Level 1
Alignment
Alignment conditions
- Winging scapula
- Poor scapulothoracic rhythm
- Fixed forward shoulder posture
- Thoracic outlet syndrome
All treatments
Shoulder complex specialised treatment
Shoulder
Specialist shoulder care for posture, rotator cuff, frozen shoulder, ligament, labral, arthritic and fracture conditions.
Understanding the area
A complete view of the problem.
The shoulder girdle combines several joints with a sophisticated stabilising system. Its function depends on a fine balance between mobility and stability across five protective tissue layers.
Five defence mechanisms
From alignment to bone.
The assessment moves from shoulder-girdle alignment through muscles, ligaments, cartilage and labrum, to bone. This helps distinguish a postural problem from deeper tissue injury.
- 01
Alignment
- 02
Muscles
- 03
Ligaments
- 04
Cartilage & labrum
- 05
Bones
Conditions assessed
Five levels of shoulders injury.
Each presentation is assessed individually. The lists below show conditions considered within Fernando’s clinical framework.
Level 2
Muscles
Rotator cuff and tendon conditions
- Rotator cuff tears, tendinitis or tendinosis
- Long-head biceps tendinitis or misplacement
- Subacromial bursitis and impingement
- Subscapular bursitis
Level 3
Ligaments
Capsule and ligament conditions
- Frozen shoulder
- AC or SC ligament sprain
- Glenohumeral ligament sprain
- Transverse ligament sprain
Level 4
Labrum
Labral and arthritic conditions
- SLAP lesion
- Bankart tear
- Glenohumeral arthritis
- AC or SC arthritis
- Shoulder osteoarthritis
Level 5
Bones
Fracture and dislocation
- Clavicle, scapula or proximal humerus fracture
- Anterior or posterior dislocation
- AC separation
The assessment also considers rheumatoid arthritis and pain referred from the cervical or thoracic spine.
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