To fix your pain problem, you can’t just look at the spot where it hurts – you have to look at the entire integrated movement pattern.
If you have pain or movement limitation of your shoulder, the logical trail leads back to your shoulder blade – the scapula — and the muscles that support it.
The most common shoulder problems, including impingement, rotator cuff pain, labral tears, and more, can all be traced back to shoulder blade imbalances.
A thorough rehab program for shoulder problems has to include
- An analysis of your posture and pattern of muscle engagement when you move your arm
- Connective tissue treatment for the tendons and ligaments of the shoulder that are giving you trouble
- Analysis of your daily activities and athletic pursuits to determine where extra shoulder stress adds up
- Targeted strengthening exercises for the lower trapezius, serratus anterior, and the other muscles that anchor the scapula
- And, if poor alignment of the neck and upper back are contributing to your problem too, mobilization of the joints of the spine.
You can take a big step toward rehabbing your shoulder problem by taking a look at Dr. Lavine’s video — Top Five Exercises to Strengthen Your Shoulder and Prevent Rotator Cuff Injuries