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Thoracic Outlet Syndrome

What is TOS? Thoracic outlet syndrome is a group of disorders that occur when the blood vessels or nerves in the space between the clavicle and the first rib (thoracic outlet) become compressed. This can cause pain in the shoulders and neck, and numbness in the fingers. Symptoms Symptoms vary depending on which nerve is compressed. Neurological thoracic outlet syndrome is characterised by compression of the brachial plexus. The symptoms include: Muscle wasting at the base of the thumb Numbness or tingling in thearm or fingers Pain or aching in the ... Read more

Shoulder Impingement

Shoulder Impingement Shoulder impingement is one of the most common conditions of the shoulder. It is a process by which poor posture or repetitive overload causes pinching or ‘impingement’ of structures between the two bones which make up the shoulder complex. It is often the supraspinatus tendon +/- the subacromial bursa that become impinged between the humerus and the scapular bones as pictured:   Signs and symptoms: Catch of pain at shoulder level or above Inability to do overhead activities without pain Inability to reach the hand ... Read more

Shoulder Instability

Shoulder (glenohumeral) Instability   Shoulder instability refers to excessive movement of the head of humerus (the “ball”) in the glenoid fossa (the “socket”), which can result in pain, dysfunction, loss of movement and loss of strength.  The shoulder joint is designed to allow great flexibility, but the trade-off is the glenoid fossa (the “the socket”) is very shallow predisposing the shoulder to instability.  The common analogy used to describe the shoulder joint is that it is like a golf ball sitting on a ... Read more

Shoulder Impingement Syndrome

 Shoulder Pain If you are experiencing sharp, pinching, or grabbing pain within the shoulder during overhead activities, or from putting your hands either behind your back or head, then you might be suffering from shoulder impingement syndrome! Shoulder impingement syndrome is a condition where your shoulders rotator cuff tendons are intermittently trapped and compressed during shoulder movements. This causes injury to the shoulder tendons and bursa resulting in painful shoulder movements.  Impingement (impact on bone into rotator cuff tendon or bursa) should not ... Read more