[Vickie]

Hi Dougt, Wanted to go ahead and add my next favorite movement and clarify the process. Your therapist confirmed that there was nerve innervention so atleast you know we're on the same page. The symptom that you are experiencing is a result of this impingement and will always be vulnerabale unless you correct the cause of the problem. Certainly the tricep pain is the symptom and must be addressed but often the positions that we accidentally create as we address exercises perpetuates the impingement although it may change the way it manifests in our body.

The brachial plexus, that I mentioned before, divides into a number of branches that affect the shoulder and arm muscles. Often, by addrssing the symptom you only create an opportunity to move the pain to another aspect of the muscular system this nerve impacts. So all of the movements, that I will suggest will address first the origin of the problem and only secondarily the symptom. We can be greateful for the symptom at this initial, acute phase as it may be circumventing a larger and more permanent problem in the future. The very painful motions you are suggesting make your problem easy to diagnose but not always easy to correct. It's just to easy to try to look at the pain source and not the pain cause.

All of this to say your therapist is focused on the problem and that will allow you to feel purposeful. I will encourage you to look at the larger structural problems that allowed this painful experience to manifest.

The following next exercise if very specific; as should all exercises be that are designed to change your structural alignment. The text is very tedious as I am trying to help you get into the most effective positions. Sorry, it's easier to hear than to read and impliment but it works.

Atleast it's not interferring with your golf, yet. And now it doesn't have to. Let me know if you need more clarification. Vickie

Standing Abduction Band Stretch
Place a therapy band under a door and close it securely. ( Be sure to tie a knot large enough to make sure that it will not pull under the door in a state
of tension.)
Stand in Standard Form with your shoulder perpendicular to the door then turn 30 degrees toward the door.
Holding your band in the hand furthest from the door and just at the front of your thigh with your elbow tight at your side, hold the band taunt but not stretched.
Hold the band with your palm facing the door.
Stretch your arm (and band) up to shoulder height and perpendicular to the shoulder. Do not allow your shoulder (from your neck to the shoulder
joint) to lift but create the motion completely with your arm and shoulder
girdle.

Key: Be sure you bring the fist fully into place, often feeling like you
have to pull the arm back slightly. You may feel your chest lift slightly
and your shoulder blade tighten and move toward the center of
body; inevitable if you are in proper alignment.)

Resist the tension as you bring the arm back to your side without rolling your
shoulders or leaning forward. Try to hold the lift you feel in your torso.
Repeat 6-10 repetitions then repeat on the other arm.