The Shoulder

Treatment:

• Deep transverse friction is the treatment of choice.
• It is performed for about 20 minutes on alternate days.
• The lesion is usually cured after about ten sessions.

Technique

• The patient lies supine, the arm abducted and in lateral rotation.
• In this position the subclavius muscle is well palpable.
• The therapist puts his middle finger, reinforced by the index just below and parrallel to the clavicle on the painful spot.
• Friction is given by a supination - pronation movement whereby the belly of the subclavius is rolled between the frictioning finger and the clavicle.
• The active phase is the (fast) supination movement.
• During the passive (slow) phase the hand is brought back to the pronation position, however without loosing contact with the skin.