Shoulder Pain Treatment In West Des Moines, IA
Content Reviewed by: Dr. Josiah Fitzsimmons, DC, BCN on November 10, 2026
Iowa Chiropractic License #085940 (NPI: 1568993574)
Shoulder Pain Treatment At A Glance
The shoulder is the most mobile joint in the body, which also makes it one of the most vulnerable to injury and overuse. Shoulder pain is one of the most common extremity complaints we evaluate at Vero Health Center, and it frequently has multiple contributing factors that require a coordinated treatment approach.
Conservative care for shoulder pain may include chiropractic evaluation of the cervical and thoracic spine, shockwave therapy for chronic tendon conditions, and targeted rehabilitation to correct the muscle imbalances that drive many shoulder overuse conditions. The cervical spine is evaluated in every shoulder pain case because cervical radiculopathy can produce shoulder symptoms that are entirely spinal in origin.
What Is Shoulder Pain?
Shoulder pain refers to discomfort arising from the glenohumeral joint, the acromioclavicular joint, the rotator cuff tendons, the biceps tendon, the surrounding bursae, or the cervical and thoracic structures that refer pain to the shoulder region.
The rotator cuff is a group of four muscles and their tendons that stabilize the humeral head within the glenoid socket and produce the shoulder’s rotational movements. Rotator cuff pathology, including tendinopathy, partial tears, and full tears, is the most common source of shoulder pain in patients over forty.
The acromioclavicular joint, at the top of the shoulder, is commonly injured in contact sports and falls onto an outstretched hand. The subacromial bursa, a fluid-filled sac that reduces friction in the shoulder, can become inflamed and produce significant pain with overhead movement in a condition called subacromial bursitis.
Common Symptoms Of Shoulder Pain
Shoulder pain symptoms depend on which structure is involved and how the condition developed.
Rotator cuff conditions produce pain on the front or side of the shoulder that worsens with overhead movements, reaching behind the back, and lying on the affected side at night. Nighttime pain that disrupts sleep is particularly common with rotator cuff pathology.
Frozen shoulder (adhesive capsulitis) produces progressive stiffness and pain that limits movement in all directions. Patients report being unable to raise the arm past a certain point and significant pain at the end range of movement in any direction.
Acromioclavicular joint pain produces localized tenderness at the top of the shoulder that worsens with horizontal adduction across the body. Biceps tendinopathy produces anterior shoulder pain near the biceps groove that worsens with lifting and supination of the forearm.
What Causes Shoulder Pain?
Shoulder pain develops from acute injury, overuse, postural contributors, and degenerative change.
Rotator cuff tendinopathy develops from repeated overhead loading without adequate recovery, from poor scapular mechanics that reduce subacromial space, or from a single injury that initiates a degenerative process. As tendons age, their ability to recover from loading declines, and degenerated tendons are more vulnerable to tearing.
Scapular dyskinesis, an abnormality in how the shoulder blade moves during arm elevation, is a frequent contributor to subacromial impingement and rotator cuff tendinopathy. When the scapula does not upwardly rotate and posteriorly tilt adequately with arm elevation, the subacromial space decreases and tendon compression increases.
Cervical disc herniation and radiculopathy at the C5 or C6 level produce referred pain into the shoulder and upper arm that can closely mimic primary shoulder pathology. Evaluation of the cervical spine is essential in all shoulder pain cases to identify or exclude a spinal contributor.
Conditions That Can Mimic Shoulder Pain
Cervical radiculopathy from the C5 or C6 nerve roots is the most important condition to distinguish from primary shoulder pathology. It produces pain that refers from the neck into the shoulder and upper arm, often with accompanying tingling or weakness. Thoracic outlet syndrome produces shoulder, arm, and hand symptoms from vascular or neural compression between the clavicle and first rib. Acromioclavicular joint pathology, biceps tendon disorders, and glenohumeral labral tears each produce distinct shoulder pain patterns that require specific orthopedic testing to identify accurately.
When To Seek Urgent Care For Shoulder Pain
Seek urgent medical attention for shoulder pain accompanied by sudden severe pain and inability to move the arm following a fall (possible fracture or dislocation), or for shoulder pain accompanied by chest pain, shortness of breath, or pain radiating to the jaw or left arm (possible cardiac event). An acutely red, hot, and swollen shoulder joint requires urgent evaluation to rule out septic arthritis.
What Our Patients Are Saying
How We Diagnose Shoulder Pain At Vero Health Center
Shoulder pain evaluation at Vero Health Center includes cervical spine assessment to identify or exclude a spinal contributor, followed by specific orthopedic testing of the shoulder. We assess rotator cuff strength and integrity, acromioclavicular joint sensitivity, biceps tendon tenderness, and glenohumeral range of motion. Scapular mechanics and thoracic mobility are also assessed as contributing factors in many shoulder pain presentations. We review any available imaging and may recommend X-ray or refer for MRI where the clinical findings warrant it.
How Vero Health Center Treats Shoulder Pain
Shoulder pain treatment at Vero Health Center addresses both the local shoulder pathology and the cervical, thoracic, and scapular mechanics that influence how the shoulder functions.
Cervical And Thoracic Chiropractic Care
Restoring normal cervical and thoracic mechanics improves neural input to the shoulder musculature and reduces referred symptoms from spinal nerve roots. Thoracic mobility directly influences how the scapula moves, making thoracic chiropractic care relevant to most shoulder pain presentations.
Shockwave Therapy For Rotator Cuff And Tendon Irritation
For chronic rotator cuff tendinopathy, calcific tendinitis, subacromial bursitis, or lingering shoulder irritation that has not responded fully to rest and other conservative care, shockwave therapy may be included as part of the care plan. SoftWave therapy uses targeted acoustic wave energy to support the body’s natural repair response in the affected shoulder region.
Regenerative Medicine For Degenerative Shoulder Conditions
When shoulder pain is related to arthritis, joint degeneration, or chronic tissue irritation, regenerative medicine may be considered as a non-surgical option when the evaluation supports that direction. This may be relevant for patients who want to avoid or delay surgery and are looking for additional support beyond standard conservative care.
Home Exercise Support For Scapular And Rotator Cuff Function
Shoulder pain often involves scapular movement changes, rotator cuff weakness, or poor loading patterns during reaching, lifting, or overhead activity. When appropriate, Vero Health Center may recommend targeted home exercises to support muscle rehab, improve shoulder stability, and help reduce the movement patterns that contribute to ongoing irritation.
Why Early Treatment Matters For Shoulder Pain
Shoulder pain that is not addressed tends to progress toward frozen shoulder or rotator cuff tear in patients with underlying tendinopathy. The muscle inhibition caused by chronic shoulder pain leads to progressive weakness and scapular dysfunction that compounds the original problem. Early care that addresses the mechanical contributors prevents the cascade of secondary changes that makes chronic shoulder pain significantly harder to treat.
Meet The Experts Behind Your Care
Dr. Josiah Fitzsimmons, D.C.
Dr. Josiah Fitzsimmons is originally from Ames, IA. He played college football at South Dakota State and graduated cum laude with a bachelor’s degree in Exercise Science and a master’s degree in Nutrition, Exercise and Food Sciences in a five-year span. He then attended the fountainhead, Palmer College of Chiropractic.
Dr. Logan Dabney, D.C.
Dr. Logan Dabney is originally from Centerville, IA. He attended Centerville High School, where he discovered his passion for health and science as a frequent visitor to his hometown chiropractor. He then attended the University of Northern Iowa, where he majored in Pre-Med/Chiropractic Biology, before completing his graduate studies at Palmer College of Chiropractic. During his time at Palmer, Dr. Logan was heavily involved in Torque Release Technique and earned Advanced Proficiency Certification in it.
Dr. Scott Coyle, D.C.
Dr. E. Scott Coyle is originally from Waterloo, IA. He graduated from Pepperdine University with a Bachelor of Science degree in Sports Medicine and then attended Palmer College of Chiropractic-West. After practicing in California for several years, he returned to Knoxville, IA, in 1997, where he practiced until 2016. Dr. Coyle then worked in robotic spine and brain surgery for two years with Mazor Robotics, and practiced in Lawrence, KS, for two years before returning home to join the Vero Health Center team. He works with patients dealing with chronic neck, mid-back, and low-back pain, headaches, and arthritis-related discomfort.
Dr. Austin Seitsinger, D.C.
Dr. Austin Seitsinger is originally from Sumner, Iowa. He studied Biology at the University of Northern Iowa, and then attended Palmer College of Chiropractic. He chose to pursue chiropractic at a young age as he has always had a passion for helping others.
Dr. Nate Halverson, D.C.
Dr. Nate Halverson is originally from Fort Dodge, IA, where he was a multi-sport athlete at Fort Dodge Senior High and placed 5th at the Iowa High School wrestling tournament. He found his passion for holistic health care through his background in athletics. After receiving his Bachelor’s degree in Biology from the University of Northern Iowa, he graduated with honors from Palmer College of Chiropractic in Davenport, IA, in 2015. He then worked as the lead chiropractor for a chiropractic and sports injury practice in Chicago before moving back to the Des Moines area with his wife, Leah, to be closer to family. They welcomed their daughter, Hayes, in April 2022 and their son, Steele, in June 2024.
Dr. Colby Nelson, D.C.
Dr. Colby Nelson is originally from Audubon, Iowa. He attended Iowa State University, where he received his Bachelor of Science degree in Psychology, and then attended Palmer College of Chiropractic in Davenport, where he received his Doctorate of Chiropractic degree. During his time at Palmer, he was a leader of the Sports Injury Club and participated in a clinic abroad program in Brazil. Before joining the team at Vero, Dr. Colby operated his own chiropractic clinic for 12 years.
Dr. Taylor Vanden Wynboom, D.C.
Dr. Taylor Vanden Wynboom is originally from Britt, IA. He received his BS degree from Central College and his Doctorate degree from Palmer College of Chiropractic. Before joining the team at Vero Health Center, he owned his own practice in both Ames and Ankeny. In his free time, he enjoys coaching football, exercising, and spending time with his wife Amanda and their four kids, Tate, Harper, Holland, and Harlow.
Dr. Darrius Poe, D.C.
Dr. Darrius Poe is originally from Fort Dodge, Iowa. He attended the University of Northern Iowa where he earned a bachelor’s degree in exercise science. While in undergrad, he discovered his passion for chiropractic after being treated for a sports injury in a chiropractic clinic. Not only did the chiropractic treatments help with his shoulder injury, he was also educated on the intricacies of the central nervous system and how chiropractic care can help the body heal and function better as a whole. Dr. Darrius’ experience as a chiropractic patient motivated him to pursue a career in chiropractic. He attended Palmer College of Chiropractic in Davenport, IA, where he received his doctorate in 2018. Prior to joining the Vero team, Dr. Darrius served as an associate and clinic director for six years in the Des Moines metro area.
Dr. Toby Thepsoumphone, D.C.
Dr. Toby Thepsoumphone is originally from Smyrna, Delaware. He graduated from the University of Delaware with a Bachelor of Science in Exercise Science with a concentration in Exercise Physiology. He then pursued a doctorate degree in chiropractic and graduated from Palmer College of Chiropractic in Davenport. Dr. Toby also attended Harris School of Business in Dover, Delaware, where he earned a degree in Massage Therapy. He has worked as a Licensed Massage Therapist since 2016. He specializes in sports massage, deep tissue, and gua sha. His passion is to help others to achieve optimal health and wellness. He has certifications in the Webster’s Technique and acupuncture.
Dr. Scott Jacobson, D.C.
Dr. Scott Jacobson grew up in Cherokee, Iowa, and has spent more than 17 years in practice across Iowa, Minnesota, Texas, California, and South America. While living in South America, he helped grow a clinic into one of the largest on the continent and became bilingual in Spanish along the way. He is Board Certified in Neuropathy (BCN) through the American College of Physical Medicine (ACoPM) and previously served in the United States Air Force and worked with the Department of Defense. Dr. Scott Jacobson has also been a black belt in Taekwondo for 40 years. He and his wife have two sons—so apparently he enjoys a challenge both professionally and at home.
Serving West Des Moines And Nearby Iowa Communities
Vero Health Center is located at 630 S 50th St in West Des Moines, Iowa, and serves patients from West Des Moines, Clive, Windsor Heights, Urbandale, Des Moines, Johnston, Norwalk, Waukee, Grimes, Saylorville, Van Meter, Pleasant Hill, Ankeny, Dallas Center, Granger, Polk City, De Soto, Carlisle, Adel, Altoona, Bondurant, Indianola, Cumming, and the surrounding area.
Sources And Clinical References
- Source: Cleveland Clinic: Shoulder Pain
- Source: Mayo Clinic: Frozen Shoulder
- Source: NCBI Bookshelf: Cervical Radiculopathy
Frequently Asked Questions
Can chiropractic care help a rotator cuff tear?
It depends on the size of the tear. Partial tears often respond well to conservative care that includes chiropractic treatment of the cervical and thoracic spine, shockwave therapy, and targeted rehabilitation. Full-thickness tears with significant strength loss may require surgical consultation. We will evaluate your case and give you an honest assessment.
Should I see a chiropractor or an orthopedic surgeon for shoulder pain?
For most shoulder pain presentations without a full structural tear or dislocation, chiropractic care is a reasonable first-line approach. We evaluate the full picture, including the cervical spine, and coordinate care accordingly. If your case requires orthopedic evaluation, we will let you know.
How do I know if my shoulder pain is coming from my neck?
Cervical radiculopathy can produce shoulder pain, upper arm pain, and weakness that closely mimic primary shoulder pathology. The distinguishing features include neck pain or stiffness as a companion symptom, pain that radiates past the shoulder into the arm, and symptoms that are reproduced by cervical motion. The evaluation at Vero Health Center always includes cervical assessment for shoulder pain patients.
What makes frozen shoulder different from other shoulder pain?
Frozen shoulder (adhesive capsulitis) is characterized by progressive loss of range of motion in all directions, not only with specific movements. It typically goes through three phases: freezing (increasing pain and stiffness), frozen (persistent stiffness with reduced pain), and thawing (gradual recovery of motion). It requires a specific treatment approach tailored to the phase.
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Read This ArticleBook Shoulder Pain Treatment in West Des Moines
Shoulder pain that limits your reach, disrupts your sleep, or has not responded to previous treatment deserves a complete evaluation that includes the cervical spine, thoracic spine, and local shoulder structures. Vero Health Center builds conservative shoulder care plans around what we actually find. Contact us to schedule your visit.