Why does external rotation have less range of motion than internal rotation in most shoulder problems?
Because in modern, urbanised environments like cities we spend most of our lives doing things in internal rotation: computer use, driving, writing at a desk...From the time we begin school this pattern develops.Our bodies are exceptionally adaptable. We'll adapt to anything. So, in this case, we adapt to spending more time in medial shoulder rotation. Thus, the tissues grow further towards that position.Furthermore, the muscles that perform medial rotation get stronger, dominating and overpowering the lateral rotators. This weakens the lateral rotators and makes it harder for them to achieve full ROM.The medial rotation dominance is usually (**usually**) a muscle strength imbalance. Strengthening the lateral rotators usually resolves the issue.However be mindful of a hard, bone-on-bone-like end feel in passive lateral ROM. If you feel this, there may be a joint capsule fascia adhesion present, in which case attempting to force the joint into full ROM may cause further damage. If you assess PROM and find a bony end feel, refer to a well-trained manual therapist who can treat with positional release and inner fascial massage.Hope that helps!James Maddock RMT, Melbourne, Australia.
Whenever I sit in front of laptop and move the mouse, my elbow hurts and I experience pain in right shoulder at the end of the day. How do I find remedy for this as my occupation requires me to spend lot of time over laptop?
Many years ago, I did a sudden burst of data entry that lasted about two weeks. By the time I was done, I had the feeling of an ice pick stabbing into my upper right arm, numb fingers, general pain along the arm, and weakness. I could actually trace the radial nerve by the pain and bruise-like feeling.I was diagnosed with something called thoracic outlet syndrome, which is where the nerves to the arm are pinched where they travel between the clavicle and your top rib. Mine was a repetitive stress injury, related to bad posture at the computer (I call it "turtling", hunching over with the head thrust forward) and overuse of the arm in a limited range of motion when using the mouse.I don't know if that's what is wrong with you, but…The actions we took to resolve it could probably help you.First, I immediately switched my mouse use from my right (dominant) hand to my left. Yeah, it was awkward as heck to begin with, and I had to think all the time about how to translate the movements, but after a week or two it was much more natural. This gave me instant relief while I was working.I was issued a mousepad with a gel wrist-rest, just in case the same thing happened on the left side.Physical therapy for six months, and doing the suggested exercises religiously. PT included:Posture training to relieve pressure on the thoracic "tunnel";Specific stretches and exercises to loosen and strengthen the back, shoulder, and neck tightness that was the result of years of hunching (Summit Medical—Exercises for thoracic outlet syndrome);A TENS unit to counteract the stabbing-with-an-ice pick feeling in my upper arm;Massage and ultrasound for the areas of pain.It took a while. But by the end, it was almost completely back to normal. Many years later, I still occasionally feel the pain. If I do, I start watching my posture at the computer and do some of the exercises from PT. A few days of that, and all is well again.So I would first try switching the hand you use for mousing, a mousepad with the gel wrist-rest, and doing those exercises I linked above, or exercises for Tennis Elbow as others have suggested. Since this is related to work, talk to human resources at your job and see if something like this would be covered by worker's compensation (mine was; it's a bureaucratic pain in the neck, but everything will be covered money-wise). At the same time, get an appointment with a doc and request authorization for a full course of PT.
I tore my ACL and have alot of pain still..after surgery?
If you don't have all of your extension back you should go back for therapy as they can get your leg more extended. Otherwise your hamstrings may contract causing your leg to never fully extend. Also one thing you may also look into is that you could have scar tissue build up in your knee (a bit similar to a frozen shoulder) that could also be causing the lack of extension - its called Arthrofibrosis. This can also cause pain in your knee too - not that many Ortho surgeons know about this conditon. Here's some links to sites - it can occur after ACL surgery. So i'd definately go back to the Doctor. http://www.kneeandshoulder.md/arthro_01.... http://orthopedics.about.com/cs/aclrepai...
My son has Toricollis.HELP?
i has posted less then a week ago asking y my son will only turn his head one way, and people posted that he prob has torticollis. and they were right i took him to the drs today and my dr agreed and now i have to send him to PT. Im very worried for my son, his dr said its not the worst out there cause he can turn his head one way it just seems to be stiffined and hes resisting to turn it to the other side, but it still needs to be taken care of. and because of the leaning to one side his head had gotten a lil flat his dr said if that gets worse then he will need a helmet. im so scared for my son. has anyone gone thro this give me words of hope. i give him his tummy time when i hold him i try to get him to turn the best i can ill hold him up and try to talk on one side of him so he will look but not turn his head. i still feel like im doing somthing wrong i feel its my fault. please some1 help me out let me now hes got a good chance of being ok and this torticollis isnt so bad as it seems. when should he be better. is my son gonna be like this forever what are his chances of being ok??help im stressed.
What is the typical recovery time for arthroscopic surgery repair of a meniscus tear?
Many patient want to know that what is recovery time for shoulder arthroscopic surgery?Answer of this question is given by Dr.Kunal Patel. Arthroscopic Shoulder repair can reduce pain and speed recovery. Immediately after arthroscopic surgery, you will be encourage to keep shoulder as still as possible. Pain can be vary from person to person and also depends upon type of repair. You can use cold packs to reduce swelling and pain. You have to keep your arm in a sling. The use of the sling keeps the weight of your arm off of the tendon which assists in the healing process. Physical therapy session is also useful for fast healing. Be aware that contraction of muscles does not take place. During period of 6 to 12 weeks you will be allowed to perform limited range of arm movements. Avoid supporting your body with affected arm. 3 to 6 months is a period in which you will began to strengthen the muscles in arm after long period of inactivity. Do light but effective exercise that gives strength to your weekend muscles.Duration of post-operative recovery is differing from person to person. In all cases instruction given to you by orthopaedic doctor have to follow strictly to minimize the risk of complications. For more information about shoulder arthroscopy click here.Call-+91-(22)-2805 3021