Difficult to Solve Shoulder Problems Respond to NMR
Today a 74 year-old client came in with a shoulder problem that spreads to the neck. She had an MRI which revealed a partial tear of a tendon and some deterioration of the labrum. The medics think her pain is from her neck.
A massage therapist who works on her weekly only works (heavily) on the right side of her neck. Yikes! Her right side neck is weak in all functions: scalenes for flexion, extension, right OCS (Obliquus Capitiis Superior) rotation, and side bending.
Her Lt SPS (Serratus Posterior Superior) is locked strong. It inhibits her ability to turn left and inhibits her right shoulder functions.
Working with shoulder problems, first you must correct the torsions in the upper thoracic spine. After that you can look at local inhibition relationships in the shoulder. The heroes are typically Coracobrachialis and Pec Major Sternal, pulling the humerus forward in the socket. This leads to impingements and bone spurs.
Once the neuromuscular reprogramming corrections are done and the joint is able to be supported in the correct position, it is EXCEEDINGLY valuable to train the arm bone to know how to center itself in the glenoid fossa. NeuroMuscular Reprogramming corrections for the shoulder are taught in Module 2 Integrating Hips and Shoulders. Mod 1 must be taken first.
Here is a short video on teaching Shoulder Centration to your client after bodywork corrections.
Shoulder Series-Centration Exercise: