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Comprehensive Joint Pain Treatment and Management Through Chiropractic Care

Joint pain can be disruptive and limiting, impacting your ability to move freely and enjoy daily activities. Whether caused by chronic conditions like arthritis or sudden injuries, understanding the root causes, common symptoms, and available treatment options is key to achieving long-term relief and improved mobility.

  • Medically Reviewed
  • Last Updated On June 23rd, 2025

Joint pain can transform simple daily activities like climbing stairs or reaching for a coffee mug into challenging ordeals that diminish your quality of life. Whether it manifests as a dull ache, sharp stabbing sensation, or persistent stiffness, joint pain stems from complex interactions between muscles, ligaments, cartilage, and bone structures that require proper evaluation and targeted treatment approaches.

At Pangea Chiropractic, we focus on holistic healing and neurological wellness to address joint pain at its source rather than merely masking symptoms. Our team of five experienced Bend, OR chiropractors takes a comprehensive approach to joint pain, developing personalized treatment plans that may include spinal adjustments, therapeutic exercises, and lifestyle modifications designed to provide lasting relief and improve your overall well-being.

What is Joint Pain?

Joint pain refers to discomfort, inflammation, or soreness in any joint of the body. These critical junctions where bones meet are designed to facilitate movement through a complex system of cartilage, ligaments, tendons, and fluid-filled sacs. When any component of this intricate system becomes damaged or inflamed, pain and restricted mobility often result.

Common Causes of Joint Pain

Several factors can contribute to joint pain, ranging from acute injuries to chronic conditions:

  • Osteoarthritis – gradual breakdown of protective cartilage
  • Rheumatoid arthritis – autoimmune inflammation of joint linings
  • Bursitis – inflammation of fluid-filled sacs cushioning joints
  • Tendinitis – inflammation of tendons connecting muscle to bone
  • Sprains and strains – overstretched or torn ligaments and muscles
  • Structural misalignments – affecting proper joint function
  • Nerve irritation – often stemming from spinal misalignments

Understanding the root cause of your joint pain is essential for effective chiropractic treatment. While conventional treatments often focus on symptomatic relief through medication, our approach at Pangea Chiropractic addresses the underlying biomechanical and neurological factors contributing to your discomfort.

How Joint Pain Affects Daily Activities

Joint pain impacts far more than physical comfort—it can diminish your ability to work effectively, enjoy recreational activities, or even perform basic self-care. The psychological toll of chronic pain often leads to decreased social engagement, disrupted sleep patterns, and reduced overall life satisfaction. This creates a cycle where physical limitations lead to emotional distress, which can then amplify the perception of pain.

Shoulder Pain

The shoulder is one of the most complex and mobile joints in the body, capable of movement in multiple directions. This remarkable range of motion, however, comes with increased vulnerability to injury and pain conditions.

Anatomy of the Shoulder Joint

The shoulder consists of three bones (humerus, scapula, and clavicle) and multiple soft tissue structures working together to create a ball-and-socket joint. Unlike the hip, another ball-and-socket joint, the shoulder trades stability for mobility, making it particularly susceptible to injury when subjected to repetitive motions or unexpected forces.

The rotator cuff—a group of four muscles and their tendons—provides critical stability and allows for controlled movement. When these structures become irritated or damaged, significant pain and functional limitations may develop. Proper shoulder function also relies heavily on correct alignment of the spine, particularly in the neck and upper back regions.

Common Shoulder Conditions

Shoulder pain often stems from specific conditions affecting the joint’s complex structure. Rotator cuff injuries range from mild inflammation to complete tears and frequently result from repetitive overhead movements or sudden trauma. Frozen shoulder presents as gradually increasing stiffness and pain, while shoulder impingement occurs when soft tissues become compressed between bones during certain movements.

Treatment Options for Shoulder Pain

At Pangea Chiropractic, our approach to shoulder pain begins with a thorough examination to identify misalignments in the spine and shoulder girdle that may be contributing to your symptoms. Our treatments often include gentle adjustments to restore proper biomechanics, reducing nerve irritation and improving joint function. We complement these adjustments with specific exercises to strengthen supporting structures and increase mobility.

Begin your journey to better health with chiropractic care that helps more than just your joint pain.
Begin your journey to better health with chiropractic care that helps more than just your joint pain.

Knee Pain

The knee endures tremendous forces throughout daily activities and serves as a critical weight-bearing joint connecting the upper and lower leg.

Understanding Knee Joint Structure

The knee joint consists of three main components: the femur (thigh bone), tibia (shin bone), and patella (kneecap). These bones are connected by ligaments and surrounded by muscles that provide stability and facilitate movement. A specialized cartilage called meniscus acts as a cushion between the femur and tibia, while bursae (fluid-filled sacs) reduce friction between moving parts.

The knee’s stability depends not only on its internal structures but also on proper alignment of the entire kinetic chain—from the feet through the ankles, knees, hips, and spine. Dysfunction anywhere in this chain can place abnormal stress on the knee joint and lead to pain.

Common Knee Conditions and Injuries

Knee pain frequently results from conditions like osteoarthritis, where protective cartilage gradually wears away, particularly in aging populations. Ligament injuries (including the well-known ACL tear) often occur during sports or sudden directional changes. Meniscus tears typically happen with twisting movements under load, while patellofemoral pain syndrome presents as pain around or behind the kneecap, often from biomechanical imbalances.

Effective Knee Pain Treatments

Our chiropractic approach to knee pain extends beyond the knee itself, examining how spinal alignment and lower extremity biomechanics contribute to your symptoms. Through precise adjustments of the spine, pelvis, and sometimes the knee joint itself, we work to restore proper movement patterns and reduce nerve irritation that may be contributing to pain or dysfunction.

Hip Pain

The hip joint bears substantial weight while enabling fluid movement between the upper and lower body, making it essential for nearly all forms of locomotion.

Hip Joint Anatomy and Function

As a ball-and-socket joint, the hip connects the femoral head (ball) with the acetabulum of the pelvis (socket). Unlike the shoulder, the hip prioritizes stability over mobility, with a deeper socket and stronger surrounding ligaments. This design allows it to support body weight while still permitting movement in multiple directions.

Proper hip function relies heavily on correct pelvic alignment and spinal mechanics. Misalignments in these areas can create abnormal stress patterns in the hip joint, potentially leading to premature wear, inflammation, and pain.

Common Causes of Hip Pain

Hip pain may result from internal joint problems like osteoarthritis or from surrounding soft tissue issues like bursitis or tendinitis. Sacroiliac joint dysfunction, where the pelvis connects to the spine, frequently refers pain to the hip region. Sciatica, caused by irritation of the sciatic nerve, can also create pain that radiates through the hip and down the leg.

Hip Pain Management and Treatment

Our holistic approach to hip pain begins with comprehensive assessment of pelvic alignment, spinal mechanics, and gait patterns. Chiropractic adjustments aim to restore proper biomechanical relationships throughout the kinetic chain, reducing abnormal stress on the hip joint. We may complement these adjustments with specific exercises to strengthen stabilizing muscles and improve movement patterns.

When to See a Doctor for Joint Pain

While occasional mild joint discomfort may resolve with self-care, certain symptoms warrant professional evaluation to prevent further damage and ensure appropriate treatment.

Warning Signs of Serious Joint Problems

Joint pain accompanied by significant swelling, redness, or warmth requires prompt attention, as these may indicate infection or inflammatory conditions. If your joint appears visibly deformed or you cannot bear weight or use the joint normally, seek immediate care. Severe pain, particularly when accompanied by sudden onset, may signal an acute injury requiring professional assessment.

Other concerning symptoms include joint pain accompanied by unexplained weight loss, fever, or rash, which may indicate systemic conditions affecting multiple body systems. Persistent joint pain that worsens at night or interferes with sleep quality should also be evaluated professionally.

Diagnostic Methods for Joint Pain

At Pangea Chiropractic, our diagnostic approach begins with a comprehensive consultation and physical examination. We thoroughly discuss your health history, symptom patterns, and lifestyle factors that may contribute to your condition. Our physical assessment includes range of motion testing, neurological evaluations, palpation of affected areas, and specific orthopedic tests designed to identify the source of your pain.

Unlike conventional medical practices that may immediately resort to imaging studies, we believe in starting with hands-on assessment that provides immediate feedback about joint function and response to treatment. When appropriate, we may recommend additional diagnostics including X-rays to evaluate bone structure and alignment or referrals for advanced imaging such as MRI if soft tissue pathology requires further investigation.

Prevention Strategies

Preventing joint pain involves maintaining overall joint health through regular movement, proper body mechanics, and attention to early warning signs of potential problems.

Maintaining Joint Health

Regular chiropractic care plays a key role in prevention by addressing minor misalignments before they develop into significant problems. Maintaining proper spinal alignment helps ensure optimal nerve function and biomechanics throughout the body, reducing abnormal stress on joints.

We recommend balanced exercise programs incorporating both strength training for joint stability and flexibility work to maintain full range of motion. Low-impact activities like swimming, cycling, and walking provide cardiovascular benefits without excessive joint stress, while activities like yoga and tai chi improve body awareness and coordination.

Risk Factors You Can Control

While some joint pain risk factors like age and genetic predisposition cannot be modified, many fall within your control. Maintaining a healthy weight significantly reduces stress on weight-bearing joints, with research showing that even modest weight loss can substantially decrease pain and improve function in arthritic knees and hips.

Proper body mechanics during daily activities and occupational tasks help prevent repetitive stress injuries. We provide education on lifting techniques, workstation ergonomics, and posture awareness to minimize joint strain. Avoiding tobacco products supports healthy circulation and tissue repair, while adequate hydration maintains proper joint lubrication.

For athletes and active individuals, appropriate training progressions and recovery periods help prevent overuse injuries. Cross-training across different activities distributes stress across multiple joint systems rather than repeatedly loading the same structures.

Non-Surgical Treatment Options

Our practice focuses on non-invasive approaches to joint pain that promote natural healing and restore proper function without the risks associated with surgery or long-term medication use.

Physical Therapy and Exercise

Targeted therapeutic exercises form an essential component of our joint pain treatment protocols. These carefully selected movements help strengthen supporting muscles, improve joint stability, and restore proper movement patterns. Unlike generic exercise programs, our recommendations are specifically tailored to your unique condition, body mechanics, and recovery stage.

For shoulder conditions, we may focus on rotator cuff strengthening and scapular stabilization. Knee pain often benefits from exercises targeting the quadriceps, hamstrings, and hip stabilizers, while hip pain treatment frequently includes core strengthening and pelvic stabilization work.

Medications and Injections

While our primary focus remains on non-pharmaceutical approaches, we recognize the role of appropriate medication in managing severe pain during the initial healing phase. We take a conservative approach, preferring to address the root causes of pain rather than masking symptoms long-term.

For patients who have tried conventional medical approaches including corticosteroid injections with only temporary relief, our neurological-based chiropractic care often provides a beneficial alternative without the potential side effects associated with repeated injections or prolonged medication use.

Lifestyle Modifications for Joint Health

Sustainable improvement often requires addressing factors in your daily life that may contribute to joint stress. We provide guidance on ergonomic improvements for work environments, sleeping positions that reduce joint strain, and activity modifications that allow continued participation in favorite activities without exacerbating symptoms.

Nutritional counseling focuses on reducing inflammatory foods and incorporating nutrients that support joint health and tissue repair. Weight management strategies help reduce mechanical stress on weight-bearing joints. Stress reduction techniques address the neurological components of pain perception and muscle tension that can worsen joint discomfort.

Surgical Interventions

While our practice emphasizes conservative care, we believe in comprehensive patient education about all available treatment options.

  • Minimally Invasive Procedures: Certain joint conditions may benefit from minimally invasive procedures when conservative measures have been exhausted. Arthroscopic surgeries allow visualization and treatment of internal joint structures through small incisions, potentially addressing issues like meniscus tears or loose cartilage fragments with less tissue disruption than traditional open surgery.
  • Joint Replacement Surgery: Total joint replacement represents a significant intervention typically reserved for advanced joint degeneration that severely impacts quality of life despite conservative treatment. While these procedures can provide relief for appropriately selected patients, they carry inherent risks including infection, blood clots, implant failure, and lengthy recovery periods.

At Pangea Chiropractic, we maintain professional relationships with trusted surgical specialists for appropriate referrals when necessary. However, we’ve found that many patients initially considering surgery experience significant improvement through our comprehensive chiropractic approach, potentially avoiding more invasive interventions. 

Our philosophy emphasizes exploring all conservative options before considering joint replacement. Many patients with moderate to severe joint degeneration experience substantial pain relief and functional improvement through our holistic approach, either delaying the need for surgery or avoiding it entirely.

Recovery and Rehabilitation

For patients who do undergo surgical procedures, post-surgical rehabilitation plays a crucial role in achieving optimal outcomes. Our doctors have extensive experience working with post-surgical patients, providing carefully graduated care that complements surgical recovery protocols.

Chiropractic care during post-surgical recovery focuses on maintaining proper alignment of the kinetic chain, preventing compensatory patterns that could lead to secondary problems, and restoring optimal neuromuscular function. This integrated approach supports tissue healing and helps patients regain functional capacity more efficiently.

Contact Pangea Chiropractic for Holistic Joint Pain Relief

At Pangea Chiropractic, we understand that effective joint pain treatment requires addressing the whole person, not just isolated symptoms. Our team of five experienced doctors takes pride in our wellness-centered approach that has helped countless patients achieve lasting relief from shoulder, knee, and hip pain through natural methods focused on correcting underlying causes.

We’re committed to treating you like family while providing exceptional care that addresses both immediate pain relief and long-term health goals. If joint pain is limiting your activities or diminishing your quality of life, schedule an appointment today by calling (541) 728-0954 or using our contact form.

Visit Our Office

We’re conveniently located in Bend, OR, at 409 NE Greenwood Ave, Suite 120, in the heart of the city. Enjoy our welcoming office space, with plenty of parking available, and easy access from all parts of town for a comfortable and convenient visit.

Dr. Andrew Torchio, CEO and Clinic Director at Pangea Chiropractic, wearing professional attire in clinical setting

Medically Reviewed by Dr. Andrew Torchio

This content has been medically reviewed by Dr. Andrew Torchio, founder and clinic director at Pangea Chiropractic in Bend, Oregon. As a respected authority in holistic wellness, Dr. Torchio specializes in creating comprehensive care plans focused on long-term neurological health rather than quick fixes. He leads a team of five doctors at Pangea Chiropractic, where they’ve successfully helped thousands of patients achieve optimal wellness through natural healing methods. Dr. Torchio is recognized for pioneering a family-centered wellness approach, where multiple generations of families receive care at his practice.

The information on this page is for educational purposes only and should not replace professional medical advice. Contact Pangea Chiropractic for diagnosis and treatment recommendations.