The shoulder joint

The shoulder problems are a rather frequent reason for consultation in an osteopathy clinic.

Periarthritis, or injury of the supraspinatus tendon of the rotator cuff, tendon injuries of the long head of the biceps brachii (CLBB), tendon calcifications, deposits in the bag under the deltoid acromioclavicular (SAD) and the like are the most frequent clinical pictures that emerge from x-rays, ultrasounds and MRIs. Adhesive capsulitis of the shoulder joint deserves a separate discussion.

Very often these problems coexist, they rarely occur individually.

shoulder osteopathy Genova
The shoulder joint
Kapandji - Fisiologia articolare
vol. I - Pag.45

They, however, are almost always related to a single mechanical discomfort that has been triggered accidentally, therefore it is perfectly useless to treat the individual symptoms one by one but it is necessary to rebalance the mechanics of the joint in its entirety.

Osteopathy works in this sense, that is, the Osteopath searches for dysfunctional parts, those who work improperly, and re-establishes a functional balance.

Very often the primary lesion outbreaks are not found in the shoulder but it is the victim of malfunctions that originate elsewhere and move here because of the huge amount of connections that this joint has with the axles structures at any level.

An example is the interesting case of a 54-year-old patient who complained of a right shoulder pain mainly at night for several months, with a functional limitation of twenty degrees in flexion/abduction.

Osteopathic examination showed a significant restriction of the left palatine bone and the right kidney in the degree of ptosis (ie slightly lowered).

Actually the kidney was virtually bonded to the psoas major muscle, which normally slips, and had no chance to move if not with the muscle wall.

Once restrictions have been corrected the patient immediately felt a relief has gained some degree of freedom.

shoulder osteopathy Genova 1

When the patient was re-examined after a little time the pain was gone and the shoulder much freer, although not completely. I have not considered it appropriate to further examine this patient because the corrections made in the first session had been retained and anything new was not reavealed: the global situation would have been much better, as in fact happened.

For information purposes, the patient reported having suffered from severe renal colic and expelling small kidney stones in the urine.

The main problem was localized to the right kidney which, through anatomical connections but mostly by reflex, was to create a mechanical discomfort on his shoulder.

This explains the ineffectiveness of numerous therapies targeted on the shoulder undertaken in the past.