PAINFUL CLICK AT THE TOP OF YOUR SHOULDER?
🤷🏽♂ Everybody complains of clicking shoulders and most of the time it does not mean much, maybe there is some friction happening due to the number of tendons that pass under the subacromial space and around the glenohumeral head. HOWEVER, If you have a painful click when you raise your arms above your head, then you need to keep reading baby 👶🏼
➡ WHAT IS THE TOP OF MY SHOULDER CLICKING 😱 Do not worry, you probably haven't dislocated anything. Most of the time people get a stiff acromioclavicular (AC) joint, which then causes a number of other issues. Due to the AC joint being a junction between the spine of the scapula and the clavicle, it is a very important part of the shoulder girdle. It is essentially the only part that holds the scapula attached to your body, if you get an AC joint separation, your scapula will have nothing holding it in place, due to the fact that it is a so called floating joint. And that is why it is being supported by three strong ligaments:
☛ Acromioclavicular ☛ Coracoacromial
➡ The clicking sensation that you are experiencing could be caused by a number of factors. It could be tendons flicking over each other and if there is inflammation in any of those tendons, then there will be pain. Remember that when you are abducting your arm (raising it above your head) the subacromial space becomes smaller the higher you elevate. And when that happens you get impingement. Now, impingement can be a problem only if there is inflammation, caused by overuse, tear, an inflamed bursa, or some other underlying reason.
➡ What I usually find, with clients and myself, is that the insertion of the fibers of the upper traps, the one that meets the acromion, can get very congested. This happens due to posture, we spend a lot of time in a forward flexion, which then protracts the acromion and closes down the subacromial space anteriorly, pressing on the tissues that pass underneath. No wonder office workers suffer with shoulder pain. I like to release that space by locating the gap between the spine of the scapula and the clavicle | CONTINUES IN COMMENTS....
omni_bodyand mobilising the AC joint by exerting a caudal force (downward) and also moving it sideways and trying to get as much movement as possible. The AC joint is a plane synovial joint, which means that it allows gliding movements. I am simply trying to re-create those movements.
☑ BENEFITS OF MOBILISING THE AC JOINT - Obviously, just like any articulation, you will be affecting the tissues which attach around the joint. Such as the ligaments that I mentioned above. You will also be releasing tension off the upper trapezius and supraspinatus, which travels underneath the subacromial space and attaches onto the superior humerus. And you will be allowing movement for the entire shoulder girdle, due to the fact that the AC joint plays a big role in scapular function. .
❓CLINICAL NOTE - What I see with many therapists is that they focus on articulating bigger joints such as the glenohumeral, the scapulothoracic, but then they forget the relatively smaller junctions, such as the AC and sternoclavicular joints. Remember, the shoulder girdle is comprised of all of these joints, so if you are only focusing on the big ones, you will be leaving your job unfinished.