Category Archives: upper extremity injury

Complex Regional Pain Syndrome, limb injury, and Vitamin C: What’s the connection?

Complex Regional Pain Syndrome (CRPS) is a chronic, difficult to treat, painful condition usually affecting either an arm or leg after an injury or trauma to that limb.  CRPS is thought to be an exaggerated response by the nervous system to the injury. Who can get it? Anyone can be affected by CRPS, but it […]

Rehabilitation after shoulder separation (AC joint separation)

2 important rehab considerations for AC joint injuries: 40%-50% of all shoulder injuries sustained during sports involve the AC joint, with the most common being a “separated shoulder”. A “separated shoulder” is actually a separation of the AC joint (acromioclavicular joint). The most common mechanism of injury is a downward force that tears/stretches the AC […]

Stop the insanity: Put away the ultrasound and Electrical stimulation for the treatment of shoulder pain

“I have shoulder pain, what should I do” Current research may offer some answers..First of all, stop wasting your time with ultrasound and electrical stimulation….. Many P.T.’s continue to use “passive modalities” to help treat shoulder pain with mixed results. Personally, I found no long term help with such passive modalities like Ultrasound, electrical -stimulation, […]

Double Crush Syndrome and why you need to know about this

Sharing some thoughts from an interesting client seen in the clinic last week. What happens when the diagnosis doesn’t fit the clinical picture? For example, the client who presents with lateral elbow pain and is given the diagnosis of “tennis elbow” or technically “lateral epicondylitis”. This would seem plausible except for one reason: this particular […]