My shoulders hurt!
No more shoulder pain...
Last week, I evaluated a potential new client at IFAST. She was in fantastic shape overall, as she’d already been exercising for over 5 years straight.
The problem, however, was her shoulders – she was complaining of poor mobility, and some general pain and discomfort when exercising.
As I was going through her assessment, it took me about 2 seconds to determine the primary problem. But, to add a little suspense to the equation, let me begin by telling you what wasn't the problem.
Her pec and lat length were fine. As well, her internal and external rotation were not only acceptable, but pretty symmetrical as well. So that obviously wasn’t the case.
When evaluating people with shoulder pain, you tend to see a lot of instability, especially through the scapulae – but this wasn’t the case here. For the most part her scapulae were stable, and her rotator cuff tested only mildly weak.
The biggest issue in her case, however, was her thoracic spine position. As I’ve mentioned numerous times in the past, the thoracic spine is the foundation for your shoulder function – if your t-spine isn’t aligned properly, you can never get your scapulae into the appropriate positions. And when your scapulae are out of whack, it’s only a matter of time before you have some sort of shoulder issues.
If you’re having shoulder issues, you absolutely, positively have to acknowledge the role of the thoracic spine, and make sure it’s in optimal alignment. Bill and I discussed this extensively in our Inside-Out DVD. As well, if soft-tissue restrictions are part of the problem be sure to check out my Soft Tissue e-manual. It’s absolutely free, after all!
I know people want to show how smart they are and discuss all the intimate links within the body, but sometimes the simple answer is also the correct one. Address the t-spine in your shoulder clients and I guarantee better results.
Stay strong
MR
Comments on This Entry
Posted by Jack at 03:00PM on July 14, 2009
Mike,
While this post was about the impact of the T-Spine, you briefly mentioned having tested her rotator cuff function. ARe there any resources you'd recommend for learning how to properly test for rotator cuff function as part of a broader assessment process?
Posted by Thomas at 11:53AM on July 16, 2009
Mike-This is way off topic-sorry-but I hope you can help. I read an article (or post) by you from 2008 entitled metabolic momentum. This seems to be an elusive topic and I'm looking for some hard science. I have experienced this myself-I now have to eat a ton of food to gain weight where in the past (when I was heavier-about 40 lb- and less fit) this was definitely not so. Can you point me in the right direction on research or at least more technical info on this? Thanks.
Posted by Pete Brown at 12:49PM on July 16, 2009
Mike-
Thanks for putting in all the hard work on that soft tissue ebook and then a huge thanks for making it FREE! I have sent that to everyone I know (with a link to your site of course, and maybe a little nudge to read the articles as well !!) Keep raising the bar!