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Shoulder Injury?
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Shoulder Injury? - June 7, 2006 4:36:00 PM
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GUESTPROUSER
Posts: 4
Joined: June 6, 2006
Status: offline
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This guy has pain running straight from his shoulder down to his fingers. He is forsed to keep his shoulders held 90 degrees. At first you would think he has an invisible cas. He says he cant move it in any direction.
Hes not a manual labor worker, that loves to use his hands and enjoys what he does. I want to get him back in shape ASAP!
My suggestion after full movement is achieved;
a. Arm spinners daily
b. Rotator cuff stretches and exercises
c. Chest/bicep stretch, rear delt/back stretch
What do you think?
This is my first one guys I need straight forward KIS - Keep it simple advice. Ive seen this one before but never understood it.
:confused:
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Re: Shoulder Injury? - November 2, 2006 8:09:00 PM
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joelkphysio
Posts: 27
Joined: September 25, 2006
Status: offline
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I would be looking at the neck for neural compromise. Check myotomes, dermatomes, and end range cervical movements to see if this illicits a similar response. Neuro dynamic testing may give you some clues too....
INVESTIGATE MORE THAN JUST THE SHOULDER...
If pain is relieved with his hand behind his head...Id be thinking along the lines of a C6 cervical neural compression (disc?)
J
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Re: Shoulder Injury? - March 24, 2007 6:08:00 PM
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ginger
Posts: 647
Joined: February 26, 2005
From: Melbourne Victoria
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Joelalphabet , I agree that this guys neck is the feature most likely , but to assume a patholgy to be primary is illogical. Most referred events like these occur as a result of strong paravertebral protective responses, a feature of an uninjured , but threatened spine. Turning off these responses is the first base in answering the quest for immediate improvement as well as confirming the origin of the altered sensations.
Continuous mobs of around one to three minutes per joint will achieve this , even in the presence of disc pathology , which , without injury , is unlikely.
Dural stretches may also be indicated , but muscles of the shoulder an unlikely participant aetiologicaly.
_____________________________
Ubi est mea anaticula cumminosa?
The Grand Pediculator
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Re: Shoulder Injury? - March 25, 2007 12:32:00 AM
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nari
Posts: 1568
Joined: November 14, 2003
From: Australia
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Neurodynamics and a close look at the neck should work pretty well. Stretches and exercise with this degree of pain as you describe will possibly worsen his condition. At very least, it is a risk. Compromised nerves result in pain, not muscles and joints.
Nari
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Re: Shoulder Injury? - March 25, 2007 5:34:00 AM
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jma
Posts: 2312
Joined: August 24, 2000
From: NY
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Agree with the previous posts. You should look at the neck and see if it has any influence on the pain. Working just on regaining full ROM on the shoulder by itself first may only make things worse, since it is held in that position to begin with for relief.
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