It shocks me that frozen shoulders get called tendonitis by specialists. There are 4 things I check for to Dx 1. Severe pain keeping them up at night 2. Decrease ROM in all planes 3. Severe pain with arm in abduction and I apply minimal inferior glide to GH joint 4. If you ask them to raise their arm up their upper trap raises in conjunction with the Humeral head. They go up together. This happens when the joint is locked. You see this with a nerve injury and RTC tear too but a myotome test and empty can test rules those out. A lot of times the person is told it’s RTC tendonitis. Well if I grabbed your wrist joint and squeezed and told you to perform flexion and extension all day how long do you think it would take for you to develop tendonitis! Watch this teaching video of Frozen shoulders and how I Dx and treat it below. In 2 decades I have never had a patient need to get an MUA (that I am aware of) and my rehabs usually take 8 weeks. I also can usually get 10-12 degrees of ROM in a few minutes without touching the shoulder the patient loves it! Comment “Clinical” below to learn more about my clinical mentorship

One of the reasons I see so much failed TMJ treatments in my clinic is because their actual cause of it was missed. They get night splints, scans, injections etc but no lasting relief. Years ago, I started to ask myself why are these muscles locked down around the TMJ. I had an insight, they were stressed! Clinching was subconscious to them and a lot were grinding in their sleep. I also saw a pattern, that these patients also had neck hypertonicity, headaches a lot of the time in addition to TMJ. In these patients they had too much stress. I call these "Stress injuries". When I identified that root cause for them was stress I would tell them that and they would argue with me saying I am not stressed! Most people live at constant level of stress that they are unaware of I found. I asked them to meditate but patient after patient refused so I gave up on that as I realized I had better luck asking them to change their religion! (literally) A great help was a GOOD CBD 3x a day at a dose they feel relaxed at in 2.5 hrs. Side note: I have found TMJ patients to be the least complaint patients I have ever worked with! What has worked for you?

Take a stab at it, leave what you think was causing all this in the comments below.... 7 years ago patient had neck adjustment, L fascial numbness, L arm numbness, L genital and glut numbness and L LE weakness. Neurologist x 2 scanned MRIs were negative, MRA of brain negative, EMG negative, PTs, chiros etc etc no help since then I had her strength back and numbness gone in 5 mins! Hint: There were 3 diagnoses

Comment below a condition(s) that frustrates you to rehab, we all have them. What's yours?? I usually can help!

I recently treated a patient with persistent neck tension and pain — something I see all the time. She’d already tried everything: 💊 muscle relaxants 💆‍♀️ massage 💥 chiropractic 🏋️‍♂️ traditional PT But here’s the thing — in my experience, the issue is not primarily muscular. It’s neurological.The nervous system controls the muscles. When the nervous system is dysregulated, the muscles stay “on” — constantly guarding, tight, and reactive. So instead of chasing muscles, I target the nervous system. Once that calms, the muscular system naturally relaxes. Ask yourself: “Why does my patient’s neck feel like they’ve been in an MVA… when they haven’t?” For this particular patient, I had her order a grounding pillowcase on Amazon to sleep on (if you haven’t yet, watch The Earthing Movie on YouTube — it explains the science beautifully). Usually, I see around a 30% reduction in neck tension just from grounding interventions…But this patient? No neck pain after one week. 🙌Watch the Earthing Movie here ==>> https://youtu.be/44ddtR0XDVU?si=3RvYbty6obhWFkqY