Shoulder pain and dysfunction are significant health issues both in athletic and non-athletic populations. Common mechanisms of shoulder injury include sporting collisions, a fall onto an outstretched hand, repetitive activity, overuse injury and/or poor body biomechanics.
Two images showing the muscular, neural and ligamentous systems surrounding the shoulder joint and shoulder blade.
(a) Front view and (b) back view of the shoulder joint and shoulder blade.
The shoulder joint can be described as the equivalent of a golf ball (head of the shoulder) on a tee (glenoid labrum/fibrocartilaginous structure). As illustrated by the images above, numerous healthy muscles, ligaments and nerves are required for the shoulder to function effectively and efficiently.
Common shoulder pathologies include the rotator cuff dysfunction, shoulder joint suboptimal stability, labral-related pathology, biceps related pathology and capsular pathology.
Shoulder injuries can often be complex and challenging. If you have a history of nagging shoulder pain, please come forward and get it assessed by a physiotherapist here at Greensborough Physiotherapy Clinic.
Generally neck and lower back pain are more common complaints than mid back (thoracic spine) problems. This is peculiar as the thoracic spine is larger and comprises of many more joints. Management of the thoracic spine posture may however be the key to easing the burden of the neck and lower back. The more thoracic kyphosis (forward bend) a person has the harder it is to correct as gravity has a greater influence. The more kyphosis the greater pressure on the lower back, neck and respiratory systems occur.
An angle of greater than 50 degrees has been linked with increased prevalence of vertebral wedge fractures and possibly early mortality in the elderly. Kyphosis can cause balance disturbance by shifting the centre of gravity forward, increasing falls. It also limits upper limb elevation range and will lead to shoulder impingement and rotator cuff degeneration.
It is normal to start life with all of our spine kyphotic, it isn’t until we look up and stand that we achieve the lordotic curves of the lower back and neck. It is a natural progression to go back to the kyphotic curve in later life, it is however something to resist to enable greater quality of life.
If you have back pain and feel that you have started to stoop forward more please come and get assessed at Greensborough Physiotherapy Clinic.