Shoulder pain is the 2nd most common orthopedic reason patients seek out medical care behind low back pain. Shoulder pain has many causes including lack of mobility, shoulder blade and rotator cuff weakness, but posture is often criticized as a risk factor for shoulder pain. Clinicians and patients believe a poor posture places structures such...
photo credit: ptonice.com 1. You have taken numerous continuing education courses in your career, how did the completion of the fellowship advance your clinical and teaching goals? The more I practice our craft the more I believe the big variable is selecting the right intervention, far more so than the nuances of that intervention delivery. ...
Neck pain is a common problem affecting up to 70% of the population in their lifetime. Cervical and thoracic manipulation remains an effective Physical Therapy treatment to restore mobility and decrease pain in patients with neck pain. Recent research has shown no difference between one manipulation technique over another with both showing equal benefits for...
The shoulder blade or scapula plays an important role in optimal function of the shoulder joint. The scapula provides the foundation for both stability and force generation through the arm during athletics and daily activities. Weakness in the scapular muscles can lead to abnormal posture and movement or dyskinesis in the scapula during arm movements. ...
Adhesive capsulitis or frozen shoulder is a painful shoulder condition hallmarked by acute pain and a progressive loss of shoulder range of motion. This diagnosis can have a lengthy recovery requiring up to 24 months in some patients. The medical evidence highlights the importance of early diagnosis (acute pain, loss of motion especially external rotation),...
Thoracic manipulation by Physical Therapists has previously been shown to improve pain and function in patients with elbow, shoulder, and neck pain. Authors continue to research the mechanisms behind its’ effectiveness including a beneficial cascade of events in the peripheral and central nervous system, as well as, a possible biomechanical change in the spinal joints....
How many times have you seen someone whose posture looks like this while belaying? Neck pain is a common in rock climbers. Although climbing itself can lead to neck pain, the most common cause is spending prolonged periods belaying. We refer to this as “belayer’s neck”. Belayer’s neck is a colloquial term to describe a...
During arm movements, a relative ratio of degree measurements occurs between the ball and socket of the shoulder and the shoulder blade on the rib cage. This ratio or rhythm is thought to preserve spacing in the shoulder joint and optimize the length tension relationship in the surrounding muscles. Abnormal rhythms have been associated with...
The serratus anterior muscle is located on the side of your chest and attaches your scapula to your ribs. The purpose of this muscle is to stabilize the scapula, especially during overhead movements. Its specific actions are scapular upward rotation and protraction which are important movements for many movements in rock climbing. Weakness of the...
The pectoralis minor muscle is situated on the front of the chest and attaches the scapula to the rib cage. When this muscle becomes chronically tight it can pull the scapula anteriorly, creating a posture where the shoulders are rounded forward. This posture is often seen in rock climbers and tightness of the pec minor...
