Office visit # 2
Checked in and then the Dr. had me do the same range of motion and pain level tests as before. Asked me as compared to last time were the pain levels better/same/worse. It feels the same as before - no improvement.
Treatment:
I laid on my back on the table just as the first visit and he did the same deep pressure techniques. In my armpit at various places (these were the most painful) and then on the side of my lats. Next he did pressure which felt like a deep tissue massage on parts of my traps. He added more this time then the 1st visit by having me also lay on my stomach so that he could work the back and side of my shoulder. Once that was completed, he had me stand up and do a few range of motions with my arms going up from my sides and across and to my surprise, one of my motions actually felt better this time. The improved movement was the one where I grab my elbow with my opposite hand and pull my elbow across my chest. I could bring it farther across before the pain set in than when I first came in. Next up - the recovery specialist.
Recovery treatment:
The certified recovery specialist handed me the lacrosse ball and instructed me to warmup with the same 4 exercises from last week - each 1 minute in duration.
1. Supraspinatus:
He did not tell me how long or how often to do this but from past physical therapy sessions it is usually around 1 minute so that's what I'll be doing.
2. Posterior Shoulder:
Rolling back and forth against the back of the shoulder. I found out that I was doing this one wrong. I am to place the ball in the "pocket" which is that small gap between my back and arm with my arm down by my side. This was only brought up because he asked if any of the 4 movements hurt and I told him this one did. He looked closer as I showed him how I had been doing it and so I now see I was in the wrong spot. I was too high up on the bone and that was more painful.
3. Triceps release:
4. Upper traps:
Leaning in towards the wall. Place the arm behind the back to stretch and go deeper or let the arm hang down towards floor.
New exercise.
He added in a band treatment today which was just like the one I had done about a year ago for my shoulder. External rotation but only out to about 45 degrees. In the picture below the arm is going out too far. I've been instructed not to over extend past 45 degrees.
He didn't tell me how long or how many reps so I'll wait until I receive the follow up email with the instructional video. That was it for today. I'm actually hopeful now after having the across the chest motion of my shoulder feeling better today. Next appointment is Thursday.
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