Humerus is bumping into the AC joint...

[alophysio]

ok,

let's assume that it is a biceps tendon because it is quite common, there would need to be a biomechanical reason for it (usually).

i am hesitant to point you in the direction of articles for fear that someone (you or someone else) might try to self-diagnose...please remember that a good physio assessment will always beat an article hands down...

...but i have attached a quality article that will assist...perhaps you can print off a copy for a physio to review and go over with you? It can be found on this thread...http://www.physiobob.com/forum/gener...endonitis.html - there are another 2 parts to the series of articles but this is a good start. The 2nd article is on SLAP lesions and the 3rd is on rotator cuff exercises...can't find them right now...sorry

If you have a physio that dismisses your concerns saying "it's nothing", i would simply reply "it is important to me therefore shouldn't it be important to you?" - pretty provocative actually...maybe tone it down from that!

In other words, you are the client...the physio will either know how to fix the problem or won't know. It is unlikely you will find someone who will admit to not knowing so if they dismiss it, it is either:

1. They know what is wrong and don't think it is a problem
2. The know what is wrong but don't know how to fix it
3. They don't know what is wrong and so don't know how to fix it.
4. Believe it is nothing because other people who don't know tell them that!

You will find similar stories from patients about clunking *everything* - knees, hips, elbows etc.

It might not be painful (yet). It might be "normal". But they still haven't explained why it happens...which is all people want right? Why is it happening and what do i do to stop it?

So read the articles, Google the words you don't know (it is what i do!!) and try to find someone who cares enough to admit they are willing to learn with you how to fix it.

And in case someone wonders why i am writing so much on something like this, it is simply because i think we as a profession don't seek to learn enough and admit our limitations. I got challenged early in my career by a patient and it made me realise that i need to keep learning for life. Simple "pat" answers are not enough...

See what happens when you get me sleep deprived and tired?? You get me waxing on like a lush!!! Sorry

[hjohnstone]

I'm hoping it's nothing serious however. A tear could ruin my sporting career. Would pain be a likely, if not certain symptom? here is no awkwardness throwing, merely a click now and then.

[hjohnstone]

Sorry, i know you can't do it without hands on exmaination, but would the fact that if i clasp my hand over the deltoid region and it not click indicate nothing pathalogical?