Quote Originally Posted by physiobob View Post
Hi adoringhummus and thanks for your post. In general almost all shoulder issues (non traumatic) are impingement issues. And as in your case most take years to develop to the state which causes pain. The interesting thing for your issue is that you mention pain begins rather early in the range. A true subacromial impingement of the supraspinatus tendon, especially in respect of a negative MRI, would not normally be painful that early in the range. It does not mean no other structure could be involved though. With a sleep stretch giving temporary relief I wonder if your issue might be somewhat neural i.e. the brachial plexus (nerves) are implicated here. As a therapist I would take an approach to test you face up on the table before and after some cervical mobilisation to see if that area is involved. Also to take a look at the movement at your SC joint as you abduct the arm as sometimes if that joint is not tracking correctly it can cause symptoms that minic impingement.

My advice would be to see a good manual therapist with a view to rule out or in the neck and SC joints involvement. Once we get some more information on that let us know and I'd be happy to provide some further comment.

regards

PB
Many thanks for your reply, and apologies for the delayed response.

As you're based in London, would you be willing to send me details so I can book privately?

Feel free to DM me if you don't want details posted publicly.

I really am quite desperate at this stage and am looking to try anything I can.