Rotator Cuff

  Sometimes mistakenly thought to mean bones in the shoulder, the Rotator Cuff actually consists of 4 muscles which help maintain shoulder mobility, stability, & function.

These muscles are called the “S.I.T.S.” muscles, an acronym for the 4 components---the Supraspinatous, Infraspinatous, Teres minor, and Subscapularis muscles.

Of these 4, the Supraspinatous is most commonly injured. It attaches across the top of the scapula to the top of the humerus, the upper bone of the arm. “Swimmer’s shoulder” is an injury to the Supraspinatous tendon, caused by repetitive forceful adduction of the arm against the resistance of the water.   

How To Get A Headache

Some very common postures can give you a headache!

        Here's what to watch out for:

Leaning your head back to look upward toward a TV or computer monitor, or tilting the head backward to see a monitor through the near-focus part of bifocals, are common postural producers of headache. 

These postures causes the occiput (the bone across the back of the head)  to be stressed inferiorly. This inferiority may be more on one side or the other (unilateral) or global (bilateral). 

When patients present with this in my office, it may be in combination with a superiority of the posterior part of the second cervical vertebra, an additional complication which makes the headache even worse.

I make gentle, focused, precise adjustments that correct the problems without discomfort to the patient, and I provide ergonomic counseling to help keep this from happening again.