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Sports chiropractor in Westminster CO performing shoulder pain assessment on patient

Why Shoulder Pain Keeps Coming Back

Aug 04, 2025

If you've been dealing with recurring shoulder pain, you're not alone. Maybe you've tried icing it, doing some basic stretches, or even hitting up a few rotator cuff exercises online. Overhead presses at the gym feel risky, sleeping on your side is a nightmare, and you're starting to wonder if pain-free movement is just wishful thinking. As a sports chiropractor in Westminster, CO with over 10 years of experience helping active adults get back to what they love—whether that's lifting weights, running trails, biking with friends, or playing rec league sports—I've seen this frustration play out every day at Westy Sports Chiro.

The real kicker? Most approaches to shoulder pain relief treat the shoulder like it's the only problem, slapping on temporary fixes without addressing why the pain keeps returning. But here's the good news: by focusing on the underlying causes—like movement patterns, posture habits, and body mechanics—we can break that cycle for good. In this post, I'll break down the hidden reasons your shoulder pain won't go away, share practical tips you can try at home, bust some common myths, and explain how my tailored approach at Westy Sports Chiro gets results that stick. If you're in Westminster, CO and tired of shoulder pain holding you back, stick around—this could be the game-changer you've been searching for.

Understanding Shoulder Pain: More Than Just a Sore Joint

Before we dive into the causes, let's get on the same page about what shoulder pain really means. Your shoulder is one of the most mobile joints in your body, allowing you to reach, lift, throw, and push. But that mobility comes at a cost—it's prone to instability and overuse, especially if you're an active adult hitting the gym, chasing kids, or playing weekend sports. Chronic shoulder pain, or pain that keeps coming back, often feels like a sharp ache during movement, a dull throb at rest, or even radiating discomfort down your arm.

From my time as a personal trainer and strength and conditioning coach, I've learned that shoulder issues rarely happen in isolation. They're often signals from a "broken system" elsewhere in your body. That's why standard treatments like generic physical therapy or over-the-counter pain meds fall short—they don't fix the root. At Westy Sports Chiro, we use a blend of hands-on techniques and functional rehab to get to the heart of it, drawing from certifications like Active Release Technique (ART), Dry Needling, Instrument-Assisted Soft Tissue Mobilization (IASTM like Graston and FAKTR), Dynamic Neuromuscular Stabilization (DNS), and more. The goal? Not just relief, but lasting shoulder pain treatment that lets you move freely again.

5 Hidden Reasons Your Shoulder Pain Keeps Coming Back

Most people think shoulder pain is from a bad lift or "getting older," but it's usually tied to deeper patterns. Here are the top culprits I see in my Westminster, CO practice, along with why they cause recurring issues.

1. Unstable Shoulder Blades: The Shaky Foundation Behind Recurring Pain

Your shoulder blade (scapula) is like the base of a crane—if it's not stable, everything above it wobbles. When your shoulder blade wings out, tilts forward, or doesn't move smoothly during activities like pressing or reaching, your shoulder joint takes the brunt. This instability often stems from overactive upper traps (those tight muscles at the base of your neck) and weak stabilizers like the serratus anterior or lower traps. For active folks in rec leagues or the gym, this leads to chronic shoulder pain that flares up with every overhead move.

Why does it keep coming back? Without retraining coordination, the problem persists. In my practice, we use DNS—a technique that reboots your body's natural stability patterns through breathing and movement drills. For example, one patient, a 35-year-old weekend warrior from Westminster who loved pickleball, came in with shoulder pain that had lingered for months after PT. After assessing his scapular movement and incorporating DNS exercises, he was back on the court pain-free in weeks. If you're dealing with shoulder blade instability, start with this simple at-home check: Stand in front of a mirror and raise your arms overhead. If one shoulder hikes up more than the other, that's a red flag.

2. Posture Problems: How Misaligned Mechanics Fuel Chronic Shoulder Pain

Ever notice your ribs flaring out or your hips tilting forward after a long day at the desk or an intense workout? This "open scissors" posture—common among desk workers, runners, and lifters—throws off your shoulder's alignment, leading to impingement or strain. It's not just about "sitting up straight"; it's a stability issue linked to poor breathing patterns and weak core control.

In my experience, this is a huge reason for shoulder pain that won't go away. We address it with functional rehabilitation, combining manual therapies like Active Release and IASTM ("scraping") to release stuck tissues, plus DNS to rebuild proper mechanics. Think of it as realigning your body's chain—fix the posture, and the shoulder pain eases naturally. A quick tip: Try diaphragmatic breathing (inhale deeply into your belly for 5 seconds, exhale for 5) a few times a day to improve core engagement and reduce strain.

3. Movement Dysfunctions: The Overlooked Cause of Rotator Cuff Pain

Many cases of recurring shoulder pain trace back to rotator cuff issues, but not because the cuff itself is "weak"—it's often overworked due to poor movement elsewhere. For instance, if your thoracic spine (mid-back) lacks mobility, your shoulder compensates, leading to tears, tendinitis, or inflammation. This is especially common in gym-goers or bikers who push through pain without addressing the dysfunction.

We tackle this with a mix of functional movement assessments to pinpoint restrictions, then use Neurodynamic Solutions (NDS) or McKenzie Method to restore function. No cookie-cutter protocols; it's all customized to your goals, whether that's pain-free cycling or hoisting kids overhead.

4. Chronic Tension and Overuse: When Your Body's Stuck in Fight Mode

If your traps or neck muscles are always knotted, it's not just "stress"—it's your body compensating for imbalances, creating a cycle of tension that pulls on your shoulder. For active adults in Westminster, CO, this builds up from daily life: long commutes, intense workouts, or even poor sleep.

Dry needling is a go-to here—it resets tight spots by targeting trigger points—paired with Fascial Manipulation to free up connective tissues. Patients often report feeling "unlocked" after a session, with pain fading as tension releases.

5. Underlying Injuries Masquerading as "Normal" Pain

Sometimes, recurring shoulder pain stems from past injuries like labral tears or bursitis that never fully healed. Arthritis gets blamed a lot, but it's rarely the full story—movement fixes can often manage it without surgery.

Busting Common Myths About Shoulder Pain Treatment

Let's clear up some misconceptions I hear all the time:

  • Myth: You Need Surgery for Lasting Relief. Not true for most cases. Surgery is a last resort; addressing movement dysfunctions often resolves pain without it.
  • Myth: Months of Physical Therapy Are Required. Generic PT can drag on, but targeted, bespoke care like mine gets results faster—often in weeks.
  • Myth: Aging or Arthritis Means Permanent Pain. Aging doesn't equal pain, and arthritis can be managed by fixing how you move.
  • Myth: Rest Alone Will Fix It. Rest helps short-term, but without rehab, pain returns when you get active again.

At-Home Tips to Start Fixing Your Shoulder Pain Today

While professional help is key for chronic issues, try these to ease recurring shoulder pain:

  1. Wall Angels: Stand against a wall, slide your arms up and down like making snow angels—builds scapular control.
  2. Foam Rolling: Gently roll your upper back to improve mobility.
  3. Band Pull-Aparts: Use a resistance band to strengthen rear shoulders.
  4. Posture Check-Ins: Set phone reminders to relax your shoulders and breathe deeply.

If these don't help, it's time for a pro assessment.

How We Fix Shoulder Pain for Good at Westy Sports Chiro

At Westy Sports Chiro in Westminster, CO, we skip the nonsense—no insurance hassles, no upsells, just results. Book online, fill out digital paperwork, and we'll dive in.

  • Initial Visit: We chat about your pain, stress, and goals, then do a hands-on exam (range of motion, tissue quality, functional tests) for a clear diagnosis.
  • Tailored Therapies: A custom blend—maybe dry needling for tension, ART for myofascial release, DNS for stability—all with me, no assistants.
  • Follow-Ups: 1-2 times a week at first, focusing on manual work and exercises that fit your life.
  • Long-Term Wins: Most see improvement quickly, transitioning to monthly tune-ups to stay pain-free.

For some, we layer in nutrition insights if long-term inflammation is a factor, but our core is MSK expertise.

A Real Example: From Chronic Pain to Pain-Free Lifts

Take "Mike," a 42-year-old Westminster dad and gym enthusiast with shoulder pain that kept flaring during bench presses. Standard PT hadn't helped. After assessing his scapular winging and thoracic restrictions, we used a mix of IASTM, DNS, and targeted exercises. In four weeks, he was lifting heavier than before, sleeping better, and ditching the ice packs.

FAQs on Recurring Shoulder Pain

  • Why does my shoulder pain keep coming back after exercise? Likely a movement imbalance—get it checked.
  • Can chiropractic help with rotator cuff pain without surgery? Absolutely, by fixing the root cause.
  • How long until I see results? Most notice changes in 2-4 visits.

Break the Pain Cycle Today

Sick of shoulder pain derailing your active life? At Westy Sports Chiro, we help Westminster, CO folks like you conquer chronic shoulder pain with proven, personalized care. Our $49 new patient special includes a full assessment and custom plan for shoulder pain relief that lasts. Book now at westysportschiro.com—let's get you moving without the ache.

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