The shoulder is considered as one of the most complex areas in the body, there are several joints that made up the entire shoulder girdle supported by a sophisticated stabilization intrinsic apparatus that allows the ideal stability without compromising the overall movement. Hence, the entire shoulder system is dependent on the health of five important defence mechanisms that allows this structure to have one of the finest balancing acts between movement and stability.
The 5 defence Shoulder Mechanisms is hierarchically made up by the proper Alignment of entire shoulder girdle followed by the strength of the Muscles then by the health of the Ligaments, the proper cushion support provided by the Cartilage and labrum and by the frame support of the Bones. The extend and level of tissue damage is dependent on the number of protective layers that have been compromised from the trauma.
For instance, when the first protective Alignment layer is affected, there is a misalignment dysfunction resulting in potential postural alterations as seen on patients with increase kyphotic curve and forward shoulder posture, therefore I consider Level 1 Injury as there is only one main structure that has been affected.
In cases of rotator cuff tendinitis where the trauma impaired two layers of the protective mechanisms (Alignment and Muscles/tendons), its considered Level 2 Injury as there were two layers that have been compromised. In summary, there are 5 protective layers of defence and 5 corresponding Level of injuries, higher the level of injury the more substantial the number of tissue damage as per the accumulative damage that is passed from one phase to the other. (Level 4 injury means that all the previous defence mechanisms have been compromised up to the 4th layer as seen in shoulder arthritic conditions).
Throughout my extensive education and clinical experience, I conclude that even though there are several named pathologies and diseases described by the traditional medicine, the origin and the predisposing factors that have lead the development these healthcare conditions shared a similar causation and pathophysiological principle.
In addition, due to the multiple level of tissue damage often seeing in injuries there is not a single approach that is enough in order to properly managed and fully resolve the condition in question, hence I developed specific treatment protocols utilising different health care methods and techniques that eventually allowed me to efficiently resolve and heal as well as prevent the further development of future injuries.
The protocols I developed aim to properly repair and restore the entire self defence mechanism
5 Levels of Shoulder Injuries and the corresponding associated conditions.
Level 1 injuries - Misalignment dysfunctions
Level 2 injuries - Misalignment - Muscle/tendon/fascia/injuries
Level 3 Injuries – Misalignment – Muscle compromised - Ligamentous injuries
Level 4 Injury - Misalignment – Muscle compromised – Ligamentous weakness - Cartilage Injury
Level 5 Injury- Misalignment – Muscle compromised – Ligamentous weakness and Cartilage damaged leading to Bone fractures
Miscellaneous Shoulder conditions
Rheumatoid Arthritis; Its part of an autoimmune systemic condition expressing inflammatory cascade withing the joints and soft tissue.
Neurological referred shoulder pain syndromes; Cervical and thoracic subluxations usually creates referred patterns at several sites around the shoulder.
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Treatment methods I utilize in my practice to restore and enhance the healing of the entire layers of tissue injuries according to the specific healthcare conditions diagnosed.
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