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…

All aboard the surgery band wagon…

I wrote about physios and band wagons a few years ago here and discussed how we love to jump on to popular ideas without thinking enough and tend to get carried away, and as expected this is still happening. There is now a new band wagon which many therapists are jumping on to and which is causing…

Shoulder decompression under more pressure…

Arthroscopic shoulder decompression surgery is a very common operation. It is often used for patients whose pain is thought to be caused by excessive compression of the rotator cuff and its bursa between the acromion and the humeral head. It is believed that by shaving the bony arch of the acromion and removing the coracoacromial…

Upper Limb Deep Vein Thrombosis

A few months ago I had patient with a suspected Deep Vein Thrombosis, but unusually of the upper limb. As this is a very rare occurrence, and as I have only ever come across this potentially serious complication once before, I thought it would be good to write this case up and take a look…

Rotator cuff tears: cables and crescents?

So a tear of the rotator cuff is pretty disastrous, right? It means surgery, right? Well NO it doesn't! As our understanding and knowledge of the shoulder joint improves so does our ability to identify cuff tears, but we also know that plenty do just fine without surgery. In fact it has been well known…