Shoulder question for Bill Hartman

[GKWADDELL]

Hi Bill,

I hope your still out there on the forum.

I have a question - how do I determine between Scapular Downward Rotation Syndrome & Scapular depression syndrome?

Here is the background and assessment: (Rt. shoulder)

Poor thoracic extension

stiff / tight - lev. scap, pec major at SCJ, lats extremely tight

weak / inhibited serratus

adhesions / spasms in subscapularis

Are there self tests for: pec minor, rhomboid tightness? Is there a way to treat subscap by self?

Already went to PT for ART, greatly increased pec & lat R.O.M but not enough, never addressed subscap, pec minor, gave only foam roll for thoracic mobilization.

Gave wall slides, planks & int / ext rotation with body blade.

R.O.M still sucks, still occassionally get T.O.S - not even close to being symmetrical or passing Apley's test and the PT say's I'm fine and won't order more sessions

Any ideas??? I have Inside /out, the Indianapolis performance DVD set and the JP 2007 set with your shoulder lecture.

I can't do any over head lifting or maintain arms overhead without extreme fatigue followed by pain

Thanks for any advice

[ts.vassilev]

I'm no Bill and it's about anterior scapular tilting but I think that this can help a little bit:
TESTOSTERONE NATION - In Defense of Overhead Lifting

Check out the tests, especially the pec minor test. Also try these modifiers(as outlined by Eric Cressey and Mike Robertson in their "Building the efficient athlete"):
Flex your elbows to put the biceps brachili on slack. Any change?
With your elbows flexed flex tour sholder slightly to put the coracobrachialis on slack. Any change?
If your shoulders are still far above the table - it's probbably a tight pec minor.

[Deserve]

Bill doesn't really check this forum any more. Or at least he hasn't been here in a long while.

[Chris Correia]

He may be pretty gracious with an email contact. I'd try that if he doesn't see your post here.