[:en]Shoulder Problems[:]

[:en]Shoulder problems can plague anyone.  They can interfere with sport, lifting overhead, daily life, even putting on a jacket.  They can affect your quality of life and keep you from doing the things you love to do.

The shoulder is the most complex joint in the body.  Therefore, there are a lot of things that can go wrong.  Causes for shoulder problems are structural most of the time, but can also be caused by internal biochemical dysfunctions.  It is possible to write an exhaustive book about shoulder problems, but I will cover a few causes here.  Some common causes are:

Muscle dysfunction and imbalance

Pinched nerves and persistent pain reflexes

Ligament sprains

Tendon strains/tendonitis

Joint instability

It  is important to note that traditional  approaches such as rest, avoiding activity, heat, and isolation exercises are often counterproductive.  For example, if a crossfitter has a bad shoulder from doing snatches and feels instability and pain, is it prudent to tell the person they can’t do crossfit anymore?  In my opinion, “überhaupt nicht” (absolutely not).  What I look for is WHY there is this feeling.  What I find most of the time is, even in the most fit and strong athletes, there is a neurological component that is inhibiting specific muscles from contracting 100%.  When one of these muscles is a shoulder stabiliser, you can train it for 6 weeks and still get no results.  The reason is that it isn’t a strength problem, it is a neurological problem.  That is where I come in.  I clear out the neurological inhibition of the muscles and THEN you can train the muscle to become stronger because it can fire at 100% instead of 40 or 50%.   It doesn’t mean you need a treatment everyday, but if physio or rehabilitation isn’t working, this could be the reason.  This is one example where what I do and physiotherapy go hand in hand and compliment each other beautifully.

One other important issue:  If you have pinching at the top of your shoulder press or a restriction in getting your arm to vertical next to your ear, it could be a hip problem.  When we walk NORMALLY, our right foot and left arm go forward.  When a hip becomes tight from sitting all day at a computer (for example), it is common for the restriction in hip movement to restrict the opposite shoulder movement.  This is a joint capsule/ligament problem that needs to be addressed.  I find this correlation in almost all shoulder patients.

I will be posting videos on specific shoulder problems and what you can do for yourself, so stay tuned..

Keep thinking  outside the Box,

Box Doc[:]

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