Colleen is a professional cellist and mother of two young boys. Her youngest started walking October 2006. She sought Mye's help in March, 2006. Her complaints were pain and limited range of motion in her left shoulder and tingling / numbness in both hands. She had seen a physician and had been diagnosed with bursitis of the subdeltoid bursa. She had had an MRI that showed no abnormalities. She also had undergone nerve conduction tests which showed no abnormalities.
Colleen's primary goals were to decrease pain / increase range of motion in her left arm and decrease the numbness in both hands. These conditions were affecting her ability to play the cello.
During Mye's assessment of Colleen, she found Colleen held excessive tension throughout her neck, her superior thorax, down her arms and into her hands. She exhibited mild postural compensations from cello playing and from carrying her infant son. Adhesions existed in the attachments of her left rotator cuff muscles.
Bursitis is painful and is irritated by manual therapy. Mye began working cautiously with the musculature and fascia immediately surrounding Colleen's glenohumeral (shoulder) joint: rotator cuff muscles, pectoralis major and minor, biceps brachii, coracobrachials, triceps brachii and deltoid. Mye's primary goal was to decrease tension in tissues surrounding the joint and, consequently, decrease tension on the joint and the inflamed bursa. Mye's secondary goal was to decrease tension in adjunct areas, specifically the neck and arms, relieving any tension on the brachial plexus (possible cause of tingling in the hands). Mye chose to treat Colleen with neuromuscular therapy and myofascial therapy, both of which are slow, methodical modalities during which the client provides ample feedback. Mye suggested easy stretching exercises for Colleen to do at home. Mye also suggested she increase her water intake to allow more movement in her superficial fascia.
Within 5 sessions, Colleen was able to abduct her arm to 90° above horizontal (to her ear). Some of her postural compensation patterns were diminished: decreases in forward head position, anterior shoulder rotation, thoracic spinal flexion, and lumbar spinal extension. Tingling in her hands had decreased but still remained. She stated that she "is more apt to do self-care exercises now that it doesn't hurt to do them."
As of January, 2007 Colleen remains a regular client. She sees Mye weekly when her playing schedule is heavy. Mye does focused work, primarily to ensure that her tissues remain supple. On rare occasion Colleen experiences mild tingling in her hands. However, she has remained diligent in her self-care, taking frequent breaks during rehearsals to stretch and relax.