Question:

A client is experiencing pain with any activity involving external or lateral rotation of the right shoulder. Range of motion is limited to 40 degrees. This condition has come on gradually. Muscle testing indicates weakness when resistance is applied to move the shoulder from external rotation to internal rotation. Shortening in the muscles of internal rotation is noted. Which of the following would be the most logical treatment plan?

A Massage to reduce tension in the pectoralis major and latissimus dorsi, with tapotement to increase tone in the infraspinatus and teres major

explanation

Massage is best at encouraging short tissues to lengthen and may be able to stimulate inhibited tissue to contract more normally.