A hole in the blanket…

I see a lot of people with rotator cuff tears, but unfortunately, most of them have been poorly informed or do not understand what this means. Many believe that a torn rotator cuff means either surgery or a life of pain and disability. However, this isn’t the case and I want to discuss the facts of…

Changes, challenges and opportunities for the shoulder…

I was recently asked to speak at the Irish Society of Chartered Physiotherapists annual conference at the famous Croke Park Stadium in Dublin. The theme for their conference was on “change, challenge and opportunity” and on this theme I was asked to talk about the challenges faced in our clinical assessment of the shoulder. I was also asked to take part…

Snugging not Shrugging…

Many therapists, including myself, have been taught to look for patients shoulders shrugging on elevation of the arm and to consider this ‘abnormal’. We are then told to correct or prevent this from happening. The belief is that shrugging of the shoulder is an incorrect, bad, or even a harmful movement pattern and can be…

The Upper Traps… Take 2

I have talked about the upper traps a couple of years ago here and how I think they are arguably one of the most misunderstood, mistreated and mismanaged areas in our profession. How they are surrounded by so many misconceptions and misunderstandings about them being not involved or an issue in shoulder or neck pains,…