I have several patients with traumatic shoulder problems, all recovering, seem to have got stuck at same spot. One fell on outstretched hand, one was dragged by arm in MVA, one has degenerative supraspinatus problem exacerbated by lifting; so different presenting problem. They all have limited abduction, appro 90 degrees, some pain on flexion, sometimes limited flexion range. I can re-establish normal or near-normal ROM abduction after manual release of subscapularis and infraspinatus/ teres minor on the first two, but it doesn't last longer than a couple of days. Particular problem is abduction / internal rotation, as in turning a car steering wheel; this sets up pain and spasm in all three , mostly at deltoid insertion area. A/C jt tests normally.
I have treated with neck release, strengthening of the rhomboids, adductor /extensor complex, pec stretches and GH AP mobilizations. I think there's something missing in my rotator cuff assessment in strengthening; any ideas anyone?

Nothing much seems to help the guy with the degenerative supraspinatus condition. I have treated him with above plus local electro, dry needling and massage to supraspinatus.
Would appreciate any guidance here, getting frustrated, all of us! thanks!

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