Shoulder pain? The cause may be found elsewhere



 Shoulder pain? The cause may be found elsewhere

   In patients with chronic musculoskeletal pain, the source of the pain is rarely the actual cause of the pain. German physiotherapist Vladimer Yanda, father of rehabilitation, researcher and clinician, sought to find the cause of pain away from the point of complaint.

- So what does this mean?

  For example, trunk muscle groups are activated before the upper or lower body begins to move.

 Therefore, even if there is a problem with the   shoulder, there may be a problem of trunk stability, and when the shoulder is rotated, the rotator cuff is actively activated.

  Now let's see how we came up with this claim.

 Muscles distribute the load between joints and provide proximal (trunk/torso) stability for movement of the extremities of the body (arms/legs).

  In other words, focus on the cause of pain rather than looking at the pain itself. 

 Rather than looking at separate and independent structures 

 It is important to look at the interdependent functional and pathological

  Don't look at the trees one by one, look at the forest as a whole.

  It is said that the musculoskeletal system, the muscular system, and the central nervous system interact, and the joints, muscles, and nerves do not act independently but a chain reaction occurs.

  The changes in the body chain due to the change in posture are most often caused by the spine. For


patients with musculoskeletal pain, the posture position of the neck, spine, and lumbar bones  should be evaluated frequently .

  In addition, proper positioning of the spine  will be important when exercising to improve normal and stable movement .   Swiss neurologist Brugger described the postural chain response of the spine using a cog wheel .

    Poor sitting posture results in posterior tilt of the pelvis and kyphosis of the spine as shown in the figure.

 These changes in the lower back can lead to the typical bad posture riding the cogs, and eventually head


forward (turtleneck).   Because the vertebrae in the vertebrae are interconnected, a change in one area (skull-cervical-

 thoracic-lumbar-pelvis) can affect other areas, and bad posture can

 trigger a chain reaction from the pelvis to the head through the spine. that you can

    If you have chronic pain that lasts more than 6 months, keep this in mind, find the cause of the pain, treat it, and live a healthy life.