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Pec strain / chest injury

Presentation: Pain located in the chest, including the armpit, front of shoulder and onto the sternum (chest bone). Weights at the gym can strain or tear the fibres (bench press, push ups, pec deck). Over-reaching is the most common mechanism of injury (when the hand goes behind the body – like catching a ball or […]
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Subacromial Bursitis

Presentation Unable to abduct (move arm away from the body to the side) 80-100 degrees, cannot lay on affected shoulder, pain into the arm, pins and needles into hand, positive impingement test (place affected hand onto opposite shoulder and lift elbow upwards – if the shoulder is unable to perform or is painful, then the […]
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Shoulder Impingement Syndrome

Presentation: When raising hands above shoulder height results in pain, unable to put hand behind lower back, unable to abduct arm past 90 degrees, positive reverse empty can test (physio test), positive impingement test (physio test). Unable to lay on shoulder at all. The shoulder feels fine when the affected side is close to the […]
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RC Tear

Presentation Restricted ER (placing hand behind neck) and or IR (putting hand behind the lower back). Reduced ER and or IR strength (physio test). Unable to lift arm up (it feels dead and heavy). Macro-trauma event to create tear (fall, slip, sporting accident. RSI injury (repetitive driving and using the arm). Degenerative aging tears can […]
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Frozen Shoulder (Adhesive capulitis)

Presentation 3 out of the 4 movements are restricted (putting hand behind neck, putting hand behind lower back, moving arm forward, moving arm to the side), stiff end feel in supine (physio test), history of frozen shoulder. Greater than 3 months of shoulder pain. Most frozen shoulders start as a simple bursitis or rotator cuff […]
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Calcific Supraspinatus Tendinopathy

Presentation: When raising hand above shoulder height results in crunching sound, unable to put hand behind back, unable to abduct arm past 90 degrees (move arm out to the side), positive reverse empty can test (physio test), positive impingement test (place affected hand onto good shoulder and lift elbow upwards – test is positive if […]
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Acromioclavicular (AC) Joint

Presentation Tender under the bar strap, unable to move your arm across your body, unable to perform bench press action, unable to abduct arm out to the side, pain into lateral arm, pins and needles into arm and or into hand and fingers. Cannot lay on the affected shoulder too long. Visible lump showing. Treatment […]