-friendly positions. If you must side sleep on the affected side, a supportive pillow under the arm that keeps the shoulder in a neutral position can help reduce compression on the joint.
What is the best exercise for shoulder pain?
The best exercises depend entirely on what’s causing your shoulder pain — which is why we never prescribe a generic shoulder exercise program at Kosterman Chiropractic in Cary, NC. Generally speaking, scapular stabilization exercises and rotator-cuff-specific strengthening are foundational for most shoulder conditions, but the specific exercises, the load, and the timing all have to be matched to your particular injury and stage of healing.
Can I adjust my shoulders by myself?
Self-manipulation of the shoulder moves joints that are already mobile rather than specifically addressing the restricted ones that need correction — and done incorrectly, it can worsen joint instability. A specific chiropractic adjustment at Kosterman Chiropractic applies a precise, controlled force to exactly the right joint in exactly the right direction, which produces a very different and far more therapeutic result than anything achievable through self-manipulation.
Can a chiropractor help with rotator cuff?
Absolutely — at Kosterman Chiropractic in Cary, NC, we successfully treat rotator cuff tendinitis, partial tears, and impingement every day using specific shoulder and cervical adjustments, targeted soft tissue therapy, and progressive rotator cuff strengthening programs. Many patients who’ve been told they need surgery for their rotator cuff have achieved full recovery through our approach.
How do I get rid of a pinched nerve in my shoulder?
A pinched nerve affecting the shoulder is most effectively addressed by identifying and correcting its source — which in most cases is a disc or subluxation in the cervical spine compressing the nerve root at C5, C6, or C7. At Kosterman Chiropractic in Cary, NC, we use specific chiropractic adjustments and cervical spinal decompression to relieve that nerve compression and allow the nerve to heal, producing lasting relief rather than temporary symptom management.
What can cause shoulder pain without an injury?
The most common causes of shoulder pain without a clear injury are cervical nerve root compression from disc or subluxation issues in the neck, postural dysfunction that chronically loads the rotator cuff and bursa, repetitive strain from occupational or daily activities, and degenerative conditions like osteoarthritis or tendinosis that develop gradually over time. At Kosterman Chiropractic in Cary, NC, we identify the specific cause through a thorough examination and build a care plan around fixing it.
$49 New Patient Special
Includes consultation, examination, x-Ray (if needed) & 1st chiropractic adjustment. This offer does not apply to federal beneficiaries, auto accident cases, workers’ compensation or if filing health insurance.


