midshaft humerus fracture rehabilitation exercises

midshaft humerus fracture rehabilitation exercisesrok aoe commanders

After a humerus fracture, your ability to move your shoulder, called range of motion, will be limited. When there is direct injury or assault on the arm, the bone may break into multiple pieces. v!aB!`7O|KhL"zEX z=iyO%Ms$5$pDHv6.5s2 .EhDg Put your elbow at your side. Though complete healing of a mid-shaft humerus fracture takes several months, exercises to improve the mobility of the shoulder and elbow joints may be initiated much sooner. Sutures are all underneath the skin and will dissolve on their own. If you still have significant pain and limitation after four to six months despite rehabilitation you All the exercises we are going to cover is aimed at strengthening the muscle of the arm, forearm and regain the range of motion of the elbow, wrist, shoulder joint. The fracture makes a transverse pattern as shown in the figure. Perform 10 repetitions in each of these directions: clockwise, counterclockwise, forward/backward and side to side. The rehabilitation differs slightly from nonoperative treatment, with no splints or cast. Greater Tubercle NOT greater trochanterMedial and Lateral Epicondyle NOT malleoliTrochlea NOT condylar, Your email address will not be published. Please feel free to contact me at nigel@phoenixrehabgroup.com or WhatsApp us at 88001830. . Though older injury, the midshaft humerus fracture may have occurred spontaneously (yeah that can happen and does happen). It also prevents Prompt treatment of this type of fracture is critical. Initial management is to stabilise the fracture to allow it to heal. Types of surgical procedures include: Healing of a mid-shaft humerus fracture with non-surgical treatment generally takes ten to twelve weeks. What Exercises Can I Do After a Broken Clavicle Bone? A mid-shaft humerus fracture is a type of broken arm. Doctors; Therapy. As the term suggests, the fracture occurs in a spiral pattern. Place the pillow between your elbow and the wall. endstream endobj 111 0 obj <. In a normal elbow, joint four movements occur, i.e flexion, extension and pronation, supination. Rehabilitation Program of Non-Operative Shoulder Fractures is one-on-one to ensure the highest quality of therapy care and outcomes. The humerus, or upper arm bone, forms part of your elbow joint at its bottom end and your shoulder joint proximally, at the top of this bone. In this starting position straighten the elbow as much as it could, this is termed as an extension of the elbow. Sometimes they happen after higher energy injuries like a motor vehicle accident. If you doctor suspects a midshaft humerus fracture you will be sent Accelerate Your Healing & Recovery post-surgery and injuries. The majority of both proximal and midshaft humerus fractures are nondisplaced and can be treated conservatively (nonsurgically). To regain maximum function after this injury, it's important to follow the specific humerus fracture rehabilitation exercises prescribed by your physical therapist. humerus fracture will treated surgically with an intramedullary Dumbbell raises are a humerus fracture rehabilitation exercise that can easily be progressed as your strength improves. The patient is his best teacher and whatever he gets to learn he loves to share it on his Youtube channel and blog. Keeping your forearm parallel to the ground, pull the band backward while squeezing your shoulder blade toward your spine. We'd like to assure you that were very Repeat 10-15 times provided there is no increase in symptoms. After extending it to maximum slowly bend the elbow, i.e flex it to the maximum point. > Physiotherapy Your physical therapist will assess your shoulder motion compared to expected normal motion and the motion . You have sustained a fracture to the middle portion of your humerus (upper arm bone). Surgical treatment of humeral shaft fractures should be considered for multiple reasons. orthopedic doctor had determined that your humeral fracture has started The most common cause of a humeral shaft fracture is a fall, but high-energy injuries (motor vehicle collisions, sports injuries) and penetrating trauma (gunshot wounds) also can cause this injury. with you after your midshaft humeral fracture. In one of our posts 3 Fracture Humerus Classification, Its Sub-Type Simplified we have seen that our arm can get fracture at three different sites. and both the shoulder Be aware of peripheral nerve palsy signs Avoid exercises which reproduce the mechanism of injury Early intervention is the key to a successful recovery. Take pain killers as prescribed. By Jonathan Cluett, MD limitations in the mobility, strength and function of your arm. We have divided this into three phases and with each phase the exercise and physiotherapy management changes. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics. Repeat this exercise lifting your arm out to the side, to shoulder-height. assessment, helping them to select the most appropriate treatment to Work up to three sets of 10 repetitions in each direction before increasing the resistance of your band. Slowly "walk" your fingers up the wall as high as possible until you feel a stretch in your shoulder. Allow your injured arm to dangle as you bend forward at your hips until your back is parallel to the ground. realigning the bones too. Wall walking improves your ability to raise your arm while in a standing position. of this injury and your treatment options. In my practice, I have found elbow restriction is the most common complaint after the removal of plaster. Consult your surgeon before exercising after a humerus fracture to be sure these exercises are safe for you. Weeks 6-12: Strengthening Phase Sling: No sling. Without a functioning humerus you cannot position the hand in space or use the elbow. Rest: Try to rest your shoulder for the first 24-72 hours. The humeral shaft is surrounded by large arm muscles, blood vessels and include the following: A fracture that occurs at the midshaft of the humerus usually occurs due to a direct blow to the upper arm. Begin progression to return to sports and full activity starting at 10 weeks. Keep it on for your exercises. because if you stop too soon, or Surgical management is growing in popularity because it can shorten healing times and improve alignment.. X-rays will be taken in different directions, usually from. position. Pingback: What is frozen shoulder: 3 Stage & Physiotherapy to Ease Pain - Physiosunit, Pingback: Fracture humerus classification and causes - Physiosunit, Pingback: How to Loosen Tight Shoulders? The momentum created by the cane will help make exercise more effective. The two complications often seen are injuries to the radial nerve and nonunion of the fracture. Top Exercises & Stretches After Healed Shoulder Fracture (Humerus, Scapula, or Clavicle) Bob & Brad 4.63M subscribers Subscribe 3.4K Share 199K views 4 years ago "Famous" Physical Therapists Bob. solution and they tend to need to be removed. There Phoenix Rehab Physiotherapy and Hand Therapy at Tampines Singapore, Germain Sim is a hand therapist practicing hand therapy, splinting, assessing and treating finger, hand and elbow pains in Phoenix Rehab, Adele is a registered physiotherapist with over 25 years of experience including treating national athletes as well as recreational athletes having worked in Singapore Sports Council and Singapore Spo, Achilles tendon pain is very common among recreational and elite sportspeople. For this sit comfortably in front of a table and place your arm of the affected side on the table. He has done his BPT from one of the premium Central Government physiotherapy colleges, ie, SVNIRTAR. metal plate that are securely held in place by screws. However, if a nonunion does occur, then surgery is almost always needed to stimulate a healing response of the bone., Carroll EA, Schweppe M, Langfitt M, Miller AN, Halvorson JJ. Wear this until advised otherwise by your consultant. For this exercise, we need 1.5 to 2 kg of dumbbells. Spiral fractures of the humerus in toddler age and younger are strongly linked . For this you can use a silicone gel ball, you simply need to hold the gel ball and squeeze it as many times as you can. A, Illustration of type I, extra-articular. Hold for two to three seconds; then slowly lower back down. Around 10% of humeral shaft fractures with require surgical treatment. The two complications usually encountered are injuries to the radial nerve and nonunion of the fracture. Gently move your shoulder following the exercises shown. Turn your body until your non-injured side is next to the door where the band is secured. endstream endobj startxref A humerus (or humeral) fracture is refers to a break in the bone IM nails can be used to stabilise a humerus fracture that is An X-ray will be taken to confirm the fracture and to determine severity of the fracture. Humeral Shaft Fractures. The Ridge, St Leonards-on-Sea, East Sussex, TN37 7RD The back surface of - Antegrade interlocking nailing of humeral shaft fractures. > Conditions A proximal humerus fracture is when In this article, we will cover physiotherapy management for the fractured shaft of the humerus bone. Most can be treated non-operatively in a hanging arm cast or coaptation splint (a splint from the axilla to the nape of the neck with a stirrup around the elbow) followed by a functional arm brace (this has an anterior and posterior plastic shell held together . The fracture needs to be immobilised to allow time for the bones to knit back together and heal. Rotate it clockwise 15 to 20 times and then anticlockwise 15 to 20 times, however, you can perform this exercise as many times as you could. The outcome was measured as patient satisfaction, return to activities, and need for further treatment at a minimum of one . X-rays help A broken arm is a common injury and is usually a consequence of a fall with an outstretched hand, a car crash or some other type of accident. Mid-shaft humerus fractures may be treated with: 1. Sports and deep tissue release massage helps to increase nutrient-rich blood A humerus (or humeral) fracture is refers to a break in the bone of the upper arm. An advantage of the fracture brace is that as healing progresses, you can begin to use your shoulder and elbow.. The patient must complete range of motion, strengthening and other exercises prescribed by the doctor on a daily basis. Broken humerus injuries vary significantly in severity. It is cylindrical in shape with slightly flat on the proximal (upper) part and conical on the distal (lower) part. Once your bone begins to heal, the pain will decrease and your doctor may start gentle shoulder and elbow exercises. For example: They will make you an appointment. The shaft of humerus can be divided into three (3) thirds: Most of the time, midshaft humerus fractures are usually the result of: Midshaft humeral fractures can be classified into different types Phase-1: Week 0 to 3 of fracture of distal humerus reduction. shoulder exercises every day until you have regained full. Do not push into pain. The shaft can break near the top of the bone, in the middle, or near the bottom of the bone. 50 These fractures can cause prolonged and severe disability and often are underestimated when compared with hip fractures. Bend it to 90 degrees. Surgery usually involves fixation of the fracture fragments with plates, screws or pins. meetspecific individual needs, to treat a wide range of injuries with either: Humeral even though healing may not be completely straight, Learn how to conduct effective rehabilitation exercises to heal a radial head fracture elbow. This is a read only version of the page. Injuries to the radial nerve are fairly common in a mid-shaft break because this important nerve tightly wraps around the middle of the humerus. Stand with your non-injured arm supported on a counter or table. spinal decompression traction, Read the benefits of regular deep tissue release therapy here, See our entire team here with introductions and their specializations, Physiotherapy and Hand Therapy at Tampines Singapore, Adele Ang Principal Physiotherapist Singapore, The importance of staging and compression in tendinopathy physio, Tendon Pain Physiotherapy and Hand Therapy, Tendon Injuries Physiotherapy, Hand Therapy, TCM & Massage, Panel Of Expert Physiotherapists, Hand Therapists, TCM, Dietitians And More, May Be Insurance Claimable Or Covered (Speak To Us). when the fracture is reduced so great care should be taken when Pain > Shoulder The fracture becomes fragmented. Repeat 10 times, working up to three sets in a row. It leaves the shoulder and elbow free to The displaced fracture where fracture segments get displaced from each other is first re-aligned by the surgeon. Rehabilitation Programs for Non-Operative Humeral Fractures Dr. Rolf . following injuries or post-operations, See all the conditions our hand therapists treat here. realign the fracture (often patients try to "support" the fracture by Causes of Elbow Pain and Treatment Options, Results of surgical treatment of nonunion of humeral shaft fracture with dynamic compression plate and cancellous bone grafting, Failure to heal with nonsurgical treatment (, Difficulty straightening (extending) the wrist and fingers. Thank you, {{form.email}}, for signing up. endobj Treatment can be nonoperative or operative depending on location of fracture, fracture morphology, and association with other ipsilateral injuries. Where did you get this annotated humerus picture from?? 2014;37(3):e307e312. endobj Copyright 2023 Physiosunit | Powered by Astra WordPress Theme, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Pocket (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on Telegram (Opens in new window), Click to share on Skype (Opens in new window). If you break your humerus, you might need surgery to repair your bone. A fracture in this area can be very painful and make elbow motion difficult or impossible. the doctor to see where the fracture is, what type of fracture it is, You should not lift a lot of weight with the injured arm, you can do it little by little as recommended by the specialist. rehabilitation.& Exercises:&&Aggressive& upper*body& strengthening& and with initiation of& plyometric& training& and sports& or work& specific& training.& & Consider work& 3 0 obj In all the females, the graft had to be split longitudinally. For this exercise our starting position would be quite different, this time stabilize the forearm by keeping it flat on the table as in the figure. So the mid-shaft region of the humerus is the long, thin part of the With progress in surgical methods and implants, surgical treatment of clavicle fractures has become more popular. Treatment for mid-shaft humerus fractures. If surgery is required, physical therapy will typically begin 1 to 4 weeks following the surgery, depending on the specific surgical intervention required. Metal implants are not meant to be a long term Read the benefits of regular deep tissue release therapy here. Wean from sling and discontinue it if physician allows Motion: Full motion by 8 weeks. Humerus fracture recovery advice will vary somewhat, depending on the location and classification of your specific injury and your personal goals, according to a September 2013 article published by Deutsches Arzeblatt International. You will have another x-ray to check the position of the fracture. It also prevents A non-displaced fracture is where normal The patient is usually given a sling for comfort and arm support. For example, to stretch the flexors, slightly extend the wrist and use the other hand to give pressure over the palm. An open fracture may require surgery though - your doctor will repair the humerus with screws, plates, or a metal rod. Keep your brace on while doing these exercises. Apply this to the sore area for up to 15 minutes, every few hours ensuring the ice is never in direct contact with the skin. Keep the arms flat on the table to make a good base of support to perform elbow exercise. need to be realigned and held in place. If surgery is not required, your physician and physical therapist . Do your initial exercises three times a day. Hold two to three seconds and then slowly return to the starting position. In most cases, there is a high likelihood that bones can be realigned . Nonunion is a difficult problem and occurs when the fracture doesn't heal. After a few days, hold a soft ball or rolled up socks. A proximal humerus fracture usually occurs close to the shoulder joint and can be located at different levels with different fracture patterns: simple or comminuted. While the specific exercise timeline might differ between individuals, humerus fracture recovery exercises follow a similar progression across fracture types. If you have stiffness in your elbow or hand from wearing the sling, you may wish to perform these exercises first. Most fractures of the proximal humerus can be treated without surgery if the bone fragments are not shifted out of position (displaced). Whichever part of the bone is broken, a midshaft humerus fracture will typically cause: Sometimes, midshaft humeral fractures can be very obvious especially when there is obvious fracture deformity. Shoulder flexion exercise. will be able to progress you with progressive strengthening exercises Progressive strengthening exercises typically begin between six to eight weeks after injury. There may be damage (or risk of damage) to the brachial artery. Healing of a mid-shaft humerus fracture with non-surgical treatment generally takes ten to twelve weeks. Most radial nerve injuries typically improve with time, but your healthcare provider should follow up with you in case further treatment is needed. J Am Acad Orthop Surg. Keep the band secured at waist-height with your elbow bent to 90 degrees. 2 For elbow joint restriction, do the following exercises: Once again a very important stretching exercise for managing the shaft of humerus fracture. =U_7}_^0(di /@B%aA~_,AKBb1AdFyDHKlQ"L I)U3]Ql*3;En.{MLSH0>p}\oL^GaOz#l"o?Q'~O{L-{Yo,4I FMfdl'%5>. However, there's much more holding your arm together than bone, so don't let the X-ray scare you. These should not cause too much pain. Pull your forearm in toward your body until it reaches your belly. passionate about what we do (I've been practicing since 2005; and Louise since 2006), and here in Phoenix Rehab - we have cherry-picked the best and most experienced team of principal-gradephysiotherapists, hand therapists, TCM 1 0 obj do not line up normally. The humerus bone is the long bone that is located between the shoulder and the elbow. hL>uvywWFHsLiZ,p}y"7W@ wn5;:0s}sypb.\y_ N#o"|T%w8O:q[. doi:10.5435/JAAOS-20-07-423. Surgical management is growing in popularity because it can shorten healing times and improve alignment. The higher top part is cylindrical in shape and as it goes downwards closer and closer towards Traditionally, humeral shaft fractures have been described according to the following features: Location - Proximal, middle, or distal. One-to-one Sessions With Our Principals: No Juniors Or Assistants Involved, Ever. is often associated damage to the surrounding nerves with midshaft One indication for surgery is an inability to maintain the fracture in adequate alignment with. fragments will Vaidya R, Sethi A, Oliphant BW, Gibson V, Sethi S, Meehan R. Civilian gunshot injuries of the humerus. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. The Virtual Fracture Clinic letter will detail where the fracture is. wrist and hand to prevent Week 6-10 (following clinical fracture healing and no motion at the fracture site) . 2013 Jul;7(3):105-9. doi: 10.4103/0973-6042.118911. damage: A displaced humeral fracture happens when the fractured humeral bone fragments of the shaft your arm out of your sling to do these exercises. Turn sideways with your injured arm next to the wall. midshaft fractures resulting in radial nerve damage. muscles from scar tissue micro-tears (and potential ruptures), and increases muscle Repeat 10 times. Active wrist flexion extension for elbow fracture rehabilitation. This article focuses on midshaft humerus fractures. She had such a good session Meg had asked whether she can come back for another session!!!! As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth, but you can also make an appointment without seeing any doctors (that being said, if you do need a referral to a specialist orthopedic surgeon or sports GP, we will recommend you too as value added service at no additional costs to you). Rehabilitation plan 0 - 1 fracture clinic appointment Wear the brace & sling all of the time, even in bed at night. These all sat under my brace and close to the bottom of it; rubbing painfully on it and weeping. Proximal humerus fractures are highly traumatic and debilitating. Try to relax your injured arm and let it hang down. Remember to try and relax your arm. Hold it for 1 minute to 5 minutes as per your convenient. move which helps prevent stiffness. Or, if you are experiencing pain or symptoms, other than at the site of the original injury or surrounding area, please get in touch using the telephone or e-mail details at the top of this letter. only do your exercises sporadically you are likely to have ongoing You also need to take antibiotics intravenously when you have an open fracture. As you become comfortable, you can increase the weight of dumbbells up to 5 kg. radial nerve usually occurs at the time of injury, but can also occur The most common treatment for a humeral shaft fracture is called a fracture brace, often referred to as a Sarmiento brace, named after the physician who popularized this treatment method. After a few days, hold a soft ball/ball of socks. Swing your arm slowly and gently side to side. Progress this exercise until you are able to reach the dowel fully overhead. No classification scheme for humeral shaft fractures has . Home; Follow. It is one of the big three bones of the body. Hold it and allow the weight of the dumbbell to exert stretching on the elbow joint. Surgical management is growing in popularity because it can shorten healing times and improve alignment. The humerus is the arm bone between your shoulder and your elbow. 4 0 obj Then move your wrist up and down 10-15 times. All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB). The bulky muscles, such as the biceps, triceps and deltoid surrounds the shaft of the humerus. After just a few weeks we Resistance band exercises can be easily progressed as your strength improves by moving up color-coded levels. tennis, golf, skiing, etc) . Our arm consists of a single long bone called the humerus bone. Depending on the pattern of fracture, it can be categorised into three types. The purpose of this study was to evaluate a series of humeral shaft fractures treated with plate osteosynthesis regarding the effect of the approach and plate location on the healing rate and occurrence of complications. % Appt Request. hb```,@(aCXl8bPF3f4)i9y|2\1fH3Qfa`JK-ag`2j 59 - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. It is during the immobilisation period, most of the complication develops. You will also have your hand in a sling (a Collar & Cuff). rod/nail. DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY. Most distal humerus fractures are caused by some type of high-energy eventsuch as receiving a . If the fragments are shifted out of position, surgery is often performed to allow earlier mobility. Rehabilitation will continue until the muscles, ligaments and other soft tissues perform normally. Lineage Medical, Inc., OrthoBullets. National Center for Biotechnology Information, StatPearls. xZ[~_`E kf)>(^ylu;3"eQ67Ieg-e]hloUVodmQm?g/_b/o./ flow to tired, tight and tense muscles toaccelerate recovery andshorten downtime / recovery period required. Radius and ulnar shaft fractures, also known as adult both bone forearm fractures, are common fractures of the forearm caused by either direct trauma or indirect trauma (fall). Humerus fracture recovery exercises typically begin with activities to improve shoulder movement, three weeks after injury, according to rehabilitation guidelines recommended by Mammoth Orthopedic Institute. Type of fracture line - Transverse, oblique, spiral, comminuted, or segmental. Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing. In this extended elbow position, put slight overpressure with the opposite hand till you feel a comfortable stretch on the front of the elbow. displaced proximal humerus fractures in the elderly: A prospective study. General Passive FF while supine, gentle ER to neutral if comfortable, pendulum okay if comfortable, Elbow/wrist AROM, grip strength, scapula isometrics, no resistance exercises, AAROM>AROM as tolerated; PROM Goals: FF 120, ER 50, IR 50, Active FF 100, Begin active motion in plane of scapula, AAROM pulleys, sub-max pain-free isometrics in neutral, scapular strengthening, assisted horizontal Add, Progress AROM/PROM; AROM goals: FF 130 (scapular plane supine), ER 55, IR 60, Initiate assisted IR behind back stretch, resisted IR/ER in scapular plane, begin supine active elevation strengthening(i.e. For this exercise, our starting position would be similar to the previous exercise. In both conservative and surgical management the immobilization is done for certain weeks. To reduce the complications, one should start physiotherapy as soon as the plaster cast is removed and the initial acuteness subsides. Diagnosis is made by physical exam and plain orthogonal radiographs. stream They will advise you on further exercises and on-going management. These fractures separate the articular surface as a single unit from the rest of the humeral shaft. A retrospective study of 126 cases. Now repeat the same process by extending the wrist to stretch the flexor group of muscles. It is important that you have feeling in your hand and that you can wiggle your fingers. . Begin with your forearm touching your belly. Surgical fixation may be contraindicated in older clients, thus requiring a systematic rehabilitation protocol. After the operation, the arm immobilization is done using the sling support (or shoulder spica) for 6 weeks. The humerus goes from the shoulder joint to the elbow joint and must be strong enough to take a good deal of weight when you lift something or push against something. the humerus bone is broken at or near the top, near or at the shoulder. This information will guide you through the next 6 weeks of your rehabilitation. Mid-shaft clavicle fractures have traditionally been treated conservatively, although it is now more widely appreciated that there is a high rate of non-union and patient dissatisfaction with the final results of such treatment [1]. 2 0 obj 1 - 2 You will be reviewed in the Fracture Clinic at approximately 1 week after your . A temporary splint extending from the shoulder to the forearm and holding the elbow bent at 90 degrees can be used for initial management of the fracture. Follow up sessions are inline to provide A humerus shaft fracture may be treated with or without surgery, depending on the fracture pattern and associated injuries (i.e., nerve injury or open fracture). Surgery usually involves internal fixation of the fragments with plates, screws or a nail. (, improve range of motion, strength and dexterity, increase the function of their hand A temporary splint extending from the shoulder to the forearm and holding the elbow bent at 90 degrees can be used for initial management of the fracture. Tendon problems are common in runners and can become a persistent issue if not properly treated. humerus fractures (such as in radial nerve damage). Achieve Pain-free Movement, Strength, Speed, Stability & Fitness and go back to life running. It is frequently exchanged for functional bracing 1 to 2 weeks after injury. It does not replace the opinion, discussion, and treatment from a trained medical professional. performance. For this exercise our starting position would be quite different, this time stabilize the forearm by keeping it flat on the table as in the figure. <> However in many of them, the attending doctor will need to confirm these fractures with imaging. without any support through the elbow as this allows gravity to help the elbow it becomes narrower and more prism shaped. Medical evidence suggests that smoking prolongs fracture healing time. mobility exercises. This exercise is recommended only if you have gained sufficient grip strength to hold the dumbbell firmly. Distal humerus fractures are where the humerus bone is broken the furthest away, nearer the elbow. Be sure to follow your doctor's and physical therapist's specific instructions for exercise following this injury. The techniques presented can be used by clinicians to create treatment plans, achievable functional goals, and realistic expectations for their clients. as "ORIF", which stands for open reduction internal fixation (. The humerus also known as the upper arm bone is a long bone that runs from the shoulder and scapula (shoulder blade) to the elbow. If this is not the case please let us know using the contact details. I have already covered in detail the various other types of shoulder stiffness exercises which you can read by visiting this link.

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