Athlete with shoulder problem needs help

[jesspt]

asymmetrical postures of the body are due to an imbalance, typically of the myofascial structures. And if that imbalance goes on for long enough, I believe it would be fair to say that would create unwanted tensions and stresses on bodily structures that would eventually break down. Of course the body will compensate for this imbalance, which we can see it doing through his photographs, however the body can only compensate for so long until it either runs out of compensations or those compensations themselves break down.

Centered -

All of the above is strictly supposition. We've got little to no hard data that supports that imbalances are clinically relevant, that they occur more frequently in the myofascial structures than the osseos ones, or that if they exist that they place unwanted stress on any other structure. I think that a lot of therapists think in this vein because it results in the design of a treatment plan that falls within our area of expertise : stretching and strengthening exercises.

I'll pose a question: do we tell a patient who present like the original poster that he has an actual "problem" because we think he may develop a problem down the road, without any real data or clinical findings to bakc this up, or should we wait until a problem actually develops (which may likely never happen)?

[CenteredHealth]

Centered -
I'll pose a question: do we tell a patient who present like the original poster that he has an actual "problem" because we think he may develop a problem down the road, without any real data or clinical findings to bakc this up, or should we wait until a problem actually develops (which may likely never happen)?

Hi Jess. Enjoying our conversations....

I knew that my post was going to be received as unpopular, which is why I alluded to that fact previously.

I believe in preventative care. Call me old-fashioned, call me whatever, but I definitely believe in the adage "An ounce of prevention is worth a pound of cure."

As I stated in my post, this person may not need skilled care from a PhysioTherapist or another health care provider. However, I hope we can agree that identifying this as a potential problem and treating it appropriately (on his own) will only benefit him in the long run.

Is that too much to say?

[jesspt]

I've no problems with the patient carrying out an exercise regimine on their own, as long as the patient is also instructed that although he has assymetry, there is little to no data that implicates it as potentially problematic. Essentially, I think we need ot tell them that they can perform an exercise program that may or may not help, but won't hurt, either.

[BrianB]

Ocyrus411, u still around? it's been nearly 3 years since u created this thread and i was wondering how things are looking for u now? i've been lifting on and off since i was 18 and have dealt with something very similar (if not the same issue) for all of that time. i finally feel i understand what's going on...although it doesn't appear there's too much that can be done about it.