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Writer's pictureAnthony Kassis

EXPLAINING THE UNDERLYING ISSUE AROUND THE MAJORITY OF OUR SHOULDER PAIN

Over may years as working as a personal trainer I have had clients complain about many different types of aches and pains. The main complaint I get is pain around their shoulder joint. From the research that I have done (and still do), I have found that simply strengthening everything around the shoulder joint has been shown time and time again to aid in eliminating pain



The shoulder is a complex joint. This blog will focus on external rotation of the glenohumeral joint (shoulder joint). This includes the muscles, bones and ligaments and all of the myofascia and nervous system tissue that is interconnected to the rest of the body



When I look at movement I don’t simply isolate one area. I look at how the body moves and ensure that global movement is healthy. When the body moves, it moves as a whole



Every movement is a whole body movement. Therefore, building awareness and strength in one area has an effect on the entire body. There is a lot to be said about movement and it’s impact on the pain management and injury prevention



The prime muscle groups that externally rotate (rotate away from the body), the shoulder joint are the posterior (‘rear’) deltoid, infraspinatus, and teres minor. The opposites to this direction of movement (rotating into the body) include the anterior deltoid, latissimus dorsi, teres major, subscapularis (the only one of the rotator cuff group that internally rotates the shoulder joint) and the pectoralis major



Based off that last paragraph, it is clear that the size and number of internal rotators exceeds the external rotators. When you also add the fact that every external rotator is out of direct line of vision as they are located on the back of you (posterior), it’s understandable why these areas get neglected or completely forgotten about.





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