Shoulder Pain? Think Hip…Really?
Remember that wonderful system of the body which interconnects all layers of muscle tissue? Sure you do? Think hard…it will all come rushing back to you. Hint: It starts with an F. Right! Fascia. I am here to tell you this is the ‘missing link’ to resolving chronic pain, not just in the shoulder. So the power clinical tip of the day is this..whenever you treat shoulder pain or dysfunction ALWAYS look at the hip structure. Assess the gluteus medius, minimus, piriformis, TFL, iliopsoas and latissimus dorsi attachments…don’t forget the hamstrings by the sacrotuberous ligament. Why are you looking at these places? FASCIA. Restricted fascia and trigger points in these muscles will prevent proper scapular abduction leading to overload and movement dysfunction of the glenohumeral joint. So the moral of this story is ‘STOP CHASING PAIN’, begin fixing problems. Big difference. Have fun! It works.
Dr. Perry Nickelston, DC
973-800-6570
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