Opening up your chest too early is a major cause of shoulder pain. It is critical that the rotating elements of throwing all come together at the correct time.

The trunk should be rotated at the same time as the arm is moving so that it is facing the target as the ball is released.

Technique in sports is critical. Chat to your PhysioPro for all injury prevention ideas about your sport.

Pain in the shoulder may not be what it seems. It could be nerve pain. This can come from the neck or from the Thoracic outlet which is the circle that is formed from your collar bone and your ribcage. This is an area where there can be nerve impingement.

Range of motion of city the neck and the shoulder can help to differentiate. Your PhysioPro is trained with differential diagnostic tests to see if the pain is truly from the shoulder.

Front to back. Left to right. Imbalances around the shoulder causes problems.

Your PhysioPro is trained to identify these imbalances and instruct you on how to stretch and strengthen the areas to optimise shoulder dynamics.

Pain inhibition will turn off muscle activation. Poor muscle activation will cause pain. It is difficult to tell what came first.

PhysioPro works by reducing pain with manual therapy and then empowering the patient with strengthening ideas to combat both the muscle activation and the pain.

By addressing both aspects of the problems this leads to optimal shoulder dynamics and injury outcomes.

There has been a lot of press about famous AFL football stories and return from ACL injury. However be careful with following that as gospel. The player may have had only a partial tear which can be rehabilitated quickly with no surgery. Or alternatively a player could have co-existing articular cartilage and meniscus injury which would mean the recover would be a lot longer.

A better way of approaching ACL recovery is key performance indicators rather than time frames. There will be a natural ‘Mother Nature’ healing time frame for the graft to regenerate its own blood supply however if you can tick off certain protocols then you will be safer when you return to sport.

Return to sport in the usual 9 months for non change of direction and cutting sports and 12 months for change of direction sports is a guide. Any return earlier is associated with a higher risk of re-injury or occurrence of other associated injuries such as Patella Femoral Pain (particularly for a Patella tendon graft) or hamstring injury or tendonopathy (particularly for a hamstring graft).

Having an opinion with a surgeon is a lot like buying anything. Just speaking with speaking to the salesperson doesn’t mean that you have to buy the product.

There are a lot of cases where it maybe a 50:50 conservative versus operative management. A good surgeon will outline the options, one of which maybe a procedure and the pros and cons of each.

When is it best to consult a surgeon to heal with steel? If there is a structural problem with your knee, shoulder, hip or foot then it is important to get it assessed properly by a physiotherapist. They are trained specifically to know if an injury will respond to conservative management or will it need a more aggressive response to achieve the outcome.

Surgery is necessary in some cases and no amount of exercise nor manual therapy will do the job. It is important however to speak to your Physio about pre-habilitation exercises to condition the area safely and pain free before surgery.

Teenagers, posture and tech. A great challenge for all parents. Age old advice of walking and balancing books on your head to re-educate posture raises the question of wether today’s teenagers could do it.

The best advice is good supportive chairs, if you are working on a device for an extended period work on a personal computer, not an iPhone, strengthen your back with pull backs and pull downs and take regular breaks to walk and stretch.

If your teenagers are suffering back pain and need a posture education session call the PhysioPro team for a consultation.