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Should I have my arm in a certain position when raising it above my head?
For those with past shoulder injuries, impingement can occur with certain movements.
 
Running Man AthletePlus  Thumb up position when going above the head.

Running Man AthletePlus  Thumb down position causes impingment and pain.

Running Man AthletePlus  Important concept for those that work above their head often.

When raising the arm with the thumb down (internal rotation of shoulder), the bigger bone of the upper arm (greater tuberosity) impinges on the top of the arch of the shoulder blade (coracoacromial arch) and blocks any further movement.  For those with shoulder problems, this causes an increase in pain and irritation of the shoulder. We teach patients to raise their arm with the thumb up (in external rotation), which will decrease the chance of impingement and pain.  



Related Articles
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What is Shoulder Impingement?
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What Causes Rotator Cuff Tears?

REFERENCES
1. Orthopedic Management of the Upper Quarter. North American Sports Medicine Institute
. 2003
2. Tomberlin JP, Saunders HD Evaluation, Treatment, and Prevention of Musculoskeletal Disorders, Vol 2;1994. pg 105.

This article is provided for information and entertainment purposes only. The content is provided "as is" for general information and to educate the reader. The article is not intended to serve as medical advice, diagnosis or treatment. The content should not be considered complete and should not be relied on to suggest a course of treatment for a particular individual suffering from a particular problem, issue or medical need. The reader should always consult with a qualified health care provider familiar with the reader's general health, background and conditions and follow the advice given by the health care provider. Always consult with your physician or other qualified health care provider before starting a new diet, treatment or fitness program. Do not delay seeking specific advice or care or disregard the advice of your health care provider based on information contained in this article.

Article Date: July 2009


So what should you do?

See and see your sports medicine physician or physical therapist for an evaluation for shoulder pain. Ice the shoulder per our guidelines if needed until your appointment. 






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