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shoulder impingement

Jan 11th, 2014

lynn asked The Guru for the following Physiotherapy Advice:

Hi
I have had a rotator cuff problem for about 8 weeks.

I have had physio and message and it did improve a little. The problem is in my right arm. I have also had a mastectomy. Do you think you can help?

I am very keen to start playing tennis again. Can you recommend the best person to help. I live in central London and I am happy to go to any location. I do have BUPA. I also wondered how much a session costs and how many I might need. Many thanks, Lynn

Jan 11th, 2014

The Guru Responded:

Hi Lynn
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It sounds as if you’ve got an impingement , which is pretty common in the shoulder.
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They can happen due to 2 or 3 things. Firstly a spec of bone grow on under your collarbone at the end which rubs on a muscle that helps to move your shoulder, or this muscle can get inflamed due to unusual over activity (a mad weekend painting the ceiling!).
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Or, and most likely is that you are moving in such a way that is causing the muscles around the shoulder to overwork and impinge. Posture over a long period of time can influence the way you move your shoulder and use the muscles around it.
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I think you need the cause identifying and once this is done, it should be plain sailing.
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The 3rd type is pretty unusual and happens is elite(ish) under 25 year olds.
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Impingements are bread and butter to us and so anyone, anywhere should be able to help. BUPA fully recognise us [sports injury london  clinics], give them a call and we’ll take care of the rest.
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Any probs, do shout.

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