Age: 26, Female, Presenting Problem Since: 2 months, Symptom Behaviour: worse, Aggravating Factors:: impact, Easing Factors:: stretching pecs, Investigations: xray showed a grade 2 sprain, with the acromium slipped south of the clavicle, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues, Other Info: Scoliosis, spinal fusion (aug 2001), titanium rods in thoracic spine, residual 17 degrees s-shape scoiliosis (to the right in the thoracic and left in the lumbar, lumbar curve slightly smaller than thoracic)