When I do an assessment on a patient, I ask them to look at their reflection in a mirror. What they see usually astounds them when they notice that one shoulder is higher than the other, or their head is sitting crooked on their shoulders. Disturbing –Yes, but definitely fixable.

I can point out a few minor adjustments that need correcting, such as:

If there is a twist in the shoulder girdle or pelvis

-these could lead to neck problems or low back issues respectively

Is their arm elevated

-this could be a compensation for frozen shoulder

Is their neck shifted to one side

-it could be from cradling their phone or improper use of a headset

Is their gaze altered

-could they have TMJ or neck issues

 

Once the patient is on the table, certain postural deviations become more pronounced:

Do they exhibit any kyphosis (postural-related)

Are their shoulders set back into a wing-pattern (weakness in the upper back)

Are their fingers numb (it could be carpal tunnel syndrome)

Does their hand go numb (possibly sleeping with the arm overhead)

Is the shoulder elevated (being a computer athlete)

Are their hips level (possible low back problems, short leg syndrome)

Are the knees together (hip dysplasia)

Is the body relaxed or rigid

Depending on your answers, what I test and see, I will use various techniques for your treatment. After your treatment is complete, I will give appropriate exercises, modify your posture to enhance the treatment or referral to another practitioner (Physiotherapy) as needed.

By following suggestions, you should have more movement and less pain, and that is why you go for treatment.

See your doctor if the pain persists or doesn’t go away within a day or two.
See your therapist if treatment is recommended.