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Ribs don’t sublux. Ribs don’t “go out”. …so what’s going on?

The term “subluxation” is a medical term meaning a partial dislocation. A “rib subluxation” is, therefore, a partial dislocation of a rib usually described as occurring at the costo-vertebral (CV) and or the costo-transverse (CTr) joints. A number of textbooks and health care providers have described rib subluxations in detail and proclaim it as a […]

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Rotator Cuff Tendinopathy – Infographic

Rotator Cuff Tendinopathy is a very common condition, especially in men over 40. This short but informative infographic outlines some useful facts and recommendations including: findings on ultrasound are often normal bursal effusion is not associated with clinical outcomes or pain the cervical spine may refer pain to the same area there is often a

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Thoracic Outlet Syndrome

What is Thoracic Outlet Syndrome? Thoracic Outlet Syndrome is a group of disorders of the shoulder that are the result of compression of vessels or nerves located between the clavicle and the first rib. The space between the clavicle and the first rib is commonly known as the ‘thoracic outlet’. Symptoms of TOS Compression of the

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Full Can Test

The Full Can Test, along with the Empty Can Test, is a commonly used orthopedic examination test for supraspinatus impingement or integrity of the supraspinatus muscle and tendon. Read about rotator cuff tears. Involved Structures Starting Position The test is done in sitting or standing. On the side to be tested the examiner stabilizes shoulder

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Painful Arc Test of Shoulder for Supraspinatus Impingement

The Painful Arc Test is commonly used in orthopedic examination of the shoulder to test for impingement of the supraspinatus tendon and/or the subacromial bursa underneath the acromion. Involved Structures Starting Position This test is performed with the patient in sitting or standing. The patient’s arm is in neutral rotation. Test Movement In this position, the patient

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A New Paradigm in Manual Therapy: Abandoning Segmental Motion Palpation

This paper is unlikely to get published in a peer-reviewed journal but it is likely to ruffle a few feathers. My purpose in writing this potentially controversial paper is three fold: My primary intention is to share with fellow colleagues my past struggles with manual therapy (MT), and describe how I was needlessly and unjustifiably

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