Shoulder Abduction Relief

Neck and arm pain

Keywords; shoulder abduction relief.

Does placing your hand on your head relieve the ache in your limb?

What does the word mean? Simply lifting your arm up at the side of your body. Raising the limb, and placing your hand on your head takes the stretch off the nerves running from your neck to your upper extremity. There are five of them, called the brachial plexus.

If you have a pinched nerve, then this will relieve the pain in your arm.

If placing your hand on your head increases the pain in the arm, then you probably have a shoulder anatomy problem problem, a rotator cuff for example, or another condition where the nerve and artery can be affected in the inter scalene triangle.

Shoulder Abduction Relief sign

Aggravate vs Relieve helps in the diagnosis of a slipped disc in the neck.
More usually, shoulder abduction will aggravate the pain in your arm and shoulder. Then it's not a pinched nerve. It more likely to be strained rotator cuff, or a fixated acromioclavicular joint or a frozen shoulder brewing.

The pain from a pinched nerve in the neck may be very severe, a deep numb ache in the arm, often worse at night. The only position to gain relief may be to place your hand on your head, or sleep with your arm under your pillow or skull.

This is a serious problem. It's best to get to your chiropractor as soon as possible.

Some grasp of the anatomy of neck pain will help your understanding of this nasty condition. The nerve can also be irritated by a first rib subluxation, a slipped disk, arthritis in the cervical spine, and others like a cervical facet syndrome.

Mostly chiropractic is the treatment of choice, though I confess neck pain can be stubborn, particularly in the presence of  an aching arm and a positive shoulder abduction relief sign. 

This is especially true if there's also wear and tear, and an old fracture or arthritis of the joints of Luschka.

Also known as the paravertebral or uncovertebral joints, they may compromise the inter vertebral foramen through which the nerve root must escape from the spine on it's way to the neck, arm and upper back.

However, these degenerative changes in the neck have usually been present for years. Why do they now suddenly rear their ugly heads? Herein actually lies our salvation. If they were there before the pain started, then they probably aren't the cause of the pain. What's known as an incidental finding. Which explains why many patients with advanced degerative changes in the neck often respond just as well, or badly, to chiropractic treatment, as those without.

Traction may also help as an adjunctive treatment, though the research indicates that on its own traction is not effective.

Again, raising your arm will INCREASE the pain and tingling in your arm. The condition is called a THORACIC OUTLET SYNDROME ...

Upper Limb Tension Test

The confirmation of a true pinched nerve is done in part with a test called the Upper Limb Tension Test that you can do at home. However, be warned, the diagnosis and interpretation of tests can only be done by a skilled clinician; your chiropractor.

Having said that, a true slipped disk in the neck sometimes requires surgical intervention. But in our admittedly biased opinion, always try conservative treatment first.


The Cervical Compression Test is another test used to confirm the SAR PINCHED NERVE sign: is this truly a pinched nerve? Watch this spectacular way of performing this test. Don't miss it ... and watch to the end. You won't be sorry, I promise! CERVICAL COMPRESSION TEST ...


Upper back pain

Pain between the shoulders and in the upper back can be very difficult to diagnose. It could be a local problem, say a subluxation of the fourth thoracic vertebra. Or, it could be a rib head subluxation. Does deep breathing cause pain?

On the scary side it could be a metastasis from lung or breast cancer; fortunately both rare, but if you've had a mastectomy or are a smoker, then it does need to be kept in mind.

Then it could simply be a muscular problem, perhaps from sitting too long at a computer that is not properly set up. Is your mouse arm supported? Do your fingers point up or down? How are your eyes in relation to the screen?

Are you using a laptop when you could be using a pc, or at least a portable with a full screen and separate keyboard and mouse?

But then it could also be a referred pain from the neck. If the C5 nerve root is affected then deep upper back ache is often the result, mediated via the dorsal scapular n, with tingling and discomfort on the outer upper arm. And you may well get shoulder abduction relief.

The long and the short of it is that a careful and thorough history and chiropractic examination is in order when dealing with lower neck, upper back and arm pain.

They can be excruciatingly painful and frustratingly there is often no known cause. You wake up one morning and everything is rosy. You stretch lazily, and bingo, you have severe neck pain. Within a few days or weeks the ache begins to radiate to the upper back, sometimes the chest depending on the nerve root involved, and arm. And, you get relief by placing your hand on your head.

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Mrs T looked like the leaning tower of Pisa; she had a slipped disc at L5 making her lean towards the opposite side. It's called the postero lateral disc hernia; she's much better after two weeks of treatment and will go back to work next week, part time. Lateral discs are more difficult; both take a minimum of six weeks to heal. In my opinion, antalgic patients need what I call exercising bed rest. Sit and it won't get better.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months. He has a pincer deformity in the hip causing the groin pain, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your lower back is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her hip, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Hypermobility is more difficult that too stiff in my opinion. Chiropractic is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.

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