Thumb and wrist pain: The case of Ruby Q.


Acute pain, Arm pain, Carpal tunnel syndrome (CTS), Chronic pain, Hand pain, Neck pain, Repetitive strain injury (RSI), Shoulder pain, Thumb pain, Wrist pain

Ruby Q. was a regular Neuromuscular Therapy patient in my metro-west Boston clinic for stress-related muscle pain in her neck and shoulders. Upper body tension is often the cause of pain in the forearm and hand when there is repetitive stress. (E.Pascarelli, MD) The connection between upper body tension and hand and arm pain is […]

June 2, 2009

Rotator cuff pain: A Neuromuscular Therapy point of view


Acute pain, Arm pain, Back pain, Buttock pain, Chronic pain, Neuromuscular therapy, Rotator cuff, Shoulder pain, Stretching (Active Isolated method)

As a Neuromuscular Therapist, how do I think about these rotator cuff and shoulder pains? The shoulder has only one small joint holding it to the skeleton at the inside edge of the collar bone where it connects to the breastbone (sternoclavicular joint). The stability of the shoulder depends on strong ligaments and on balance […]

May 23, 2009

Acute shoulder and arm pain: A Neuromuscular Therapy point of view


Arm pain, Neuromuscular therapy, Rotator cuff, Shoulder pain

In the case of Chad S., his shoulder pain pattern sounded to me like an impingement of the supraspinatus tendon caused by tight rotator cuff muscles combined with Trigger Points from those muscles. Impingement often has a throbbing or stabbing sensation with movement.   Trigger Points are strong from all of the rotator cuff muscles, radiating into many […]

March 28, 2009