Considerations for Patients with Arm Pain Due to Overuse Based on the Kinetic Chain

by Son PMR(Physical medicine &Rehabilitation ) & Chiropractic Clinic in Seoul

Today, I will explain arm and shoulder pain caused by repetitive occupational tasks from the perspective of the kinetic chain concept.

The kinetic chain refers to the idea that all joints and muscles in the body are interconnected and function together. This means that an abnormality in one part of the body can affect another, and overuse of a specific area is not merely a localized problem but may stem from a systemic issue. Therefore, when arm pain occurs, a comprehensive evaluation and correction may be necessary.

1. The Chain Reaction in the Musculoskeletal System

Movements of the upper limb (arm) are carried out through a kinetic chain that connects the shoulder, scapular region, core, and lower limbs. As a result, the following issues may arise:

  • If there is shoulder instability or abnormal scapular movement, certain arm muscles may be overused as compensation, leading to pain.
  • Even if the pain appears to result from overuse of the arm, cervical spine (neck) or thoracic spine (upper back) misalignment may be the underlying cause.

2. The Importance of Core and Lower Limb Function

Most activities involving arm use—such as tennis, baseball, golf, computer work, carpentry, and restaurant kitchen work—require whole-body coordination.

  • If core stability (abdominal and spinal stabilizing muscles) is weak, the upper limbs may be forced to compensate, increasing the likelihood of overuse.
  • If there is misalignment or limited mobility in the lower limbs (hip, knee, ankle), it can also affect the movement of the upper limbs.

3. Inefficient Movement Patterns and Muscle Imbalances

Overuse from repetitive arm movements is often not just a localized issue but rather a result of systemic muscle imbalance and dysfunctional movement patterns.

  • Asymmetry in scapular movement or restricted thoracic spine mobility can place excessive strain on arm muscles such as the biceps, triceps, and forearm muscles.

4. Neurological Connections and Sensorimotor Integration

When arm pain persists, it can affect sensory-motor control within the central nervous system (CNS).

  • Therefore, localized treatments (e.g., injections, acupuncture, massage, stretching) alone may not be sufficient.
  • Evaluating whole-body movement patterns may be beneficial for a more effective approach.

Conclusion

When arm pain occurs due to overuse, a localized approach alone may not be enough to resolve the issue. Considering the kinetic chain perspective and assessing whole-body movement and balance can be helpful.

If arm pain persists, it is important to evaluate lifestyle habits and posture, and seeking expert advice when necessary is recommended.

Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea) 

by  Dr Son MD & DC 
Contact: 02-482-8875 in Seoul( +82-2-482-8875)

chson@daum.net

Feel free to reach out for further consultation or to schedule an appointment.


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